Arch Hand Microsurg 2019; 24(4): 321-329  
Mini-Open Reduction of Isolated Metacarpal Bone Fracture
Yeon Jin Jeong1, Se Young Oh2, Ji Seon Choi2, Jin Soo Lim2, Hyung-Sup Shim2
1Department of Plastic and Reconstructive Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
2Department of Plastic and Reconstructive Surgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
Correspondence to: Hyung-Sup Shim
Department of Plastic and Reconstructive Surgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Jungbudaero, Paldal-gu, Suwon 16247, Korea
TEL: +82-31-249-7206, FAX: +82-31-241-0005, E-mail: sharpshim@catholic.ac.kr, ORCID: https://orcid.org/0000-0001-5156-2239
Received: July 8, 2019; Revised: August 4, 2019; Accepted: September 4, 2019; Published online: December 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: Metacarpal bone fracture is a commonly encountered. The authors applied a minimally invasive open reduction technique that comprises only a stab incision to treat metacarpal bone fractures, thereby minimizing complications that accompany traditional open reduction methods while retaining the advantages of closed reduction techniques.
Methods: A 5-year retrospective study was carried out of all patients who underwent surgical treatment performed by two separate hand surgeons. Total 37 patients were operated. Fourteen patients of conventional open reduction group and 23 patients of minimal invasive group were included in the study.
Results: Mini-open reduction group had shorter operative time, comparable radiological reduction result, lower subjective pain, comparable mean active range of motion of the metacarpophalangeal joint, similar complication rate and superior outcome scar quality than conventional open reduction group.
Conclusion: Mini-open reduction method may be an alternative to conventional open reduction in treating metacarpal fractures.
Keywords: Metacarpal fracture, Open reduction, Internal fixation, Closed reduction, Kirschner wire


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