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KMID : 0386420110240010067
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Journal of the Korean Fracture Society
2011 Volume.24 No. 1 p.67 ~ p.72
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Antegrade Intramedullary Prebent K-wire Fixation for the 5th Metacarpal Neck Fracture
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Kim Tae-Hyung
Kim Bo-Hyeon
Jung In-Ho
Kim Dong-Hyun
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Abstract
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Purpose: To evaluate radiological and clinical results of the antegrade intramedullary prebent K-wire fixation for the 5th metacarpal neck fracture.
Materials and Methods : Between January, 2006 and December, 2009, 31 patients with displaced neck fracture of the fifth metacarpal who received antegrade intramedullary prebent K-wire fixation were included in this study. Radiological and clinical outcome evaluations were performed.
Results: All the fractures were completely united. In the oblique radiographs, the average of preoperative angulation was corrected from 38.9o to 4.4o. The average difference between postoperative and final follow-up was 1.2o. Clinical outcomes were satisfactory except for one patient who had sustained ulnar nerve dorsal branch injury during surgery.
Conclusion: Antegrade intramedullary prebent K-wire fixation may be preferentially considered as one of the best ways to fix the displaced neck fractures of the fifth metacarpal.
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KEYWORD
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Metacarpal, Neck fracture, Antegrade intramedullary K-wire fixation
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