title: Fractures of the neck of the fifth metacarpal bone, treated by percutaneous intramedullary nailing: surgical technique, radiological and clinical results study (28 cases).
abstract: This study report the results in 28 patients affected by closed fractures of the neck of the fifth metacarpal bone (boxer's fracture), treated with percutaneous elastic intramedullary nailing using a single wire, to verify the effectiveness of this surgical treatment. We reviewed the results of 28 patients treated with A single Kirschner wire (K-wire) pre-bent in a lazy-S fashion with a mild bend at approximately 5 millimeters, The K-wire is inserted blunt end first in an antegrade manner and the fracture reduced as the wire is passed across the fracture site The wire is usually removed with pliers post-operatively at four weeks in the fracture clinic. The follow-up period averaged of 20,75 months. The parameters evaluated included angulation, rotational alignment, postoperative metacarpophalangeal (MCP) range of motion, and time to union. We opted for this treatment in all cases, regardless volar angulation of the metacarpal head, malrotation of the fifth finger and associated or/no with a severe swelling of the hand. All the patients were reviewed clinically and radiologically at an average of 20,75 months after surgery. At the final follow-up, no patient reported residual pain and All fractures proceeded to bony union but we have one fracture had to be revised for failed fixation and three superficial wound infections needed antibiotic treatment. We recommend that this minimally invasive: percutaneous intramedullary nailing using a single k-wire in all metacarpal neck fracture (boxers' fractures), especially when severe swelling of the hand is present, with good functional results and low morbidity.
authors.affiliation: Department of Orthopaedic Surgery B4, CHU Hassan II Hospital, University of Sidi Mohammed Ben Abdellah, Fez, Morocco.
authors.forename: Hassan
authors.initials: H
authors.lastname: Boussakri
authors.affiliation: Department of Orthopaedic Surgery B4, CHU Hassan II Hospital, University of Sidi Mohammed Ben Abdellah, Fez, Morocco.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Elidrissi
authors.affiliation: Department of Orthopaedic Surgery B4, CHU Hassan II Hospital, University of Sidi Mohammed Ben Abdellah, Fez, Morocco.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Azarkane
authors.affiliation: Department of Orthopaedic Surgery B4, CHU Hassan II Hospital, University of Sidi Mohammed Ben Abdellah, Fez, Morocco.
authors.forename: Soufiane
authors.initials: S
authors.lastname: Bensaad
authors.affiliation: Department of Orthopaedic Surgery B4, CHU Hassan II Hospital, University of Sidi Mohammed Ben Abdellah, Fez, Morocco.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Bachiri
authors.affiliation: Department of Orthopaedic Surgery B4, CHU Hassan II Hospital, University of Sidi Mohammed Ben Abdellah, Fez, Morocco.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Shimi
authors.affiliation: Department of Orthopaedic Surgery B4, CHU Hassan II Hospital, University of Sidi Mohammed Ben Abdellah, Fez, Morocco.
authors.forename: Abdelhalim
authors.initials: A
authors.lastname: Elibrahimi
authors.affiliation: Department of Orthopaedic Surgery B4, CHU Hassan II Hospital, University of Sidi Mohammed Ben Abdellah, Fez, Morocco.
authors.forename: Abdelmajid
authors.initials: A
authors.lastname: Elmrini
mesh_terms: D000293:Adolescent; D000328:Adult; D001914:Boxing; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007902:Length of Stay; D008297:Male; D050279:Metacarpal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome; D055815:Young Adult
keywords: Boxer's fracture; Metacarpal neck fracture; intramedullary nailing; minimally invasive.