Intramedullary Pin Fixation of Metacarpal Fractures Reduced Percutaneously by Towel Clip

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Journal of the Korean Society for Surgery of the Hand 2005;10(1):39-44.
Published online March 1, 2005.

Nam-Sik Chung, Jae-Cheon Sim, Ki-Do Hong, Sung-Sik Ha, Ji-Hoon Kang, Sung-Joon Park,

경피적 겸자 정복과 골수강내 금속핀 고정술을 이용한 중수골 골절의 치료

정남식, 심재천, 홍기도, 하성식, 강지훈, 박성준

Abstract

Purpose
The objective of this study was to evaluate the clinical results of percutaneous reduction by towel clip and retrograde intramedullary fixation using Steinmann pin for the treatment of metacarpal fractures. Materials and Methods: 24 cases in 21 patients of metacarpal fractures were treated by percutaneous reduction by towel clip and retrograde intramedullary fixation using Steinmann pin from July, 2002 to March, 2004. All 24 cases had at least 1 year follow-up period. To assess the results, the range of motion, complications and radiographic findings were investigated. Results: The mean period of bone union was 7.2 weeks, ranged from 4 to 12 weeks. The mean posterior angulation was 44.8¡Æin the preoperative radiographs and 3.5¡Æat the last follow up. The average shortening was 6.2 mm in the preoperative radiographs and 1.9 mm at the last follow up. All cases had normal range of motion of the MP joint. There was no evidence of rotational deformity. Conclusion: Percutaneous reduction by towel clip and retrograde intramedullary Steinmann pin fixation is one of the useful methods for the metacarpal fractures, which can achieve rapid and accurate reduction, firm fixation.

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