SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2014
Antegrade intramedullary nailing for fifth metacarpal neck fractures: a systematic review and meta-analysis.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Flexible intramedullary nails for the treatment of metacarpal fractures: A systematic review.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Pooled it
- Management of paediatric fifth metacarpal neck fractures: a systematic review.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Antegrade intramedullary pinning versus retrograde intramedullary pinning for displaced fifth metacarpal neck fractures.Clinical orthopaedics and related research · 2015Trial
- Clinical efficacy of a modified Ilizarov external mini-fixation technique for boxer's fractures: a retrospective comparative study.BMC musculoskeletal disorders · 2026Article
- Clinical Outcomes of Retrograde Percutaneous Pinning for Shaft Fracture of Metacarpal Bone: A Case Series.Journal of orthopaedic case reports · 2025Article
- Intramedullary K-wires versus Alternate Techniques for Metacarpal Shaft and Neck Fractures: A Systematic Review and Meta-analysis.Journal of hand and microsurgery · 2023Article
- Single Buried Intramedullary K-Wire Fixation in Nonthumb Metacarpal Shaft Fractures with Immediate Postoperative Mobilization without Any Immobilization.Advances in orthopedics · 2023Article
- Antegrade intramedullary fixation for adolescent fifth metacarpal neck fracture and its impact on epiphyseal growth.BMC musculoskeletal disorders · 2021Article
- Single versus dual elastic nails for closed reduction and antegrade intramedullary nailing of displaced fifth metacarpal neck fractures.Scientific reports · 2021Article
- Flexible Stable Intramedullary Nailing for the Management of Metacarpal Neck Fractures.Journal of hand and microsurgery · 2020Article
- A single antegrade intramedullary k-wire for fifth metacarpal neck fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- [Biomechanical comparison of six different fixation techniques for treatment of metacarpal neck fractures].Der Unfallchirurg · 2019Article
- Treatment of fifth metacarpal neck fractures with antegrade single elastic intramedullary nailing.BMC musculoskeletal disorders · 2017Article
- Fifth metacarpal neck fractures: fixation with antegrade locked flexible intramedullary nailing.Acta bio-medica : Atenei Parmensis · 2017Article
- Intramedullary Pinning for Displaced Fifth Metacarpal Neck Fractures: Closed Reduction and Fixation Using Either an Open Antegrade or Percutaneous Retrograde Technique.JBJS essential surgical techniques · 2016Article
- Treatments for the Fifth Metacarpal Neck Fractures: A Network Meta-analysis of Randomized Controlled Trials.Medicine · 2016Article
- Intramedullary Single-Kirschner-Wire Fixation in Displaced Fractures of the Fifth Metacarpal Neck (Boxer's Fracture).JBJS essential surgical techniquesArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe investigated the outcomes of the antegrade intramedullary nailing (AIMN) compared to other surgical modalities in the treatment for fifth metacarpal neck fractures via a systematic review.
methodsPain, functional scores, grip strength, total active motion (TAM), the range of motion (ROM) of the fifth metacarpal joint, complications and patient satisfaction were set to be the primary outcomes. The data were evaluated using a modified version of the Cochrane Collaboration tool.
resultsWe identified four studies, comprising 163 participants, which met the inclusion criteria. Meta-analyses showed that (a) AIMN demonstrated significantly better results in relation to GS at 12 months (p < 0.0001), TAM (p = 0.01) and ROM of the fifth finger (p = 0.0001); (b) AIMN technique yielded significantly lesser residual angulation at the site of fracture (p = 0.05); (c) AIMN significantly demonstrated fewer complications (p = 0.05); (d) there was a trend for better pain scores when using AIMN.
conclusionsThough the amount of evidence was derived from just four small sample-sized studies, our findings suggested that the AIMN technique could have some advantages over the use of plates or other types of pinning in the treatment for the fifth metacarpal neck fractures. We highlighted the need for a standardization of the outcomes and their corresponding units related to this specific type of fracture. Editors and reviewers should incite authors to provide the standard deviation values for the reported means. LEVEL OF EVIDENCE: Therapeutic II.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.