%0 Journal Article
%T Percutaneous transverse pinning for metacarpal fractures: a clinical trial.
%A Pintore A
%A Astone A
%A Vecchio G
%A Asparago G
%A Calabrò G
%A Migliorini F
%A Maffulli N
%J Arch Orthop Trauma Surg
%V 144
%N 7
%D 2024 Jul 4
%M 38965077
%F 2.928
%R 10.1007/s00402-024-05422-2
%X <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>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.<BR><B>METHODS: </B>II, prospective cohort study.