Comparison of clinical efficacy between anterograde single elastic intramedullary nail fixation and miniplate fixation for the treatment of fifth metacarpal neck fractures
Objective To analyze and compare the short-term clinical efficacy of antegrade single elastic intramedullary nail and miniplate internal fixation in the treatment of fifth metacarpal neck fractures.Methods From October 2018 to October 2021,52 patients with AO/OTA classification 2C1 to 2C2 fifth metacarpal neck fractures with significant displacement and instability were treated.A total of 27 patients underwent antegrade single elastic intramedullary nail internal fixation surgery(treatment group)and 25 patients underwent open reduction miniplate internal fixation surgery(control group).The surgical time,intraoperative C-arm fluoroscopy frequency,fracture healing time,and DASH upper limb function evaluation were compared between the two groups to evaluate the efficacy of the two surgical methods.Results The differences in surgical time,intraoperative C-arm fluoroscopy frequency,fracture healing time,and DASH scores at 1 and 3 months after surgery between the two groups were statistically significant(P＜0.05).Conclusion The use of antegrade single elastic intramedullary nail internal fixation for the treatment of fifth metacarpal neck fractures has the advantages of minimally invasive,simple operation,short surgical time,short fracture healing time,and good functional recovery.The clinical efficacy is satisfactory and suitable for clinical promotion.
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