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KMID : 0386420120250040317
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Journal of the Korean Fracture Society
2012 Volume.25 No. 4 p.317 ~ p.322
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Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires
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Jung Jae-Hak
Lee Kwan-Hee
Kim Yong-Ju
Lee Woo-Jin
Choi Sung-Hyun
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Abstract
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Purpose: To evaluate the radiologic and clinical results of percutaneous transverse fixation with K-wires for 5th metacarpal neck fracture.
Materials and Methods: Between January 2007 and September 2010, 18 patients with a 5th metacarpal neck fracture, who underwent operative treatment, were included in this study. The surgical method was percutaneous transverse fixation using K-wires. We evaluated fracture angulation in oblique radiographs preoperatively, postoperatively, and at final follow-up, and used SPSS to perform statistical analysis. We also performed clinical evaluation using the Disabilities of the Arm, Shoulder and Hand (DASH) score.
Results: All of the 18 cases were completely united, and in the oblique radiographs, the angulation was corrected from 50.69o to 11.68o. The average difference between postoperative and final follow-up angulations was 0.14o, which was statistically insignificant. Clinically, the DASH score was 1.030 and no complications were observed.
Conclusion: Percutaneous transverse fixation using K-wires could be one of the best ways to treat a 5th metacarpal neck fracture because of its simple method and low rate of complications.
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KEYWORD
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5th Metacarpal bone, Neck fracture, K-wires, Percutaneous transverse fixation
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