Evidence map›Paper›PMID 31486853›Full record

ReviewOperative Orthopadie und Traumatologie2019

[Open reduction and screw/plate osteosynthesis of metacarpal fractures].

Christian K Spies, Martin Langer, Bernd Hohendorff, Lars P Müller, Johannes Oppermann, Frank Unglaub

Abstract readReview
PubMed Publisher
In one paragraph

Review in Operative Orthopadie und Traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. [Treatment of extensor tendon injuries of the hand].Orthopadie (Heidelberg, Germany) · 2023
    Article
  3. Article
  4. Review
  5. [Treatment of the fifth metacarpal neck fracture with elastic intramedullary nail under the guidance of high frequency ultrasound].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Christian K SpiesAbteilung für Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland. christianspies27@gmail.com.
Martin LangerKlinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland.
Bernd HohendorffAbteilung für Hand‑, Ästhetische und Plastische Chirurgie, Elbe Kliniken, Bremervörder Straße 111, 21682, Stade, Deutschland.
Lars P MüllerKlinik und Poliklinik für Orthopädie und Unfallchirurgie, Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Johannes OppermannKlinik und Poliklinik für Orthopädie und Unfallchirurgie, Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Frank UnglaubAbteilung für Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAnatomic reduction and stabile fixation for immediate mobilisation and restoration of unrestricted function. INDICATIONS: Instabile metacarpal fractures with or without malrotation, dislocated metacarpal fractures with malrotation or finger extension deficit, longitudinally shortened metacarpal fractures with finger extension deficit. CONTRAINDICATIONS: Persistent infections (empyema, osteomyelitis, phlegmon) SURGICAL TECHNIQUE: Longitudinal intermetacarpal incision along the fracture zone, debridement of the fracture zone with retainment of periost, anatomic reduction and retention of spiral fractures with at least two lag screws or retention of comminuted or transverse fractures with locking plate osteosynthesis while retaining periost. POSTOPERATIVE MANAGEMENT: Buddy splinting of the corresponding finger to enable immediate mobilisation without weight bearing for 6 weeks.

resultsLocking plate osteosynthesis and compression screw osteosynthesis after anatomic reduction of metacarpal fractures proved to be very reliable with a low complication rate and a good functional outcome (modified Mayo Wrist Score [MMWS]: mean 88 (20-100); Disabilities of Arm, Shoulder, and Hand (DASH) questionnaire: mean 41(24-86)).

Indexed as

Fractures, BoneMetacarpal BonesBone PlatesBone ScrewsFracture Fixation, InternalHumansOpen Fracture ReductionTreatment OutcomeFracture fixationHand bonesRecovery of functionReductionSurgical fixation devices

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.