Antegrade intramedullary nailing for fifth metacarpal neck fractures

Purpose We investigated the outcomes of the antegrade intramedullary nailing (AIMN) compared to other surgical modalities in the treatment for fifth metacarpal neck fractures via a systematic review. Methods Pain, functional scores, grip strength, total active motion (TAM), the range of motion (ROM)...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Yammine, Kaissar (author)
مؤلفون آخرون: Harvey, Alison (author)
التنسيق: article
منشور في: 2014
الوصول للمادة أونلاين:http://hdl.handle.net/10725/10925
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://link.springer.com/article/10.1007/s00590-013-1344-5
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author Yammine, Kaissar
author2 Harvey, Alison
author2_role author
author_facet Yammine, Kaissar
Harvey, Alison
author_role author
dc.creator.none.fl_str_mv Yammine, Kaissar
Harvey, Alison
dc.date.none.fl_str_mv 2014
2019-06-28T07:06:20Z
2019-06-28T07:06:20Z
2019-06-28
dc.identifier.none.fl_str_mv 1432-1068
http://hdl.handle.net/10725/10925
Yammine, K., & Harvey, A. (2014). Antegrade intramedullary nailing for fifth metacarpal neck fractures: a systematic review and meta-analysis. European Journal of Orthopaedic Surgery & Traumatology, 24(3), 273-278.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://link.springer.com/article/10.1007/s00590-013-1344-5
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv European Journal of Orthopaedic Surgery & Traumatology
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Antegrade intramedullary nailing for fifth metacarpal neck fractures
a systematic review and meta-analysis
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Purpose We investigated the outcomes of the antegrade intramedullary nailing (AIMN) compared to other surgical modalities in the treatment for fifth metacarpal neck fractures via a systematic review. Methods Pain, functional scores, grip strength, total active motion (TAM), the range of motion (ROM) of the fifth metacarpal joint, complications and patient satisfaction were set to be the primary outcomes. The data were evaluated using a modified version of the Cochrane Collaboration tool. Results We identified four studies, comprising 163 participants, which met the inclusion criteria. Meta-analyses showed that (a) AIMN demonstrated significantly better results in relation to GS at 12 months (p < 0.0001), TAM (p = 0.01) and ROM of the fifth finger (p = 0.0001); (b) AIMN technique yielded significantly lesser residual angulation at the site of fracture (p = 0.05); (c) AIMN significantly demonstrated fewer complications (p = 0.05); (d) there was a trend for better pain scores when using AIMN. Conclusions Though the amount of evidence was derived from just four small sample-sized studies, our findings suggested that the AIMN technique could have some advantages over the use of plates or other types of pinning in the treatment for the fifth metacarpal neck fractures. We highlighted the need for a standardization of the outcomes and their corresponding units related to this specific type of fracture. Editors and reviewers should incite authors to provide the standard deviation values for the reported means. Level of evidence Therapeutic II.
eu_rights_str_mv openAccess
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identifier_str_mv 1432-1068
Yammine, K., & Harvey, A. (2014). Antegrade intramedullary nailing for fifth metacarpal neck fractures: a systematic review and meta-analysis. European Journal of Orthopaedic Surgery & Traumatology, 24(3), 273-278.
language_invalid_str_mv en
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spelling Antegrade intramedullary nailing for fifth metacarpal neck fracturesa systematic review and meta-analysisYammine, KaissarHarvey, AlisonPurpose We investigated the outcomes of the antegrade intramedullary nailing (AIMN) compared to other surgical modalities in the treatment for fifth metacarpal neck fractures via a systematic review. Methods Pain, functional scores, grip strength, total active motion (TAM), the range of motion (ROM) of the fifth metacarpal joint, complications and patient satisfaction were set to be the primary outcomes. The data were evaluated using a modified version of the Cochrane Collaboration tool. Results We identified four studies, comprising 163 participants, which met the inclusion criteria. Meta-analyses showed that (a) AIMN demonstrated significantly better results in relation to GS at 12 months (p < 0.0001), TAM (p = 0.01) and ROM of the fifth finger (p = 0.0001); (b) AIMN technique yielded significantly lesser residual angulation at the site of fracture (p = 0.05); (c) AIMN significantly demonstrated fewer complications (p = 0.05); (d) there was a trend for better pain scores when using AIMN. Conclusions Though the amount of evidence was derived from just four small sample-sized studies, our findings suggested that the AIMN technique could have some advantages over the use of plates or other types of pinning in the treatment for the fifth metacarpal neck fractures. We highlighted the need for a standardization of the outcomes and their corresponding units related to this specific type of fracture. Editors and reviewers should incite authors to provide the standard deviation values for the reported means. Level of evidence Therapeutic II.PublishedN/A2019-06-28T07:06:20Z2019-06-28T07:06:20Z20142019-06-28Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1432-1068http://hdl.handle.net/10725/10925Yammine, K., & Harvey, A. (2014). Antegrade intramedullary nailing for fifth metacarpal neck fractures: a systematic review and meta-analysis. European Journal of Orthopaedic Surgery & Traumatology, 24(3), 273-278.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://link.springer.com/article/10.1007/s00590-013-1344-5enEuropean Journal of Orthopaedic Surgery & Traumatologyinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/109252021-03-19T10:45:19Z
spellingShingle Antegrade intramedullary nailing for fifth metacarpal neck fractures
Yammine, Kaissar
status_str publishedVersion
title Antegrade intramedullary nailing for fifth metacarpal neck fractures
title_full Antegrade intramedullary nailing for fifth metacarpal neck fractures
title_fullStr Antegrade intramedullary nailing for fifth metacarpal neck fractures
title_full_unstemmed Antegrade intramedullary nailing for fifth metacarpal neck fractures
title_short Antegrade intramedullary nailing for fifth metacarpal neck fractures
title_sort Antegrade intramedullary nailing for fifth metacarpal neck fractures
url http://hdl.handle.net/10725/10925
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://link.springer.com/article/10.1007/s00590-013-1344-5