Metacarpal Fracture
Conditions
Keywords
fractures metacrapal
Brief summary
To prove that use of intramedullary cannulated headless hardware fixation of metacarpal fractures provides anatomic reduction, stable fixation, less operative trauma and early, active post-operative mobilization. The study compares two types of implant to determine efficacy in reduction and maintenance of reduction for fracture healing.
Detailed description
To prove that use of intramedullary cannulated headless hardware fixation of metacarpal fractures provides anatomic reduction, stable fixation, less operative trauma and early, active post-operative mobilization. The study compares two types of implant to determine efficacy in reduction and maintenance of reduction for fracture healing
Interventions
DEVICEImplant
Intramedullary headless hardware systems were utilized to place hardware in85 a retrograde manner from the metacarpophalangeal joint.
Sponsors
University of Colorado, Denver
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
Patients who undergo hand surgery at University of Colorado Hospital and Denver Health Medical Center for surgical treatment of closed extraarticular metacarpal fracture(s). Fracture classification will be based off of AO Foundation/Orthopaedic Trauma Association guidelines and radiographic interpretation * Non-operative Cohort: Patients who underwent non-operative management of closed extra-articular metacarpal fractures at both the University of Colorado and Denver Health Medical Center will also be reviewed.
Exclusion criteria
Open metacarpal fractures (defined as any fracture associated with a laceration or break in skin continuity near the fracture site) * Patients with previous history of metacarpal nonunion or malunion corrections on the affected digit * Metacarpal fractures with intraarticular extension
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative primary Outcomes | 30 Days | Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) outcome measure score. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain scale | 30-days | Pain quantified on Graphic Rating Scale (GRS) |
| Measurement of range | 30-days | Goniometer measurements of range of motion at metacarpophalangeal joint (MP), proximal interphalangeal joint (PIP), distal interphalangeal joint (DIP), in addition to any extensor lag at the MP joint. |
| Operative complications | 30-days | Operative complications including but not limited to: bone nonunion and malunion, superficial and deep infections, hardware failure, stiffness, revision surgery and tendon adhesions/rupture. |
Countries
United States
Outcome results
None listed