Rivera-Saldívar G, Rodríguez-Luna CE, Orozco-Aponte NI

Language: Spanish
References: 24
Page: 68-76
PDF size: 227.30 Kb.

ABSTRACT

Introduction: fracture of the fifth metacarpal is a common pathology that can cause deformity, pain, and functional metacarpophalangeal joint. Reintegration into daily or work activities, is related to the treatment received and access to early rehabilitation. Objective: to compare the time of return to work and the functional and clinical outcomes of patients with fractures of the neck of the fifth metacarpal, surgically managed with retrograde versus anterograde Kirschner wires. Material and methods: comparative, longitudinal, prospective study in patients with fifth metacarpal neck fracture, with clinical, radiographic and DASH (Disabilities of Arm, Shoulder and Elbow) scale follow-up at the 3rd, 6th, and 8th postoperative week until their reintegration into work activities. Results: we included 60 patients with fifth metacarpal fracture (58 males, two females), median age of the sample is 29.63 ± 10.15 years, treated by closed reduction and stabilization with Kirschner wires. The median of days required for return-to-work activities in the treatment group using anterograde Kirschner wire is 27.35 ± 24.18 days and with retrograde treatment is 66.56 ± 37.12 days (p < 0.001; CI 95% 14.4-63.9). Patients with light physical work activities required 21.9 ± 25.11 days to return to work with anterograde treatment compared to 63.7 ± 39.7 days with retrograde treatment (p = 0.001; CI 95% 14.93-68.58). Conclusion: the group of patients with 5th metacarpal neck fractures managed by anterograde Kirschner wires perform early rehabilitation and require less than half of the time to return to work compared to retrograde Kirschner wire treatment.

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