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  • Antegrade Intramedullary Percutaneous Fixation (Paper)

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    Bn Pavan Kumar
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    Intramedullary K-wire fixation was used to treat 20 patients with metacarpal fractures. The majority of fractures were metaphyseal, neck, or shaft fractures caused by direct trauma. Surgical treatment was indicated for palmar dislocation over 20 degrees or rotatory deficiency over 10 degrees. At 6 month follow up, 18 patients had normal flexion and extension, while 2 had minor deficiencies. Overall, intramedullary K-wire fixation resulted in complete restoration for 18 of the 20 patients, with minimal invasiveness and excellent long-term clinical results due to preservation of gliding tissues around the fractures.

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    Antegrade Intramedullary Percutaneous Fixation( Paper )

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    Intramedullary K-wire fixation was used to treat 20 patients with metacarpal fractures. The majority of fractures were metaphyseal, neck, or shaft fractures caused by direct trauma. Surgical treatment was indicated for palmar dislocation over 20 degrees or rotatory deficiency over 10 degrees. At 6 month follow up, 18 patients had normal flexion and extension, while 2 had minor deficiencies. Overall, intramedullary K-wire fixation resulted in complete restoration for 18 of the 20 patients, with minimal invasiveness and excellent long-term clinical results due to preservation of gliding tissues around the fractures.

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    9 views1 page

    Antegrade Intramedullary Percutaneous Fixation (Paper)

    Uploaded by

    Bn Pavan Kumar
    Intramedullary K-wire fixation was used to treat 20 patients with metacarpal fractures. The majority of fractures were metaphyseal, neck, or shaft fractures caused by direct trauma. Surgical treatment was indicated for palmar dislocation over 20 degrees or rotatory deficiency over 10 degrees. At 6 month follow up, 18 patients had normal flexion and extension, while 2 had minor deficiencies. Overall, intramedullary K-wire fixation resulted in complete restoration for 18 of the 20 patients, with minimal invasiveness and excellent long-term clinical results due to preservation of gliding tissues around the fractures.

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    © All Rights Reserved
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    ANTEGRADE PERCUTANEOUS INTRAMEDULLARY

    K- WIRE FIXATION FOR MATACARPAL FRACTURES


    IN ADULTS.
    PRESENTER :: Dr. BN PAVAN KUMAR

    GUIDE:: Dr. GV GURUDUTH ( PROFESSOR AND HEAD OF DEPARTMENT


    ORTHOPAEDICS) ,VIMS ,BALLARI.

    Abstract Introduction: The majority of metacarpal fractures can be treated conservatively.


    Nevertheless, surgical treatment is justified in certain cases. Palmar dislocation of >30° and shortening
    of >5 mm will significantly affect extension and flexion of the hand. Consequently, surgical treatment is
    indicated. The aim of our study was to evaluate the clinical results of intramedullary Kirschner-wire
    fixation of metacarpal fractures.

    Material and methods: In a prospective study conducted between June 2019 to June 2021 we
    analyzed the clinical results of 20 patients with metacarpal fractures that had been treated by closed
    reduction and elastic fixation with intramedullary k-wires.patients were followed preoperatively ,
    intraoperatively and post operatively for functional outcome and assessed using breif Michigan hand
    score system ranging from 0 (poor function)-100(ideal function) and radiologically using xrays.

    Results: Most of the patients were young, with good bone quality and low anesthetic risk, and they
    had suffered the fractures as a result of a direct trauma. Predominantly uncomplicated, the fractures
    were metaphyseal, neck and shaft of the metacarpal bone. Surgical treatment was indicated for a
    palmar axis dislocation of >20° or if a rotatory deficiency >10° was present. Metacarpal joint function
    and correction of rotatory displacement could be assessed on median after a period of six months . In 18
    patients flexion and extension was normal on both sides. In two patient we found an extension
    deficiency of 15° and a rotatory deficiency of 10°. In 18 out of 20 patients with metacarpal fractures,
    minimally invasive intramedullary k-wire osteosynthesis resulted in complete restoration.

    Conclusions: Intramedullary k-wire fixation is a minimally invasive method for stabilizing metacarpal
    fractures. The excellent long-term clinical results are due to the fact that the gliding tissue around the
    fractures will not be affected by the surgical procedure.

    Financial interests: No

    Conflict of interest: No

    Declaration: not presented earliar

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