Percutaneous transverse pinning for metacarpal fractures: a clinical trial

Andrea Pintore; Alberto Astone; Gianluca Vecchio; Giovanni Asparago; Giampiero Calabrò; Filippo Migliorini; Nicola Maffulli

doi:10.1007/s00402-024-05422-2

Percutaneous transverse pinning for metacarpal fractures: a clinical trial

Andrea Pintore
, Alberto Astone
, Gianluca Vecchio
, Giovanni Asparago
, Giampiero Calabrò
, Filippo Migliorini
, Nicola Maffulli

Krankenhaus Bozen

Research output: Contribution to journal › Original Article › peer-review

Abstract

INTRODUCTION: Metacarpal fractures account for 25%-50% of all hand fractures and may negatively impact hand function and ability to work. Percutaneous transverse pinning of non-articular metacarpal fractures allows mobilisation immediately after the procedure.

METHODS: Between March 2017 and February 2022, 56 patients undergoing percutaneous transverse pinning for unstable metacarpal fractures were prospectively recruited. We investigated surgical outcomes in terms of Patient-rated Wrist/Hand Evaluation (PRWHE) and pre-and post-operative radiographic evaluation. The Student t-test was used to compare the means of PRWHE values after surgery. Statistical significance was set at p < 0.05.

RESULTS: The mean age was 40.21 ± 17.9 years (range of 16 to 86 years). The average operating time was 27.96 min. The mean follow-up period was 14.3 ± 6.4 months (from 2 to 41 months). The mean PRWHE score was 6.5 ± 1.8. None of the patients had clinically observable rotational deformities, and the functional outcomes were satisfactory.

CONCLUSION: Percutaneous transverse pinning for non-articular metacarpal fractures restores excellent function, and imaging results are satisfactory. Further high-quality clinical trials are required to validate these results on a larger scale.

LEVEL OF EVIDENCE: II, prospective cohort study.

Original language	English
Pages (from-to)	3129-3136
Number of pages	8
Journal	ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
Volume	144
Issue number	7
DOIs	https://doi.org/10.1007/s00402-024-05422-2
Publication status	Published - Jul 2024

Keywords

Humans
Metacarpal Bones/injuries
Adult
Middle Aged
Male
Female
Adolescent
Fractures, Bone/surgery
Aged
Young Adult
Aged, 80 and over
Prospective Studies
Bone Nails
Fracture Fixation, Internal/methods
Treatment Outcome

Access to Document

10.1007/s00402-024-05422-2

Cite this

Pintore, A., Astone, A., Vecchio, G., Asparago, G., Calabrò, G., Migliorini, F., & Maffulli, N. (2024). Percutaneous transverse pinning for metacarpal fractures: a clinical trial. ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY , 144(7), 3129-3136. https://doi.org/10.1007/s00402-024-05422-2

Pintore, Andrea ; Astone, Alberto ; Vecchio, Gianluca et al. / Percutaneous transverse pinning for metacarpal fractures : a clinical trial. In: ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY 2024 ; Vol. 144, No. 7. pp. 3129-3136.

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title = "Percutaneous transverse pinning for metacarpal fractures: a clinical trial",

abstract = "INTRODUCTION: Metacarpal fractures account for 25\%-50\% of all hand fractures and may negatively impact hand function and ability to work. Percutaneous transverse pinning of non-articular metacarpal fractures allows mobilisation immediately after the procedure.METHODS: Between March 2017 and February 2022, 56 patients undergoing percutaneous transverse pinning for unstable metacarpal fractures were prospectively recruited. We investigated surgical outcomes in terms of Patient-rated Wrist/Hand Evaluation (PRWHE) and pre-and post-operative radiographic evaluation. The Student t-test was used to compare the means of PRWHE values after surgery. Statistical significance was set at p < 0.05.RESULTS: The mean age was 40.21 ± 17.9 years (range of 16 to 86 years). The average operating time was 27.96 min. The mean follow-up period was 14.3 ± 6.4 months (from 2 to 41 months). The mean PRWHE score was 6.5 ± 1.8. None of the patients had clinically observable rotational deformities, and the functional outcomes were satisfactory.CONCLUSION: Percutaneous transverse pinning for non-articular metacarpal fractures restores excellent function, and imaging results are satisfactory. Further high-quality clinical trials are required to validate these results on a larger scale.LEVEL OF EVIDENCE: II, prospective cohort study.",

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author = "Andrea Pintore and Alberto Astone and Gianluca Vecchio and Giovanni Asparago and Giampiero Calabr{\`o} and Filippo Migliorini and Nicola Maffulli",

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doi = "10.1007/s00402-024-05422-2",

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Pintore, A, Astone, A, Vecchio, G, Asparago, G, Calabrò, G, Migliorini, F & Maffulli, N 2024, 'Percutaneous transverse pinning for metacarpal fractures: a clinical trial', ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY , vol. 144, no. 7, pp. 3129-3136. https://doi.org/10.1007/s00402-024-05422-2

Percutaneous transverse pinning for metacarpal fractures: a clinical trial. / Pintore, Andrea; Astone, Alberto; Vecchio, Gianluca et al.
In: ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY , Vol. 144, No. 7, 07.2024, p. 3129-3136.

Research output: Contribution to journal › Original Article › peer-review

TY - JOUR

T1 - Percutaneous transverse pinning for metacarpal fractures

T2 - a clinical trial

AU - Pintore, Andrea

AU - Astone, Alberto

AU - Vecchio, Gianluca

AU - Asparago, Giovanni

AU - Calabrò, Giampiero

AU - Migliorini, Filippo

AU - Maffulli, Nicola

N1 - Academic Hospital of Bolzano (SABES-ASDAA), 39100 Bolzano, Italy

PY - 2024/7

Y1 - 2024/7

N2 - INTRODUCTION: Metacarpal fractures account for 25%-50% of all hand fractures and may negatively impact hand function and ability to work. Percutaneous transverse pinning of non-articular metacarpal fractures allows mobilisation immediately after the procedure.METHODS: Between March 2017 and February 2022, 56 patients undergoing percutaneous transverse pinning for unstable metacarpal fractures were prospectively recruited. We investigated surgical outcomes in terms of Patient-rated Wrist/Hand Evaluation (PRWHE) and pre-and post-operative radiographic evaluation. The Student t-test was used to compare the means of PRWHE values after surgery. Statistical significance was set at p < 0.05.RESULTS: The mean age was 40.21 ± 17.9 years (range of 16 to 86 years). The average operating time was 27.96 min. The mean follow-up period was 14.3 ± 6.4 months (from 2 to 41 months). The mean PRWHE score was 6.5 ± 1.8. None of the patients had clinically observable rotational deformities, and the functional outcomes were satisfactory.CONCLUSION: Percutaneous transverse pinning for non-articular metacarpal fractures restores excellent function, and imaging results are satisfactory. Further high-quality clinical trials are required to validate these results on a larger scale.LEVEL OF EVIDENCE: II, prospective cohort study.

AB - INTRODUCTION: Metacarpal fractures account for 25%-50% of all hand fractures and may negatively impact hand function and ability to work. Percutaneous transverse pinning of non-articular metacarpal fractures allows mobilisation immediately after the procedure.METHODS: Between March 2017 and February 2022, 56 patients undergoing percutaneous transverse pinning for unstable metacarpal fractures were prospectively recruited. We investigated surgical outcomes in terms of Patient-rated Wrist/Hand Evaluation (PRWHE) and pre-and post-operative radiographic evaluation. The Student t-test was used to compare the means of PRWHE values after surgery. Statistical significance was set at p < 0.05.RESULTS: The mean age was 40.21 ± 17.9 years (range of 16 to 86 years). The average operating time was 27.96 min. The mean follow-up period was 14.3 ± 6.4 months (from 2 to 41 months). The mean PRWHE score was 6.5 ± 1.8. None of the patients had clinically observable rotational deformities, and the functional outcomes were satisfactory.CONCLUSION: Percutaneous transverse pinning for non-articular metacarpal fractures restores excellent function, and imaging results are satisfactory. Further high-quality clinical trials are required to validate these results on a larger scale.LEVEL OF EVIDENCE: II, prospective cohort study.

KW - Humans

KW - Metacarpal Bones/injuries

KW - Adult

KW - Middle Aged

KW - Male

KW - Female

KW - Adolescent

KW - Fractures, Bone/surgery

KW - Aged

KW - Young Adult

KW - Aged, 80 and over

KW - Prospective Studies

KW - Bone Nails

KW - Fracture Fixation, Internal/methods

KW - Treatment Outcome

U2 - 10.1007/s00402-024-05422-2

DO - 10.1007/s00402-024-05422-2

M3 - Original Article

C2 - 38965077

SN - 0936-8051

VL - 144

SP - 3129

EP - 3136

JO - ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY

JF - ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY

IS - 7

ER -

Pintore A, Astone A, Vecchio G, Asparago G, Calabrò G, Migliorini F et al. Percutaneous transverse pinning for metacarpal fractures: a clinical trial. ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY . 2024 Jul;144(7):3129-3136. doi: 10.1007/s00402-024-05422-2

Percutaneous transverse pinning for metacarpal fractures: a clinical trial

Abstract

Keywords

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