Outcome of antegrade intramedullary fixation for juvenile fifth metacarpal neck fracture with titanium elastic nail

  • Authors:
    • Kaiying Shen
    • Yunlan Xu
    • Dan Cao
    • Zhigang Wang
    • Haiqing Cai
  • View Affiliations

  • Published online on: April 20, 2017     https://doi.org/10.3892/etm.2017.4369
  • Pages: 2997-3002
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Abstract

The purpose of the current study was to assess the outcome of antegrade intramedullary fixation with titanium elastic nail (TEN) in displaced fifth metacarpal neck fractures. The present study included 69 consecutive juvenile patients with displaced fifth metacarpal fractures. The head‑shaft angle of the fifth metacarpal and range of motion (ROM) of the metacarpophalangeal (MCP) joint were evaluated. A disabilities of the arm, shoulder and hand (DASH) questionnaire was used to assess upper arm function. The head‑shaft angle of the affected side was significantly improved postoperatively (P<0.05). No marked difference was observed between the affected and unaffected side in head‑shaft angle and ROM. The average DASH score was 1.7 (range, 0‑6.0). All patients obtained anatomical reduction postoperatively and the average healing time was 5.7±1.09 weeks (range, 5‑10 weeks) with no non‑union cases. Therefore antegrade intramedullary fixation with TEN is recommended as an easy, reliable and minimally invasive surgical technique for treating displaced fifth metacarpal neck fractures.

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June-2017
Volume 13 Issue 6

Print ISSN: 1792-0981
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Spandidos Publications style
Shen K, Xu Y, Cao D, Wang Z and Cai H: Outcome of antegrade intramedullary fixation for juvenile fifth metacarpal neck fracture with titanium elastic nail. Exp Ther Med 13: 2997-3002, 2017
APA
Shen, K., Xu, Y., Cao, D., Wang, Z., & Cai, H. (2017). Outcome of antegrade intramedullary fixation for juvenile fifth metacarpal neck fracture with titanium elastic nail. Experimental and Therapeutic Medicine, 13, 2997-3002. https://doi.org/10.3892/etm.2017.4369
MLA
Shen, K., Xu, Y., Cao, D., Wang, Z., Cai, H."Outcome of antegrade intramedullary fixation for juvenile fifth metacarpal neck fracture with titanium elastic nail". Experimental and Therapeutic Medicine 13.6 (2017): 2997-3002.
Chicago
Shen, K., Xu, Y., Cao, D., Wang, Z., Cai, H."Outcome of antegrade intramedullary fixation for juvenile fifth metacarpal neck fracture with titanium elastic nail". Experimental and Therapeutic Medicine 13, no. 6 (2017): 2997-3002. https://doi.org/10.3892/etm.2017.4369