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A single antegrade intramedullary k-wire for fifth metacarpal neck fractures

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dc.contributor.author Assi, Chahine
dc.contributor.author Mansour, Jad
dc.contributor.author Samaha, Camille
dc.contributor.author Ajjoub, Sleiman
dc.contributor.author Yammine, Kaissar
dc.date.accessioned 2019-07-04T06:19:59Z
dc.date.available 2019-07-04T06:19:59Z
dc.date.copyright 2019 en_US
dc.identifier.issn 1863-9941 en_US
dc.identifier.uri http://hdl.handle.net/10725/10969
dc.description.abstract 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. en_US
dc.language.iso en en_US
dc.title A single antegrade intramedullary k-wire for fifth metacarpal neck fractures en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 201004807 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 Trauma and Emergency Surgery en_US
dc.article.pages 1-7 en_US
dc.keywords Fifth metacarpal neck fracture en_US
dc.keywords Single antegrade elastic nailing en_US
dc.keywords Surgery en_US
dc.identifier.ctation 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. en_US
dc.author.email chahine.assi@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/s00068-018-01073-2 en_US
dc.author.affiliation Lebanese American University en_US


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