Abstract：
Background: This study introduces a novel method for the management of closed metacarpal neck fractures. Kirschner wires (K-wire) are introduced in a retrograde and the wires withdrawn through skin proximally at the base of the metacarpal. The fracture is reduced using traction and the reduction is maintained by antegrade advancement of the K-wires. The aim of this study is to report the outcomes of this technique. Methods: A total of 36 patients with severely angulated closed metacarpal neck fractures underwent reduction and fixation using this novel method from January 2017 to December 2020 in centres in Ireland and Saudi Arabia. We performed a retrospective review of these patients\' clinical data examining their outcomes. Results: Six months postoperatively, all fractures demonstrated bony union and correction of angulation. All patients exhibited excellent range of motion (ROM) with no significant impairment of hand function. Conclusions: The method detailed here is a simple, minimally invasive and reliable technique that has not previously been described. It is suitable for use in the management of closed metacarpal neck fractures of the fourth and fifth metacarpal, with dorsal angulation greater than 60°. Level of Evidence: Level IV (Therapeutic).
摘要：
背景：本研究介绍了一种治疗闭合性掌骨颈骨折的新方法。在逆行中引入克氏针（K线），并且该线在掌骨基部的近侧通过皮肤撤回。使用牵引减少骨折，并通过K线的顺行推进保持减少。这项研究的目的是报告这项技术的结果。方法：从2017年1月至2020年12月，在爱尔兰和沙特阿拉伯的中心，共有36例严重成角度的闭合性掌骨颈骨折患者使用这种新方法进行了复位和固定。我们对这些患者的临床数据进行了回顾性回顾，以检查他们的结局。结果：术后6个月，所有骨折均表现为骨性愈合和角度矫正。所有患者均表现出出色的活动范围（ROM），手功能无明显损害。结论：这里详述的方法是一个简单的，微创和可靠的技术，以前没有描述。它适用于治疗第四和第五掌骨的闭合性掌骨颈骨折，背角大于60°。证据级别：IV级（治疗）。
