%0 Journal Article
%T U-shaped kirschner wire transfixation: effective treatment for Skier's thumb.
%A Ma S
%A Zuo J
%A Hu Y
%J BMC Surg
%V 24
%N 1
%D 2024 Mar 15
%M 38491501
%F 2.03
%R 10.1186/s12893-024-02382-7
%X <B>BACKGROUND: </B>Skier's thumb is a type of injury to the ulnar collateral ligament of the metacarpophalangeal joint of the thumb, which can result in bone fragmentation and joint instability.<BR><B>OBJECTIVE: </B>The objective of this study was to compare the traditional Kirschner wire fixation method with the U-shaped Kirschner wire method for treating small bone fragments with displacement, rotation, or instability in skier's fractures.<BR><B>METHODS: </B>A retrospective study was conducted on 30 patients with skier's thumb who were treated at Tianjin Hospital from January 2019 to December 2021. Patients were divided into two groups: Group A received traditional Kirschner wire fixation, while Group B received U-shaped Kirschner wire fixation. Functional assessments and complications during the perioperative period were evaluated.<BR><B>RESULTS: </B>Both surgical methods significantly reduced postoperative pain and increased joint range of motion. Group B had a lower incidence of pain during follow-up and showed significant functional improvement in Tip-pinch and Grip tests compared to Group A. U-shaped Kirschner wire fixation significantly reduced complications during the perioperative period.<BR><B>CONCLUSIONS: </B>The U-shaped Kirschner wire internal fixation is a safe and effective treatment for the thumb proximal phalanx base ulnar side avulsion fracture.