INTRODUCTION: We performed a retrospective study to assess the outcomes of metacarpal fractures treated with intramedullary K-wires. Various surgical techniques were described in treatment of metacarpal fracture with K-wires. The patients were operated with retrograde intramedullary K wires preserving metacarpophalyngeal joint by entering from fracture site. METHODS: In our study we aimed to considerate functional and radiological outcomes of 44 patients whom we treated with retro-ante-grade intramedullary K-wires. Patients were operated with 2 intramedullary K-wires forwarded from fracture site without metacarpophalangeal entry. Q-DASH score was used for evaluating clinical outcomes. Statistical difference between lateral angulations of operated and contrlateral 5. metacarps at the last control were compared. Statistical analyses were performed with Paired Sample T test. RESULTS: Union was achieved among all patients. Mean clinical Q-DASH score of the patients was 1.32 (+/- 2.466). Mean lateral angulation of 5. metacarps were 57.20 (+/- 11.12) degrees before and 2.67 (+/- 3.92) postoperatively. At last control, mean Range of Motion of 5. Metacarpophalangeal joint was 88.82 (+/- 1.317) degrees on healty and 88.84 (+/- 1.328) degrees on operated hands. 2 patients suffered from reflex sympathetic dystrophy, which regressed in 8-12th weeks. Preoperative and postoperative lateral angulation of 5. metacarps showed statistically significant difference(p: 0.000, p
GİRİŞ ve AMAÇ: İntramedüller K telleri ile tedavi edilen metakarp kırıklarının sonuçlarını değerlendirmek için retrospektif bir çalışma yaptık. Metakarp kırıklarının K-telleri ile tedavisinde çeşitli cerrahi teknikler uygulanmaktadır. Hastalar, metakarpofalangeal eklem korunarak, kırık hattından retrograd uygulanan intramedüller K telleri ile ameliyat edildiler. YÖNTEM ve GEREÇLER: Çalışmamızda retro-antegrad intramedüller K telleri ile tedavi ettiğimiz 44 hastanın fonksiyonel ve radyolojik sonuçlarını değerlendirmeyi amaçladık. Hastalar, metakarpofalangeal eklemden girilmeden, kırık hattından ilerletilen 2 adet intramedüller K teli ile opere edildiler. Klinik sonuçları değerlendirmek için Q DASH skorlaması kullanıldı. Hastların;opere edilen ve sağlam 5. metakarplarının son takip kontrolünde ölçülen lateral açılanmalarının istatistiksel farkı karşılaştırıldı. İstatistiksel analizler Bağımlı Örneklem t-Testi ile yapıldı. BULGULAR: Tüm hastalarda kaynama elde edildi. Hastaların klinik Q-DASH skoru ortalama 1.32 (+/- 2.466) idi. Hastaların ortalama 5. metakarp açılanmaları ameliyat öncesi 57.20 (+/- 11.12), sonrasında ise 2.67 (+/- 3.92) dereceydi. Tedavi sonundaki en son kontrolde ortalama 5. Metakarpofalangeal eklem hareket açıklığı sağlam elde 88.82 (+/- 1.317), opere edilen elde ise 88.84 (+/- 1.328) dereceydi. 2 hastada 8-12 haftada gerileyen refleks sempatik distrofi gelişti. Preoperatif ve postoperatif 5. metakarp lateral açılanma dereceleri arasında istatiksel olarak anlamlı fark olduğu görüldü(p: 0.000, p0.05). TARTIŞMA ve SONUÇ: Tanımladığımız yöntem metakarp kırıklarında; distal kırık parçanın zarar görmemesi, ekstansör mekanizmanın korunması ve iyi klinik sonuçlar ile tercih edilecebilecek bir yöntemdir.
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