Antegrade intramedullary nailing for fifth metacarpal neck fractures

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dc.contributor.author Yammine, Kaissar
dc.contributor.author Harvey, Alison
dc.date.accessioned 2019-06-28T07:06:20Z
dc.date.available 2019-06-28T07:06:20Z
dc.date.copyright 2014 en_US
dc.date.issued 2019-06-28
dc.identifier.issn 1432-1068 en_US
dc.identifier.uri http://hdl.handle.net/10725/10925
dc.description.abstract 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. en_US
dc.language.iso en en_US
dc.title Antegrade intramedullary nailing for fifth metacarpal neck fractures en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle a systematic review and meta-analysis en_US
dc.author.school SOM en_US
dc.author.idnumber 201801808 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal European Journal of Orthopaedic Surgery & Traumatology en_US
dc.journal.volume 24 en_US
dc.journal.issue 3 en_US
dc.article.pages 273-278 en_US
dc.keywords Metacarpal fracture en_US
dc.keywords Boxer’s fracture en_US
dc.keywords Intramedullary nail en_US
dc.keywords Evidence-based medicine en_US
dc.identifier.ctation 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. en_US
dc.author.email kaissar.yammine@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://link.springer.com/article/10.1007/s00590-013-1344-5 en_US
dc.author.affiliation Lebanese American University en_US

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