SynthesisHand (New York, N.Y.)2023
Retrograde Intramedullary Screw Fixation for Metacarpal Fractures: A Systematic Review.
Synthesis in Hand (New York, N.Y.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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.
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.
Who cites it
15 citing papers in PubMed, 39 citations in OpenAlex.
- A Biomechanical Analysis of Intramedullary Threaded Nail Fixation and Dorsal Plate and Screw Fixation for Metacarpal Base Fractures.Journal of hand surgery global online · 2027Article
- Cartilage disruption patterns associated with percutaneous intramedullary screw fixation for metatarsal fractures: a cadaveric study.Archives of orthopaedic and trauma surgery · 2026Article
- Surgically treated metacarpal fractures in adults: a study with 3286 cases based on the Swedish National Quality Registry for Hand Surgery.BMC musculoskeletal disorders · 2026Article
- Cartilage Defect Articulation With the Proximal Phalanx After Retrograde Intramedullary Screw Fixation of Metacarpal Fractures: A Cadaveric Study.Journal of hand surgery global online · 2026Article
- Anatomic Structures at Risk With Antegrade Intramedullary Fixation of the First Metacarpal Using Three Start Points: Is There A Safe Zone?Journal of hand surgery global online · 2026Article
- Outcomes of Metacarpal Shaft Fractures Treated by Open Reduction Internal Fixation With Plates and Screws Versus Intramedullary Screws.Hand (New York, N.Y.) · 2025Article
- Dorsal Cortical Alignment Predicts Functional Outcomes in Proximal Phalangeal Fractures Treated with Intramedullary Headless Compression Screws but Not in Metacarpal Fractures.Journal of clinical medicine · 2025Article
- Article
- Operating room times differ for surgical fixation of metacarpal fractures: An analysis of two principally different techniques.Surgery in practice and science · 2025Article
- Treatment Outcome of 2nd to 5th Metacarpal Fractures: Kirschner Wires Versus Intramedullary Screws.Journal of clinical medicine · 2024Article
- Outcomes Following Fully Threaded Intramedullary Nailing of Metacarpal Fractures.Journal of hand surgery global online · 2024Article
- Antegrade Intramedullary Screws in Metacarpal Fractures of Pediatric Patients.Journal of hand surgery global online · 2023Article
- Comparative Bending Strength of Metacarpal Neck Fractures Fixed with Two Types of Intramedullary Screws.The archives of bone and joint surgery · 2023Article
- Fixation of Hand Fractures with Intramedullary Headless Compression Screws.The archives of bone and joint surgery · 2022Review
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Common forms of fixation of metacarpal fractures have historically included percutaneous Kirschner wire fixation, plates and screws, and, more recently, intramedullary screw fixation. Retrograde intramedullary screws (RISs) are a novel modality first described 10 years ago. The purpose of this review is to critically evaluate the published literature assessing outcomes of RIS fixation for metacarpal fractures and create a complication profile for this novel technique. A comprehensive literature search was performed using electronic databases for both clinical and biomechanical studies in relation to RIS fixation published from 2000 to 2020. A total of 19 studies (13 clinical and 6 biomechanical) met the inclusion criteria. The clinical studies examined 603 metacarpal fractures and demonstrated adequate functional outcomes in terms of grip strength, total active motion, and time to return to work. The biomechanical studies examined 80 metacarpal fractures, finding that load to failure in RISs was often equal to or higher than Kirschner wires but less than plate and screws. The complication rate in reviewed studies was 2.8%, with the most prevalent complications being stiffness and extension lag. RIS use in metacarpal fractures appears to provide adequate stability with satisfactory clinical outcomes and minimal complications, although more high-quality studies are needed to fully examine this modality.
Indexed as
Identifiers
What OpenQuestion holds
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.