High-Strength Suture Fixation in Metacarpal Fractures
DOI:
https://doi.org/10.15417/issn.1852-7434.2024.89.3.1848Keywords:
Metacarpal fractures, high-strength sutures, Nice knotAbstract
Introduction: Metacarpal fractures are highly prevalent in traumatology. When a surgeon determines that surgical treatment is required, numerous techniques are available, including K-wire fixation, open reduction and internal fixation with plates and screws, interfragmentary screws, and intramedullary screws, among others.
Materials and Methods: This study included 19 patients with long oblique or spiral shaft fractures of the second to fifth metacarpals, who were treated with open reduction and high-strength suture internal fixation. The average follow-up period was 20 months. Radiographs and functional scales were used to document
clinical outcomes.
Results: Fracture consolidation was achieved in all patients, and they were able to resume their previous activities after an average of 2.3 months. One patient lost the initial reduction due to a failure to comply with medical instructions but achieved fracture consolidation without the need for additional procedures.
Conclusion: The technique described herein provided a strong metal-free fixation with good clinical outcomes at a low cost.
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References
Kawamura K, Chung KC. Fixation choices for closed simple unstable oblique phalangeal and metacarpal fractures. Hand Clin 2006;22(3):287-95. https://doi.org/10.1016/j.hcl.2006.02.018 DOI: https://doi.org/10.1016/j.hcl.2006.02.018
Ferrando Á, Belluschi G, Andreozzi R, Perrone JM, Sarmiento H, Petrucelli E. Osteosíntesis en fracturas oblicuas
o espiroideas largas de metacarpianos: comparación entre tratamiento con tornillos interfragmentarios solos y placa con tornillos. Rev Asoc Argent Ortop Traumatol 2021;86(5):621-8. https://doi.org/10.15417/issn.1852-7434.2021.86.5.1345 DOI: https://doi.org/10.15417/issn.1852-7434.2021.86.5.1345
Henry MH. Fractures of the proximal phalanx and metacarpals in the hand: Preferred methods of stabilization. J Am Acad Orthop Surg 2008;16(10):586-95. https://doi.org/10.5435/00124635-200810000-00004 DOI: https://doi.org/10.5435/00124635-200810000-00004
Hachem AI, Del Carmen M, Verdalet I, Rius J. Arthroscopic bone block cerclage: A fixation method for glenoid
bone loss reconstruction without metal implants. Arthrosc Tech 2019;8(12):e1591-e1597. https://doi.org/10.1016/j.eats.2019.08.014 DOI: https://doi.org/10.1016/j.eats.2019.08.014
Boileau P, Alami G, Rumian A, Schwartz DG, Trojani C, Seidl AJ. The doubled-suture Nice knot. Orthopedics
;40(2):e382-e386. https://doi.org/10.3928/01477447-20161202-05 DOI: https://doi.org/10.3928/01477447-20161202-05
Wu G, Chen Y-Q, Chen C-Y, Lin Z-X, Xie Q-Y, Ye J-J, et al. Clinical outcomes of doubled-suture Nice knot augmented plate fixation in the treatment of comminuted midshaft clavicle fracture. BMC Surg 2021;21(1):270.
https://doi.org/10.1186/s12893-021-01274-4 DOI: https://doi.org/10.1186/s12893-021-01274-4
van Bussel EM, Houwert RM, Kootstra TJM, van Heijl M, Van der Velde D, Wittich P, et al. Antegrade intramedullary Kirschner-wire fixation of displaced metacarpal shaft fractures. Eur J Trauma Emerg Surg 2019;45(1):65-71. https://doi.org/10.1007/s00068-017-0836-0 DOI: https://doi.org/10.1007/s00068-017-0836-0
Dreyfuss D, Allon R, Izacson N, Hutt D. A Comparison of locking plates and intramedullary pinning for fixation of metacarpal shaft fractures. Hand (N Y) 2019;14(1):27-33. https://doi.org/10.1177/1558944718798854 DOI: https://doi.org/10.1177/1558944718798854
Ozer K, Gillani S, Williams A, Peterson SL, Morgan S. Comparison of intramedullary nailing versus plate-screw
fixation of extra-articular metacarpal fractures. J Hand Surg Am 2008;33(10):1724-31. https://doi.org/10.1016/j.jhsa.2008.07.011 DOI: https://doi.org/10.1016/j.jhsa.2008.07.011
Fusetti C, Meyer H, Borisch N, Stern R, Santa DD, Papaloïzos M. Complications of plate fixation in metacarpal
fractures. J Trauma 2002;52(3):535-9. https://doi.org/10.1097/00005373-200203000-00019 DOI: https://doi.org/10.1097/00005373-200203000-00019
Brüser P, Krein R, Larkin G. Fixation of metacarpal fractures using absorbable hemi-cerclage sutures. J Hand Surg Br 1999;24(6):683-7. https://doi.org/10.1054/jhsb.1999.0296 DOI: https://doi.org/10.1054/JHSB.1999.0296
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