After analyzing the operation time of epibasal and Bennett fractures, we can recommend that the K-wire fixation is superior to the plate and/or screw osteosynthesis as a treatment, because of the associated benefits of keeping costs low without harming the patient in the long term. The determined data of the operated extra-articular and intra-articular first metacarpal base fractures revealed approximately equal results for patient outcome, postoperative x-ray results, and time of radiation exposure during the operation. Also, no statistical difference was found between the 2 analyzed groups in terms of patient outcomes and postoperative radiographic results. Metacarpal fractures are common injuries. You can feel your metacarpals by pressing on the back of your hand. Your metacarpals are the bones in your hand that connect your thumb and finger bones (your phalanges) to your wrist. Furthermore, for the time of radiation exposure, no significant difference could be detected. Overview What is a metacarpal fracture A metacarpal fracture is a type of bone fracture (broken bone). Of the 52 patients, 19 were available for a prospective follow-up examination.Īfter analyzing the operation time, a significant difference between the 2 operative techniques for epibasal and Bennett fractures (P = 0.0089 and P = 0.02) was recorded. After reduction, osteosynthesis was performed on 34 patients with K-wires (group I), and on 18 patients with plates and/or screws (group II). In this retrospective cohort study, we analyze the possible differences between 2 distinguished operative osteosynthesis techniques, in terms of patient outcome, operation time, duration of radiation exposure, and postoperative radiographic results.įifty-two patients operated on for first metacarpal extra-articular or intra-articular base fracture were investigated retrospectively by means of records. Over time, the operative treatment of extra-articular and intra-articular fractures of the first metacarpal base has gained significant importance, and at present, there are many operative strategies available because of the different osteosynthesis procedures in practice today.
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