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Metacarpal - DOAJ

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Last Updated: 23 May 2022

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Comparison between Intramedullary Nailing and Percutaneous K-Wire Fixation for Fractures in the Distal Third of the Metacarpal Bone

Objectives: In the distal third portion of the metacarpal bone, there are differences in clinical and radiographic outcomes between intracortical nail fixation and percutaneous K-wire fixation for fractures. Methods A single-institutional retrospective review found 41 cases of metacarpal fractures between September 2009 and August 2013. Each of the cases met the inclusion criteria for closed, extra-articular fractures of the distal third of the metacarpal bone's distal third. The fractures were treated with either intradermal nailing or percutaneous K-wire fixation during the period under scrutiny, and 41 patients met the inclusion criteria. There was no statistically significant difference between the two groups, according to the mean and median total active range of motion and radiographic healing. However, the intramurlary nailing staff returned to work earlier than the average of 2. 3 weeks. Intramedullary nailing fixation is suggested for fractures in the distal third of the metacarpal bone.

Source link: https://doi.org/10.5999/aps.2014.41.6.768


Hand rehabilitation programmes for second to fifth metacarpal fractures: A systematic literature review

Background: Metacarpal fractures, one of the most common upper limb fractures, account for 10% of all bony fractures. Objective: Our systematic review sought to investigate, evaluate, and collate available information on hand rehabilitation services for second-to-first metacarpal fractures in an adult human race following conservative and surgical administration. In the final results extraction, one randomised controlled trial and two observational studies were included in the final data extraction. Conclusion: A well-planned, well-implemented home-based exercise program has shown statistically significant improvements in hand function and digital total active motion in comparison to traditional physiotherapy post-surgically. After an individual sustained a second to fifth metacarpal fracture, our report contributes to the knowledge base of hand rehabilitation. After conservative and surgical management, the authors identified a gap in future studies which could potentially investigate the consequences of hand rehabilitation.

Source link: https://doi.org/10.4102/sajp.v77i1.1536

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions