Outcomes of mini-open retrograde intramedullary headless screw fixation of metacarpal fractures

Abstract

Background
Metacarpal fractures accounting around one-third of hand fractures, which account for ten percent of all fractures and happen predominantly between the ages of 30 and 40. This research objected to examine the radiological, functional, and complication-reduction effects of closed reduction and internal fixation utilizing headless compression screws in metacarpal fractures cases.


Patients and methods
This prospective one-arm research involved 24 subjects with a total of 25 unstable metacarpal neck and shaft fractures surgically treated at Menoufia university hospital and Sheikh-Zayed Specialized, Egypt. They were controlled with intramedullary headless compression screws (IMHS).


Results
Complications were reported in 5 (20.8%) patients, Union of fracture was reported in 23 (95.8%) patients. The mean TAM score was 250.63 ± 19.58 ranging between 180 and 260 with a median of 260. The mean dash score was 1.75 ± 2.91 ranging between 0 and 11.36 with a median of 0.00.


Conclusion
The metacarpal fractures IMHS fixation is an effective, safe, and complication-free treatment and looked to need less imposing and restore function more quickly.