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KMID : 1143020190240040321
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Archives of Hand and Microsurgery
2019 Volume.24 No. 4 p.321 ~ p.329
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Mini-Open Reduction of Isolated Metacarpal Bone Fracture
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Jeong Yeon-Jin
Oh Se-Young
Choi Ji-Seon
Lim Jin-Soo
Shim Hyung-Sup
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Abstract
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Purpose: Metacarpal bone fracture is a commonly encountered. The authors applied a minimally invasive open reduction technique that comprises only a stab incision to treat metacarpal bone fractures, thereby minimizing complications that accompany traditional open reduction methods while retaining the advantages of closed reduction techniques.
Methods: A 5-year retrospective study was carried out of all patients who underwent surgical treatment performed by two separate hand surgeons. Total 37 patients were operated. Fourteen patients of conventional open reduction group and 23 patients of minimal invasive group were included in the study.
Results: Mini-open reduction group had shorter operative time, comparable radiological reduction result, lower subjective pain, comparable mean active range of motion of the metacarpophalangeal joint, similar complication rate and superior outcome scar quality than conventional open reduction group.
Conclusion: Mini-open reduction method may be an alternative to conventional open reduction in treating metacarpal fractures.
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KEYWORD
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Metacarpal fracture, Open reduction, Internal fixation, Closed reduction, Kirschner wire
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