Percutaneous transverse pinning for metacarpal fractures: a clinical trial.

Pintore, Andrea; Astone, Alberto; Vecchio, Gianluca; Asparago, Giovanni; Calabrò, Giampiero; Migliorini, Filippo; Maffulli, Nicola

Abstract

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. 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. 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. 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. II, prospective cohort study. [Abstract copyright: © 2024. The Author(s).]

Citation

Pintore, A., Astone, A., Vecchio, G., Asparago, G., Calabrò, G., Migliorini, F., & Maffulli, N. (in press). Percutaneous transverse pinning for metacarpal fractures: a clinical trial. Archives of Orthopaedic and Trauma Surgery, https://doi.org/10.1007/s00402-024-05422-2

• Journal Article Type: Article
• Acceptance Date: Jun 25, 2024
• Online Publication Date: Jul 4, 2024
• Deposit Date: Aug 8, 2024
• Journal: Archives of orthopaedic and trauma surgery
• Print ISSN: 0936-8051
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1007/s00402-024-05422-2
• Keywords: Transverse, Fracture, Pinning, Metacarpal, Percutaneous
• Public URL: https://keele-repository.worktribe.com/output/877986