Complications of Plate Fixation in Metacarpal Fractures

Fusetti, Cesare; Meyer, H.; Borisch, Nicola; Stern, Richard; Santa, Dominique Della; Papaloïzos, Michaël

doi:10.1097/00005373-200203000-00019

Cited by 127 publications

(129 citation statements)

References 11 publications

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“…However, plate fixation seems prone to high rates of stiffness, adhesions, and a higher rate of surgical re-interventions (up to 14%). These soft-tissue complications after plate fixation are observed in other studies as well [5,6]. Our findings suggest that antegrade intramedullary K-wire fixation with subcutaneous burying of K-wire ends does not bear the negative characteristics of transverse pinning nor open reduction and plate fixation.…”

Section: Discussionsupporting

confidence: 74%

“…The incidence of our complications appears to be lower compared to other frequently used techniques such as plate fixation and transverse pinning [3,5,8]. Bone-healing disorders after surgical treatment of metacarpal shaft fractures in general are rare.…”

Section: Discussionmentioning

confidence: 96%

“…Multiple studies have shown that complications are not uncommon after this technique. Complications such as infections, adhesions, and stiffness might be related to the relatively large incision [5,6].…”

Section: Introductionmentioning

confidence: 99%

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Antegrade intramedullary Kirschner-wire fixation of displaced metacarpal shaft fractures

Bussel

Houwert

Kootstra

et al. 2017

Eur J Trauma Emerg Surg

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Antegrade intramedullary Kirschner-wire fixation of displaced metacarpal shaft fractures

Bussel

Houwert

Kootstra

et al. 2017

Eur J Trauma Emerg Surg

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“…More serious complications are rare, with nonunion, infection and tendon rupture each comprising 1.6 % of complications reported. Fusetti et al reviewed 105 non-thumb metacarpal fractures in 2002, and found a 32 % complication rate [16]. The most common complication was poor healing, with 15 % of patients split evenly between malunion and nonunion [16].…”

Section: Complicationsmentioning

confidence: 99%

Metacarpal Fractures: Treatment and Complications

Kollitz

Hammert

Vedder

et al. 2013

Hand (New York, N,Y.)

160

174

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Metacarpal fractures comprise between 18-44 % of all hand fractures. Non-thumb metacarpals account for around 88 % of all metacarpal fractures, with the fifth finger most commonly involved [19]. The majority of metacarpal fractures are isolated injuries, which are simple, closed, and stable. While many metacarpal fractures do well without surgery, there is a paucity of literature and persistent controversy to guide the treating physician on the best treatment algorithm. The purpose of this article is to review non-thumb metacarpal anatomy and treatment protocols for nonoperative management of stable fractures, and compare existing literature on surgical techniques for treatment of acute fractures and complications.

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“…There may be pseudo clawing, cramping, loss of endurance and weakness of the hand. [22,24] A non compliant patient is another indication for surgery. [29] We have conducted the retrospective review of 143 isolated extra-articular displaced fifth metacarpal neck fractures with or without soft tissue injury.…”

Section: Introductionmentioning

confidence: 99%

“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases

Memon

Patankar

Nagori

2018

Int Jour of Biomed Res

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Background: Fifth metacarpal neck fractures, also known as Boxer's fractures, commonly occur as a result of axial impact on a clenched fist. There is no agreement over the optimum management of undisplaced boxers fracture. We present the results of treatment by a Bouquet technique, described by Foucher in 143 consecutive cases of displaced fifth metacarpal neck fractures. Methods: We retrospectively reviewed our records for 143 consecutive cases of fifth metacarpal neck fractures treated with Bouquet technique. Clinical and radiological evaluation was done at 6 weeks, 12 weeks and 6 months. Total active motion of the fifth digit, radiography and complications if any were noted. Results: Of 143 cases, there were 113 cases with closed reduction and 30 with open reduction. Radiological union was achieved in 140 cases. Remaining 3 were lost to follow up. Good to excellent result was achieved in 95% cases. Seven cases developed bursitis at the K-wire entry site which required k-wire removal. Conclusion:The technique of flexible antegrade intramedulary nailing of fifth metacarpal neck fractures is simple, safe, soft tissue sparing, minimally invasive technique giving excellent functional and cosmetic results with minimal complications.

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Complications of Plate Fixation in Metacarpal Fractures

Abstract: Despite technical advances in implant material, design, and instrumentation, plate fixation of metacarpal fractures remains fraught with complications and unsatisfactory results.

Cited by 127 publications

References 11 publications

Antegrade intramedullary Kirschner-wire fixation of displaced metacarpal shaft fractures

Antegrade intramedullary Kirschner-wire fixation of displaced metacarpal shaft fractures

Metacarpal Fractures: Treatment and Complications

“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases

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