Expanding the applications of intramedullary cannulated screw fixation in the hand
Intramedullary cannulated headless compression screw fixation (ICHCS) is gaining popularity for managing metacarpal and phalangeal fractures, but is still relatively new to the surgical landscape. We aim to further illustrate its utility and versatility by presenting the outcomes of such fractures t...
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| Veröffentlicht in: | Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2023-05, Vol.80, p.48-55 |
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| creator | Leftley, Chloe Nikkhah, Dariush Southall, Clea Labib, Amir Moledina, Jamil |
| description | Intramedullary cannulated headless compression screw fixation (ICHCS) is gaining popularity for managing metacarpal and phalangeal fractures, but is still relatively new to the surgical landscape. We aim to further illustrate its utility and versatility by presenting the outcomes of such fractures treated with ICHCS at two tertiary plastic surgery centres. Primary objectives were to assess functional range of motion, patient-reported outcomes, and complication rates.
All patients with metacarpal or phalangeal fractures treated with ICHCS (n = 49) between September 2018 and December 2020 were retrospectively reviewed. Outcomes were active ranges of motion (TAM), QuickDASH scores (obtained via telephone), and complication rates. Two-tailed Student’s t-tests evaluated differences between centres.
TAMs were available for 59% (n = 34/58) of fractures; 70.7% were metacarpal and 29.3% were phalangeal. The mean cohort metacarpal TAMs and phalangeal TAMs were 237.7° and 234.5°, respectively. QuickDASH scores were available for 69% (n = 34/49) of patients. The mean cohort score for metacarpal fractures was 8.23, and 5.13 for phalangeal. Differences between the two centres were statistically significant (p |
| doi_str_mv | 10.1016/j.bjps.2023.02.008 |
| format | Article |
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All patients with metacarpal or phalangeal fractures treated with ICHCS (n = 49) between September 2018 and December 2020 were retrospectively reviewed. Outcomes were active ranges of motion (TAM), QuickDASH scores (obtained via telephone), and complication rates. Two-tailed Student’s t-tests evaluated differences between centres.
TAMs were available for 59% (n = 34/58) of fractures; 70.7% were metacarpal and 29.3% were phalangeal. The mean cohort metacarpal TAMs and phalangeal TAMs were 237.7° and 234.5°, respectively. QuickDASH scores were available for 69% (n = 34/49) of patients. The mean cohort score for metacarpal fractures was 8.23, and 5.13 for phalangeal. Differences between the two centres were statistically significant (p < 0.05). Two complications occurred, giving an overall complication rate of 3.45%.
Our results corroborate previous reports on ICHCS, further demonstrating its versatility and capacity to provide excellent outcomes. More prospective, comparative studies are needed to fully determine the suitability of ICHCS.</description><identifier>ISSN: 1748-6815</identifier><identifier>EISSN: 1878-0539</identifier><identifier>DOI: 10.1016/j.bjps.2023.02.008</identifier><identifier>PMID: 36996502</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Bone Screws ; Cannulated screws ; Fracture Fixation, Internal - methods ; Fractures, Bone - surgery ; Humans ; Intramedullary fixation ; Metacarpal Bones - surgery ; Metacarpal fracture ; Phalangeal fracture ; Prospective Studies ; Retrospective Studies ; Upper Extremity</subject><ispartof>Journal of plastic, reconstructive & aesthetic surgery, 2023-05, Vol.80, p.48-55</ispartof><rights>2023</rights><rights>Crown Copyright © 2023. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-bc01a1012bf3659affaea5ae25ae3d922d8c8e6c961e18ce26076afd219f6c83</citedby><cites>FETCH-LOGICAL-c356t-bc01a1012bf3659affaea5ae25ae3d922d8c8e6c961e18ce26076afd219f6c83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.bjps.2023.02.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36996502$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leftley, Chloe</creatorcontrib><creatorcontrib>Nikkhah, Dariush</creatorcontrib><creatorcontrib>Southall, Clea</creatorcontrib><creatorcontrib>Labib, Amir</creatorcontrib><creatorcontrib>Moledina, Jamil</creatorcontrib><title>Expanding the applications of intramedullary cannulated screw fixation in the hand</title><title>Journal of plastic, reconstructive & aesthetic surgery</title><addtitle>J Plast Reconstr Aesthet Surg</addtitle><description>Intramedullary cannulated headless compression screw fixation (ICHCS) is gaining popularity for managing metacarpal and phalangeal fractures, but is still relatively new to the surgical landscape. We aim to further illustrate its utility and versatility by presenting the outcomes of such fractures treated with ICHCS at two tertiary plastic surgery centres. Primary objectives were to assess functional range of motion, patient-reported outcomes, and complication rates.
All patients with metacarpal or phalangeal fractures treated with ICHCS (n = 49) between September 2018 and December 2020 were retrospectively reviewed. Outcomes were active ranges of motion (TAM), QuickDASH scores (obtained via telephone), and complication rates. Two-tailed Student’s t-tests evaluated differences between centres.
TAMs were available for 59% (n = 34/58) of fractures; 70.7% were metacarpal and 29.3% were phalangeal. The mean cohort metacarpal TAMs and phalangeal TAMs were 237.7° and 234.5°, respectively. QuickDASH scores were available for 69% (n = 34/49) of patients. The mean cohort score for metacarpal fractures was 8.23, and 5.13 for phalangeal. Differences between the two centres were statistically significant (p < 0.05). Two complications occurred, giving an overall complication rate of 3.45%.
Our results corroborate previous reports on ICHCS, further demonstrating its versatility and capacity to provide excellent outcomes. More prospective, comparative studies are needed to fully determine the suitability of ICHCS.</description><subject>Bone Screws</subject><subject>Cannulated screws</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Intramedullary fixation</subject><subject>Metacarpal Bones - surgery</subject><subject>Metacarpal fracture</subject><subject>Phalangeal fracture</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Upper Extremity</subject><issn>1748-6815</issn><issn>1878-0539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPwzAYRS0EoqXwBxhQRpYEPxrXllhQVR5SJSTU3XKcz9RRmgQ7gfLvcR8wMlj2cO6V70HomuCMYMLvqqyoupBRTFmGaYaxOEFjImYixTmTp_E9m4qUC5KP0EUIFcZTRqb5ORoxLiXPMR2jt8W2003pmvekX0Oiu652RveubULS2sQ1vdcbKIe61v47Mbpphlr3UCbBePhKrNvu4Qju8-vYdYnOrK4DXB3vCVo9Llbz53T5-vQyf1imhuW8TwuDiY47aGEZz6W2VoPONdB4WCkpLYURwI3kBIgwQDmecW1LSqTlRrAJuj3Udr79GCD0auOCgfjRBtohKDqTTArOKI8oPaDGtyF4sKrzbhMHKYLVTqWq1E6l2qlUmKqoMoZujv1DEQ38RX7dReD-AEAc-enAq2AcNAZK58H0qmzdf_0_6o-Gqg</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Leftley, Chloe</creator><creator>Nikkhah, Dariush</creator><creator>Southall, Clea</creator><creator>Labib, Amir</creator><creator>Moledina, Jamil</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202305</creationdate><title>Expanding the applications of intramedullary cannulated screw fixation in the hand</title><author>Leftley, Chloe ; Nikkhah, Dariush ; Southall, Clea ; Labib, Amir ; Moledina, Jamil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-bc01a1012bf3659affaea5ae25ae3d922d8c8e6c961e18ce26076afd219f6c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bone Screws</topic><topic>Cannulated screws</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Intramedullary fixation</topic><topic>Metacarpal Bones - surgery</topic><topic>Metacarpal fracture</topic><topic>Phalangeal fracture</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Upper Extremity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leftley, Chloe</creatorcontrib><creatorcontrib>Nikkhah, Dariush</creatorcontrib><creatorcontrib>Southall, Clea</creatorcontrib><creatorcontrib>Labib, Amir</creatorcontrib><creatorcontrib>Moledina, Jamil</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leftley, Chloe</au><au>Nikkhah, Dariush</au><au>Southall, Clea</au><au>Labib, Amir</au><au>Moledina, Jamil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Expanding the applications of intramedullary cannulated screw fixation in the hand</atitle><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle><addtitle>J Plast Reconstr Aesthet Surg</addtitle><date>2023-05</date><risdate>2023</risdate><volume>80</volume><spage>48</spage><epage>55</epage><pages>48-55</pages><issn>1748-6815</issn><eissn>1878-0539</eissn><abstract>Intramedullary cannulated headless compression screw fixation (ICHCS) is gaining popularity for managing metacarpal and phalangeal fractures, but is still relatively new to the surgical landscape. We aim to further illustrate its utility and versatility by presenting the outcomes of such fractures treated with ICHCS at two tertiary plastic surgery centres. Primary objectives were to assess functional range of motion, patient-reported outcomes, and complication rates.
All patients with metacarpal or phalangeal fractures treated with ICHCS (n = 49) between September 2018 and December 2020 were retrospectively reviewed. Outcomes were active ranges of motion (TAM), QuickDASH scores (obtained via telephone), and complication rates. Two-tailed Student’s t-tests evaluated differences between centres.
TAMs were available for 59% (n = 34/58) of fractures; 70.7% were metacarpal and 29.3% were phalangeal. The mean cohort metacarpal TAMs and phalangeal TAMs were 237.7° and 234.5°, respectively. QuickDASH scores were available for 69% (n = 34/49) of patients. The mean cohort score for metacarpal fractures was 8.23, and 5.13 for phalangeal. Differences between the two centres were statistically significant (p < 0.05). Two complications occurred, giving an overall complication rate of 3.45%.
Our results corroborate previous reports on ICHCS, further demonstrating its versatility and capacity to provide excellent outcomes. More prospective, comparative studies are needed to fully determine the suitability of ICHCS.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>36996502</pmid><doi>10.1016/j.bjps.2023.02.008</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Bone Screws Cannulated screws Fracture Fixation, Internal - methods Fractures, Bone - surgery Humans Intramedullary fixation Metacarpal Bones - surgery Metacarpal fracture Phalangeal fracture Prospective Studies Retrospective Studies Upper Extremity |
| title | Expanding the applications of intramedullary cannulated screw fixation in the hand |
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