Journal of Musculoskeletal Trauma

Original Articles

Antegrade Intramedullary Prebent K-wire Fixation for the 5th Metacarpal Neck Fracture: Tae Hyung Kim, Bo Hyeon Kim, In Ho Jung, Dong Hyun Kim; J Korean Fract Soc 2011;24(1):67-72. Published online January 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.1.67

PURPOSE
To evaluate radiological and clinical results of the antegrade intramedullary prebent K-wire fixation for the 5th metacarpal neck fracture.
MATERIALS AND METHODS
Between January, 2006 and December, 2009, 31 patients with displaced neck fracture of the fifth metacarpal who received antegrade intramedullary prebent K-wire fixation were included in this study. Radiological and clinical outcome evaluations were performed.
RESULTS
All the fractures were completely united. In the oblique radiographs, the average of preoperative angulation was corrected from 38.9degrees to 4.4degrees. The average difference between postoperative and final follow-up was 1.2degrees. Clinical outcomes were satisfactory except for one patient who had sustained ulnar nerve dorsal branch injury during surgery.
CONCLUSION
Antegrade intramedullary prebent K-wire fixation may be preferentially considered as one of the best ways to fix the displaced neck fractures of the fifth metacarpal.

Citations

Citations to this article as recorded by

Clinical Outcomes of Customized Staple Fixation Using K-wire in Metacarpal Base or Neck Fractures
Hong-ki Jin, Hyoung Min Kim, Yong Seung Oh, Jihoon Kim
Journal of the Korean Fracture Society.2021; 34(1): 23. CrossRef

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Treatment of Ipsilateral Fracture of the Femur and Tibia: Dong Heon Kim, Kyu Cheol Shin, Bo Hyeon Kim; J Korean Soc Fract 1995;8(3):620-627. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.620

Abstract PDF: The floating knee describes the fail knee joint segment resulting from fractures of the shafts or adjacent metaphyses of the ipsilateral femu. and tibia. It usually is associated with majo. soft tissue damages, open fractures, and other site injuries. The methods of treatment have been controversal. The key point of the treatment is focussed to the early restoration of the knee function. The floating knee in 24 patients were treated by surgical management from March 1988 to December 1994. The results were follows: 1. Average bone union time in femur was 20 weeks and in tibia was 18 weeks. Difference of the result of the treatment between the interlocking nail and Ender nail was not significant. 2. At the last follow up, the excellent and good results were 83% by Karlstrom and Olerud criteria, and the first group using the intrarneduallary nail achieved best result. 3. The most common complication was loss of the range of motion of the knee and loss of the range of motion of the knee was 0 to 45 degrees(the average 1 degrees).

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