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  1. 23 Μαΐ 2016 · After diagnosis of a metacarpal neck fracture, surgery is indicated for open fractures, displaced intra-articular fractures, or in cases with unacceptable angulation. There is no consensus among hand surgeons as to the single most effective technique.

  2. Overall, 61 cases (10%) were treated surgically. Types of surgical treatment included K-wire fixation (37), plate fixation (15), screw fixation (8), and external fixation (1). Figure 2 presents the treatment and management distributions for all included 5MCN fractures.

  3. 24 Φεβ 2024 · Complications of 5th metacarpal neck fractures include digit malrotation, nonunion, joint stiffness, grip weakness, neurovascular injury, and loss of the 5th knuckle's aesthetic appearance. Open fractures and fight bites predispose to infection.

  4. 1 ημέρα πριν · Intramedullary fixation (IMF) is a surgical option for treatment of transverse, comminuted, and short oblique metacarpal fracture patterns of the neck, shaft, and base, with favorable outcomes. 19–21 Multiple studies have demonstrated that this technique offers early postoperative active mobilization, reliable union rates, and stability ...

  5. 10 Νοε 2015 · Among the 4 treatmentsconservative treatment (CT), antegrade intramedullary nailing (AIMN), transverse pinning (TP) with K-wires, and plate fixation (PF)—CT had the best rankings (ie, lowest risk of total complications), followed by PF, AIMN, and TP (ie, highest risk of total complications).

  6. 2 Ιουν 2017 · Potenza et al. treated 28 patients with fifth metacarpal bone neck fractures using percutaneous transverse K-wire pinning techniqe, and reported that the surgical results were generally good at an average of 25 months after surgery.

  7. Abstract Objective. to demonstrate a surgical technique for treating neck fractures of the fifth metacarpal, by means of reduction through intra-focal manipulation and percutaneous fixation using Kirschner wires, with the aims of making it easier to achieve and maintain the reduction during the operation and enabling reduction of these fractures even if a fibrous callus has formed.

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