PDF(Pubmed)
Abstract：
BACKGROUND: Metacarpal fractures account for 25%-50% of all hand fractures and may negatively impact hand function and ability to work. Percutaneous transverse pinning of non-articular metacarpal fractures allows mobilisation immediately after the procedure.
METHODS: Between March 2017 and February 2022, 56 patients undergoing percutaneous transverse pinning for unstable metacarpal fractures were prospectively recruited. We investigated surgical outcomes in terms of Patient-rated Wrist/Hand Evaluation (PRWHE) and pre-and post-operative radiographic evaluation. The Student t-test was used to compare the means of PRWHE values after surgery. Statistical significance was set at p < 0.05.
RESULTS: The mean age was 40.21 ± 17.9 years (range of 16 to 86 years). The average operating time was 27.96 min. The mean follow-up period was 14.3 ± 6.4 months (from 2 to 41 months). The mean PRWHE score was 6.5 ± 1.8. None of the patients had clinically observable rotational deformities, and the functional outcomes were satisfactory.
CONCLUSIONS: Percutaneous transverse pinning for non-articular metacarpal fractures restores excellent function, and imaging results are satisfactory. Further high-quality clinical trials are required to validate these results on a larger scale.
METHODS: II, prospective cohort study.
METHODS: Between March 2017 and February 2022, 56 patients undergoing percutaneous transverse pinning for unstable metacarpal fractures were prospectively recruited. We investigated surgical outcomes in terms of Patient-rated Wrist/Hand Evaluation (PRWHE) and pre-and post-operative radiographic evaluation. The Student t-test was used to compare the means of PRWHE values after surgery. Statistical significance was set at p < 0.05.
RESULTS: The mean age was 40.21 ± 17.9 years (range of 16 to 86 years). The average operating time was 27.96 min. The mean follow-up period was 14.3 ± 6.4 months (from 2 to 41 months). The mean PRWHE score was 6.5 ± 1.8. None of the patients had clinically observable rotational deformities, and the functional outcomes were satisfactory.
CONCLUSIONS: Percutaneous transverse pinning for non-articular metacarpal fractures restores excellent function, and imaging results are satisfactory. Further high-quality clinical trials are required to validate these results on a larger scale.
METHODS: II, prospective cohort study.
摘要：
背景：掌骨骨折占所有手部骨折的25％-50％，可能会对手部功能和工作能力产生负面影响。非关节掌骨骨折的经皮横向固定允许在手术后立即动员。
方法：在2017年3月至2022年2月之间，前瞻性招募了56例接受经皮横向钉扎治疗不稳定掌骨骨折的患者。我们根据患者评估的手腕/手评估（PRWHE）以及术前和术后的影像学评估调查了手术结果。使用学生t检验比较手术后PRWHEE值的平均值。统计学显著性设定为p<0.05。
结果：平均年龄为40.21±17.9岁（范围为16至86岁）。平均手术时间为27.96min。平均随访时间为14.3±6.4个月(2～41个月)。平均PRWHEE评分为6.5±1.8。没有患者有临床上可观察到的旋转畸形，功能结果令人满意。
结论：经皮横穿针治疗非关节掌骨骨折可恢复良好的功能，成像结果令人满意。需要进一步的高质量临床试验来更大规模地验证这些结果。
方法：II，前瞻性队列研究。
方法：在2017年3月至2022年2月之间，前瞻性招募了56例接受经皮横向钉扎治疗不稳定掌骨骨折的患者。我们根据患者评估的手腕/手评估（PRWHE）以及术前和术后的影像学评估调查了手术结果。使用学生t检验比较手术后PRWHEE值的平均值。统计学显著性设定为p<0.05。
结果：平均年龄为40.21±17.9岁（范围为16至86岁）。平均手术时间为27.96min。平均随访时间为14.3±6.4个月(2～41个月)。平均PRWHEE评分为6.5±1.8。没有患者有临床上可观察到的旋转畸形，功能结果令人满意。
结论：经皮横穿针治疗非关节掌骨骨折可恢复良好的功能，成像结果令人满意。需要进一步的高质量临床试验来更大规模地验证这些结果。
方法：II，前瞻性队列研究。
