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Journal of the Korean Society for Surgery of the Hand 1999;4(2):199-203.
Published online January 1, 1999.
Percutaneous Intramedullary Fixation Using Prebent K-wires of Metacarpal Shaft Fractures
Hyung Min Kim,Chang Hoon Jeong,Kee Haeng Lee,Moon Gu Chio,Youn Su Kim,Da Ro Lee
중수골 간부 골절시 K-강선을 이용한 경피적 골수강내 고정술
김형민,정창훈,이기행,최문구,김윤수,이다로
Abstract
Twenty consecutive study of 20 cases in 16 patients with shaft fractures of metacarpal bone was done, in which the patients were treated by intramedullary nailing using K-wires between May, 1995 and December, 1998. The purposes of this study is to analyze the results and to investigate the effectiveness of surgical method for metacarpal shaft fracture. The mean follow-up was 9 months, ranged from 6 to 18 months. K-wires were inserted percutaneously through one or two small windows in the base of metacarpal bone. No external splintage was routinely used postoperatively and all patients were encouraged to mobilize their fingers immediately after the operation. All the fractures were completely united within 3 months after the operation radiographically. The average shortening of fractured metacarpals was 1.7 mm, ranged from 0 to 4 mm and mean angular deformity was 3˚, ranged from 0˚to 16˚, on the last follow-up radiographs when compared with the opposite normal side. The K-wires were removed when the fracture was completely united on radiographs and the mean time of removal was 12 weeks after surgery ranged from 8 to 14 weeks. No patient complained any pain or limitation of motion. As a conclusion, the results suggests that percutaneous intramedullary nailing with multiple prebent K-wires is one of the effective methods for the metacarpal shaft fractures.
 


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