Evidence map›Paper›PMID 35990184›Full record

ArticleStrategies in trauma and limb reconstruction

Intramedullary Crossed K-wire Fixation for the Hand Fractures is a Useful Treatment Modality: A Prospective Observational Study.

Sabeel Ahmad, Tushar Gupta, Sajid Ansari, Aakriti Jain, Sitanshu Barik, Vivek Singh

Abstract read
In one paragraph

Article in Strategies in trauma and limb reconstruction. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sabeel AhmadDepartment of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India.
Tushar GuptaDepartment of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India.
Sajid AnsariDepartment of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India.
Aakriti JainDepartment of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India.
Sitanshu BarikDepartment of Orthopaedics, AIIMS, Deoghar, Jharkhand, India.
Vivek SinghDepartment of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Various modalities of treatment have been used for the management of metacarpal and phalangeal fractures which include K-wire fixation, mini plates, lag screws fixation, intramedullary screw fixation and external fixator application. The aim of this study was to analyse complications and patient-related functional outcomes after antegrade or retrograde crossed intramedullary K-wire fixation of metacarpal and proximal phalangeal fractures. Methods: Thirty-one patients (36-fractures, 16-metacarpals, 20-proximal phalanx) meeting the study criteria were included in this prospective study. Fixation of the fractures was done by use of crossed intramedullary K-wire using the principles of 3-point fixation. Results: The mean preoperative angulation of the fractures noted in this study was 35.8° which was significantly reduced at final follow-up. Union was noted at a mean period of 4.2 ± 6.8 weeks. The mean range of motion at the metacarpophalangeal and proximal interphalangeal joint was 96.4% and 86.3%, respectively as compared to the opposite hand. Stiffness ( Conclusion: Crossed percutaneous intramedullary fixation of small bone fractures of the hand is a versatile method with advantages such as cost-effectiveness and lesser operative time when compared to other modalities of fixation. Earlier range of motion (ROM) exercises can be started due to preservation of gliding planes, no surgical wound along with good fracture stability and minimal hardware impingement. How to cite this article: Ahmad S, Gupta T, Ansari S,

Indexed as

Crossed intramedullaryHandK-wireMetacarpalPhalanx

Identifiers

PMID35990184
PMCPMC9357798

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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.