Journal of hand surgery global online
Percutaneous Versus Open Approach to Intramedullary Nailing of Metacarpal Shaft Fractures: A Comparison of 12 Week Functional Outcomes
By Himmelberg SM, Jeffs AD, Bank NC and 3 others.
Abstract
Purpose
The optimal surgical approach for retrograde intramedullary fixation (rIMF) of metacarpal fractures remains unclear. We hypothesized that a percutaneous approach for rIMF of metacarpal shaft fractures would exhibit improved functional outcomes compared to an open approach without increased incidence of extensor lag.
Methods
A retrospective cohort of patients who sustained a closed metacarpal shaft fracture and underwent rIMF through either a percutaneous or an open approach were identified. Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores, total active motion (TAM), grip strength (% of contralateral) and visual analog scale pain scores were collected at 1, 2, 4, 6, and 12 weeks after surgery. Additional outcome measures included surgical time, radiographic alignment, and instances of extensor lag.