Mini-Open Reduction of Isolated Metacarpal Bone Fracture

Jeong,  Yeon Jin; Oh,  Se Young; Choi,  Ji Seon; Lim,  Jin Soo; Shim,  Hyung Sup

doi:2019.24.4.321

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Original Article

Archives of Hand and Microsurgery 2019;24(4):321-329.
Published online December 1, 2019.
DOI: https://doi.org/10.12790/ahm.2019.24.4.321

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. sharpshim@catholic.ac.kr

Received: 8 July 2019 • Revised: 4 August 2019 • Accepted: 4 September 2019

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.

Key Words: Metacarpal fracture, Open reduction, Internal fixation, Closed reduction, Kirschner wire

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