A single antegrade intramedullary k-wire for fifth metacarpal neck fractures
Objectives Antegrade intramedullary nailing (AIMN) using 2k-wires seems to be superior to other modalities in treating displaced fractures of the fifth metacarpal neck (FFMN). Few reports demonstrated similar results retrospective with a single k-wire. The aim of the study is to describe our single...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , |
| التنسيق: | article |
| منشور في: |
2019
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| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/10969 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://link.springer.com/article/10.1007/s00068-018-01073-2 |
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| _version_ | 1864513487894478848 |
|---|---|
| author | Assi, Chahine |
| author2 | Mansour, Jad Samaha, Camille Ajjoub, Sleiman Yammine, Kaissar |
| author2_role | author author author author |
| author_facet | Assi, Chahine Mansour, Jad Samaha, Camille Ajjoub, Sleiman Yammine, Kaissar |
| author_role | author |
| dc.creator.none.fl_str_mv | Assi, Chahine Mansour, Jad Samaha, Camille Ajjoub, Sleiman Yammine, Kaissar |
| dc.date.none.fl_str_mv | 2019-07-04T06:19:59Z 2019-07-04T06:19:59Z 2019 2019-07-04 |
| dc.identifier.none.fl_str_mv | 1863-9941 http://hdl.handle.net/10725/10969 Assi, C., Mansour, J., Samaha, C., Ajjoub, S., & Yammine, K. (2019). A single antegrade intramedullary k-wire for fifth metacarpal neck fractures. European Journal of Trauma and Emergency Surgery, 1-7. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://link.springer.com/article/10.1007/s00068-018-01073-2 |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | European Journal of Trauma and Emergency Surgery |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | A single antegrade intramedullary k-wire for fifth metacarpal neck fractures |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Objectives Antegrade intramedullary nailing (AIMN) using 2k-wires seems to be superior to other modalities in treating displaced fractures of the fifth metacarpal neck (FFMN). Few reports demonstrated similar results retrospective with a single k-wire. The aim of the study is to describe our single k-wire technique and evaluate the related results. Methods This is a retrospective study of a continuous series of patients treated with a single intramedullary k-wire for FFMN. It includes 30 patients who met the criteria for surgery: a dorsal angulation of more than 30°, malrotation, or both. The mean clinical follow-up period was 7 ± 14.9 months. Results The mean pre-operative angle was 50° ± 11.35° and the mean immediate post-operative angle was 4.86° ± 2.8°. The mean immediate correction was 47° ± 9.3°. The mean correction at last follow-up was 45.14° ± 8.55°. Healing was obtained in all patients and bone union was achieved at a mean of 5.6 ± 1.2 weeks. The mean operative time was 8.5 min. The mean C-arm usage (number of clicks) was 7.2 times. The mean exposure radiation time was calculated at 3.6 s. The mean radiation dose was 0.08 mGy/mm2. The mean satisfaction score was 1.26 ± 0.45. Quick-DASH and EQ-5D scores yielded excellent values. Conclusions With potential benefits like lesser surgical time, radiation and cost, the use of a single AIMN could be safer, quicker and cheaper while reproducing similar clinical, functional and radiological outcomes to those reported with the use of 2k-wires. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_d370c861d19722a4adaa48682c65c8cd |
| identifier_str_mv | 1863-9941 Assi, C., Mansour, J., Samaha, C., Ajjoub, S., & Yammine, K. (2019). A single antegrade intramedullary k-wire for fifth metacarpal neck fractures. European Journal of Trauma and Emergency Surgery, 1-7. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/10969 |
| publishDate | 2019 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | A single antegrade intramedullary k-wire for fifth metacarpal neck fracturesAssi, ChahineMansour, JadSamaha, CamilleAjjoub, SleimanYammine, KaissarObjectives Antegrade intramedullary nailing (AIMN) using 2k-wires seems to be superior to other modalities in treating displaced fractures of the fifth metacarpal neck (FFMN). Few reports demonstrated similar results retrospective with a single k-wire. The aim of the study is to describe our single k-wire technique and evaluate the related results. Methods This is a retrospective study of a continuous series of patients treated with a single intramedullary k-wire for FFMN. It includes 30 patients who met the criteria for surgery: a dorsal angulation of more than 30°, malrotation, or both. The mean clinical follow-up period was 7 ± 14.9 months. Results The mean pre-operative angle was 50° ± 11.35° and the mean immediate post-operative angle was 4.86° ± 2.8°. The mean immediate correction was 47° ± 9.3°. The mean correction at last follow-up was 45.14° ± 8.55°. Healing was obtained in all patients and bone union was achieved at a mean of 5.6 ± 1.2 weeks. The mean operative time was 8.5 min. The mean C-arm usage (number of clicks) was 7.2 times. The mean exposure radiation time was calculated at 3.6 s. The mean radiation dose was 0.08 mGy/mm2. The mean satisfaction score was 1.26 ± 0.45. Quick-DASH and EQ-5D scores yielded excellent values. Conclusions With potential benefits like lesser surgical time, radiation and cost, the use of a single AIMN could be safer, quicker and cheaper while reproducing similar clinical, functional and radiological outcomes to those reported with the use of 2k-wires.PublishedN/A2019-07-04T06:19:59Z2019-07-04T06:19:59Z20192019-07-04Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1863-9941http://hdl.handle.net/10725/10969Assi, C., Mansour, J., Samaha, C., Ajjoub, S., & Yammine, K. (2019). A single antegrade intramedullary k-wire for fifth metacarpal neck fractures. European Journal of Trauma and Emergency Surgery, 1-7.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://link.springer.com/article/10.1007/s00068-018-01073-2enEuropean Journal of Trauma and Emergency Surgeryinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/109692021-03-19T10:45:20Z |
| spellingShingle | A single antegrade intramedullary k-wire for fifth metacarpal neck fractures Assi, Chahine |
| status_str | publishedVersion |
| title | A single antegrade intramedullary k-wire for fifth metacarpal neck fractures |
| title_full | A single antegrade intramedullary k-wire for fifth metacarpal neck fractures |
| title_fullStr | A single antegrade intramedullary k-wire for fifth metacarpal neck fractures |
| title_full_unstemmed | A single antegrade intramedullary k-wire for fifth metacarpal neck fractures |
| title_short | A single antegrade intramedullary k-wire for fifth metacarpal neck fractures |
| title_sort | A single antegrade intramedullary k-wire for fifth metacarpal neck fractures |
| url | http://hdl.handle.net/10725/10969 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://link.springer.com/article/10.1007/s00068-018-01073-2 |