Clinical Study on Percutaneous Intramedullary Bioresorbable Pin Fixation for Fourth and Fifth Metacarpal Bone Fracture

Lee,  Sang Hwan; Kim,  Sang Hun; Park,  Eun Soo; Nam,  Seung Min; Shin,  Ho Seong

doi:2017.22.2.105

Search: J Korean Surgery Hand Soc Search

CLOSE

Arch Hand Microsurg > Volume 22(2); 2017 > Article

Original Article

Journal of the Korean Society for Surgery of the Hand 2017;22(2):105-111.
Published online June 30, 2017.
DOI: https://doi.org/10.12790/jkssh.2017.22.2.105

Clinical Study on Percutaneous Intramedullary Bioresorbable Pin Fixation for Fourth and Fifth Metacarpal Bone Fracture

Sang Hwan Lee, Sang Hun Kim, Eun Soo Park, Seung Min Nam, Ho Seong Shin

¹Department of Plastic and Reconstructive Surgery, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.
²Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. peunsoo@schmc.ac.kr

Received: 19 December 2016 • Revised: 30 January 2017 • Accepted: 10 February 2017

Abstract

Purpose
Metacarpal fracture of a ring and little finger occurs frequently. Percutaneous intramedullary fixation is a simple and effective method with a low incidence of complications. To date, Kirschner wire (K-wire) fixation has been widely used, but this has problems such as pin infection. Moreover it is difficult to start early active motion exercise. So, we replaced the K-wire with a bioresorbable implant and evaluated the results.

Methods
This study was conducted from 2014 to 2016 and involved 10 consecutive patients with 10 metacarpal neck fractures. All cases underwent percutaneous intramedullary fixation using the ActivaPin (Bioretec Ltd.) within 7 days after injury, and the average follow-up period was 13 months. At the final follow-up, all cases were assessed in terms of total active motion (TAM), bony union and angular deformity based on plain radiographs.

Results
The patients started active motion exercise within 1 week and regained a full range of motion after average 4 weeks. The TAM results were excellent at 250° to 270° in all cases. Regarding radiographic findings, fractures united in all cases and there were no malunion and knuckle deformity.

Conclusion
Replacement of a K-wire with a bioresorbable pin prevented soft tissue damage and dorsal scarring. And our percutaneous intramedullary bioresorbable pin fixation technique resulted in early recovery of range of motion and correction of deformity. The patients regained range of motion and returned to daily life early.

TOOLS

PDF Links
Full text via DOI
Download Citation

Share :

METRICS

0 Crossref
1,387 View
6 Download

Related articles in Arch Hand Microsurg

Comparison of Results Based on the Number of Kirschner Wires of Different Diameters in Antegrade Intramedullary Fixation of Fifth Metacarpal Neck Fractures2021 December;26(4)

Extensor Mechanism Injury by Retrograde Intramedullary, K-wire Fixation of Metacarpal Neck Fractures2008 ;13(2)

Palmar Percutaneous Cannulated Herbert-Whipple Screw Fixation of Scaphoid Fractrues2005 ;10(3)

Temporary Intramedullary K-wire Fixation for Metacarpal Neck and Phalangeal Fractures2002 ;7(1)

Percutaneous intramedullary multiple Kirschner-wire fixation for the metacarpal fractures1999 November;4(2)

About

Article and topics

Article category

Browse all articles >

Topics

Browse all articles >

Browse articles

Editorial policies

For contributors

Editorial Office: St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186 Fax: +82-31-254-7186 E-mail: journal@handmicro.org