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      제5 중수골 경부 골절에서 미리 구부려진 K-강선을 이용한 전향적 골수강내 고정술 = Antegrade Intramedullary Prebent K-wire Fixation for the 5th Metacarpal Neck Fracture

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      https://www.riss.kr/link?id=A82491652

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      다국어 초록 (Multilingual Abstract)

      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 38.9˚ to 4.4˚. The average difference between postoperative and final follow-up was 1.2˚. 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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      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 fract...

      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 38.9˚ to 4.4˚. The average difference between postoperative and final follow-up was 1.2˚. 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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      참고문헌 (Reference)

      1 김명호, "부케 핀 골수강내 고정술을 이용한 제5중수골 경부 골절의 치료" 대한골절학회 20 (20): 11-11, 2007

      2 Ali A, "The biomechanical effects of angulated boxer's fractures" 24 : 835-844, 1999

      3 Choi SJ, "Teatment method of the metacarpal bone fractures with retrograde percutaneous intramedullary K-wire fixation to decrease the injury of extensor tendon" 9 : 117-122, 2004

      4 Lamraski G, "Reliability and validity of plain radiographs to assess angulation of small finger metacarpal neck fractures: human cadaveric study" 24 : 37-45, 2006

      5 Leung YL, "Radiographic assessment of small finger metacarpal neck fractures" 27 : 443-448, 2002

      6 Kim BS, "Operative treatment of metacarpal shaft fracture" 1 : 720-726, 1999

      7 Braakman M, "Functional taping of fractures of the 5th metacarpal results in a quicker recovery" 29 : 5-9, 1998

      8 Ford DJ, "Fractures of the fifth metacarpal neck: is reduction or immobilisation necessary" 14 : 165-167, 1989

      9 Jahss SA, "Fracture of the metacarpals: a new method of reduction and immobilization" 20 : 178-186, 1938

      10 Paul AS, "Fixation of closed metacarpal shaft fractures. Transverse K-wires in 22 cases" 65 : 427-429, 1994

      1 김명호, "부케 핀 골수강내 고정술을 이용한 제5중수골 경부 골절의 치료" 대한골절학회 20 (20): 11-11, 2007

      2 Ali A, "The biomechanical effects of angulated boxer's fractures" 24 : 835-844, 1999

      3 Choi SJ, "Teatment method of the metacarpal bone fractures with retrograde percutaneous intramedullary K-wire fixation to decrease the injury of extensor tendon" 9 : 117-122, 2004

      4 Lamraski G, "Reliability and validity of plain radiographs to assess angulation of small finger metacarpal neck fractures: human cadaveric study" 24 : 37-45, 2006

      5 Leung YL, "Radiographic assessment of small finger metacarpal neck fractures" 27 : 443-448, 2002

      6 Kim BS, "Operative treatment of metacarpal shaft fracture" 1 : 720-726, 1999

      7 Braakman M, "Functional taping of fractures of the 5th metacarpal results in a quicker recovery" 29 : 5-9, 1998

      8 Ford DJ, "Fractures of the fifth metacarpal neck: is reduction or immobilisation necessary" 14 : 165-167, 1989

      9 Jahss SA, "Fracture of the metacarpals: a new method of reduction and immobilization" 20 : 178-186, 1938

      10 Paul AS, "Fixation of closed metacarpal shaft fractures. Transverse K-wires in 22 cases" 65 : 427-429, 1994

      11 Hunter JM, "Fifth metacarpal fractures in a compensation clinic population. A report on one hundred and thirty-three cases" 52 : 1159-1165, 1970

      12 Manueddu CA, "Fasciculated intramedullary pinning of metacarpal fractures" 21 : 230-236, 1996

      13 Theeuwen GA, "Conservative treatment of boxer's fracture: a retrospective analysis" 22 : 394-396, 1991

      14 Wong TC, "Comparison between percutaneous transverse fixation and intramedullary K-wires in treating closed fractures of the metacarpal neck of the little finger" 31 : 61-65, 2006

      15 McKerrell J, "Boxer's fractures--conservative or operative management" 27 : 486-490, 1987

      16 Steel WM, "Articular fractures, In Fractures of the hand and wrist" Churchill Livingstone 55-73, 1988

      17 Foucher G, "A new technic of osteosynthesis in fractures of the distal 3d of the 5th metacarpus" 5 : 1139-1140, 1976

      18 Foucher G, ""Bouquet" osteosynthesis in metacarpal neck fractures: a series of 66 patients" 20 : S86-S90, 1995

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      학술지 인용정보
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      2016 0.05 0.05 0.04
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