Articles Vol. 65 No. CĐ 1 - Liên chi hội Phẫu thuật bàn tay 12/03/2024

19. OUTCOMES OF HAND FRACTURE TREATMENTS BY TRANSVERSE PERCUTANEOUS K-WIRE FIXATION

Pham Dinh Dung1,2, Tang Van Thanh1,2
1 Pleiku City Medical Center
2 Trung tâm Y tế TP Pleiku
Corresponding author: pddung1992@gmail.com
DOI: 10.52163/yhc.v65iCD1.979
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Keywords
Metacarpal fractures, Kirschner wire, minimally invasive surgery.
Abstract

Background: Hand fractures are relatively common, accounting for about 10% of all fractures, of which more than 70% are in working-age patients. Hand fractures can be treated conservatively or surgically, with a variety of fixation from closed surgery with K-wire or external fixation or open surgery with plate fixation. Minimally invasive surgery by transverse percutaneous k-wire fixation brings many benefits, however currently in Vietnam there are no reports on the results of treatment with this method..

Objective: We aim to research clinical features and radiographic characteristics as well as evaluate the outcomes of metacarpal fractures treatment by transverse percutaneous K-wire fixation at Pleiku City General Hospital.

Methods: A cross-sectional study was conducted on 11 patients who had metacarpal fractures treatment by transverse percutaneous K-wire from January 2021 to September 2022 at Pleiku City General Hospital.

Results: 11 patients with 14 metacarpal fractures were treated with K-wire. The majority of patients had 1 bone fracture (72.7%), right arm fracture (81.8%), and closed fracture (81.8%), metatarsal shaft fractures (57.1%). Surgery time is quite fast (average 30 minutes). Most metacarpals heal after 2 months. Delayed healing occurred in 1 patient at a rate of 3.23%. 1 case with infected pin site among the total number of people surveyed.

Conclusions: Through the research, we realized transverse percutaneous K-wire fixation in treating metacarpal fractures helps immobilize the fracture well, minimally invasive surgery, thus limiting pain and blood loss, allowing early mobilization, which is the key to achieving results, good function, avoiding joint stiffness as well as reduced or loss of hand function.

References
[1]
Trần Trung Dũng, Nhận xét kết quả điều trị Google Scholar
[2]
gãy xương bàn ngón tay bằng nẹp vít tại Bệnh Google Scholar
[3]
viện đại học Y Hà Nội, Y học thực hành 2013, Google Scholar
[4]
(10), tr. 8-9, 2013 Google Scholar
[5]
Witroet, Techniques dosteo synthese des Google Scholar
[6]
fractures diaphysaires de jambe-EMC Techn, Google Scholar
[7]
OP, 44871, pp. 1-9, 1981. Google Scholar
[8]
Nam Yong Choi, M.D., Hyun Seok Song, Google Scholar
[9]
M.D, Treatment of Metacarpal Fractures using Google Scholar
[10]
Transverse Kirschner-wire Fixation, J Korean Google Scholar
[11]
Orthop Assoc 2007; 42: 608-615 Google Scholar
[12]
Louis CG et al., Anatomic Assessment of Google Scholar
[13]
K-Wire Trajectory for Transverse Percutaneous Google Scholar
[14]
Fixation of Small Finger Metacarpal Fractures A Google Scholar
[15]
Cadaveric Study, 2018, Vol. 13(1) 86–89. Google Scholar
[16]
Suk-Ho Moon et al., The Efficacy of Transverse Google Scholar
[17]
Fixation and Early Exercise in the Treatment of Google Scholar
[18]
Fourth Metacarpal Bone Fractures, Arch Plast Google Scholar
[19]
Surg 2016; 43:189196 Google Scholar
[20]
A.P.A. Greeven et al., Closed reduction Google Scholar
[21]
intermetacarpal Kirschner wire fixation in the Google Scholar
[22]
treatment of unstable fractures of the base of the Google Scholar
[23]
first metacarpal, Injury, Int. J. Care Injured 43 Google Scholar
[24]
(2012), 246–251. Google Scholar
[25]
Phan Minh Trí, Đỗ Phước Hùng, Điều trị gãy kín Google Scholar
[26]
thân xương bàn các ngón tay dài bằng phương Google Scholar
[27]
pháp xuyên kim kirschner dưới màn tăng sáng, Google Scholar
[28]
Y Học TP. Hồ Chí Minh, 14(1), tr. 91-93, 2012. Google Scholar
[29]
Mai Đức Dũng và cs, Kết quả điều trị gãy xương Google Scholar
[30]
bàn ngón tay bằng nẹp vít khóa tại bệnh viện Google Scholar
[31]
trung ương thái nguyên, Trường Đại học Y Dược Google Scholar
[32]
- ĐH Thái Nguyên, Bệnh viện Trung ương Thái Google Scholar
[33]
Nguyên, 2012. Google Scholar
[34]
James BM et al., Mechanical analysis of Google Scholar
[35]
Kirschner wire fixation in a phalangeal model, Google Scholar
[36]
the jounal of hand surgery, 1978. Google Scholar
[37]
Sameer IS et al., External fixation of metacarpal Google Scholar
[38]
and phalangeal fractures, the journal of hand Google Scholar
[39]
surgery, 1991 Google Scholar
[40]
Ashok SP e al., Fixation of closed metacarpal Google Scholar
[41]
shaft fractures Transverse K-wires in 22 cases, Google Scholar
[42]
Acta orthop Scand 1994; 65 (4): 427-429 Google Scholar
[43]
T.C.Wong, F.K.ip, S.H. yeung, Comparison Google Scholar
[44]
between percutaneous transverse fixation and Google Scholar
[45]
intramedullary K-wires in treating closed Google Scholar
[46]
fractures of the metacarpal neck of the little Google Scholar
[47]
finger, the journal of hand surgery vol. 31b no. Google Scholar
[48]
February 2006. Google Scholar
[49]
Nam Yong Choi, M.D., Hyun Seok Song, Google Scholar
[50]
M.D, Treatment of Metacarpal Fractures using Google Scholar
[51]
Transverse Kirschner-wire Fixation, J Korean Google Scholar
[52]
Orthop Assoc 2007; 42: 608-615 Google Scholar
[53]
Sheriff DA et al., Iatrogenic Injuries in Google Scholar
[54]
Percutaneous Pinning Techniques for Fifth Google Scholar
[55]
Metacarpal Neck Fractures, HAND2019, Vol. Google Scholar
[56]
(3) 386–392 Google Scholar
[57]
Yung-Cheng Chiu et al., New fixation approach Google Scholar
[58]
for transverse metacarpal neck fracture a Google Scholar
[59]
biomechanical study, Journal of Orthopaedic Google Scholar
[60]
Surgery and Research (2018) 13:183 Google Scholar
[61]
V. Potenza, R. Caterini, Fractures of the neck of Google Scholar
[62]
the fifth metacarpal bone. Medium-term results Google Scholar
[63]
in28 cases treated by percutaneous transverse Google Scholar
[64]
pinning, Injury, Int. J. Care Injured 43 (2012), Google Scholar
[65]
–245. Google Scholar