Osteosynthesis of fifth metacarpal neck fractures with a photodynamic polymer bone stabilization system.

Surke, Carsten; Meier, Rahel; Haug, Luzian; Vögelin, Esther (2020). Osteosynthesis of fifth metacarpal neck fractures with a photodynamic polymer bone stabilization system. Journal of hand surgery. European volume, 45(2), pp. 119-125. Sage 10.1177/1753193419880775

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Metacarpal neck fractures with severe displacement are commonly treated surgically with intramedullary Kirschner wires. We present the results of treatment of fifth metacarpal neck fractures using a light curable intramedullary photodynamic polymer (IlluminOss™, IlluminOss Medical Inc., East Providence, RI, USA). Twenty-nine patients with isolated displaced fifth metacarpal neck fractures were included and followed up for 12-24 weeks. All fractures had radiologically healed after 3 months. In two cases, a secondary loss of reduction was seen, which did not require further correction. During the follow-up period, range of motion of the metacarpophalangeal joint was 89% after 6 weeks and increased to 100% after 3 months compared with the uninjured side. Grip strength improved over time from 61% to 85%. No implant removal was necessary. We conclude that osteosynthesis using an intramedullary photodynamic polymer is a reliable treatment option for displaced fractures of the fifth metacarpal neck. Level of evidence: IV.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery

UniBE Contributor:

Surke, Carsten; Meier, Rahel; Haug, Luzian Carlo Peter and Vögelin, Esther

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2043-6289

Publisher:

Sage

Language:

English

Submitter:

Veronika Picha

Date Deposited:

04 Nov 2019 12:34

Last Modified:

22 Jan 2020 01:31

Publisher DOI:

10.1177/1753193419880775

PubMed ID:

31635518

Uncontrolled Keywords:

Metacarpal neck fracture bone stabilization system boxer’s fracture fracture hand intramedullary osteosynthesis metacarpal fracture fixation photodynamic polymer

BORIS DOI:

10.7892/boris.134136

URI:

https://boris.unibe.ch/id/eprint/134136

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