Metacarpal Fracture Repair: Early Reoperation Rates and Characteristics
Purpose: Metacarpal fractures are common injuries of the hand that often require operative repair. However, there is a paucity of data regarding the rate of reoperation and circumstances following metacarpal repair. Methods: A retrospective review of all metacarpal fracture cases performed at a sing...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Journal of Hand Surgery Global Online |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514123001445 |
| _version_ | 1827377923466723328 |
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| author | Benjamin Miltenberg, MD Daniel Nemirov, MD Hassan Siddiqui, BS Alexis Kasper, BS Asif M. Ilyas, MD, MBA |
| author_facet | Benjamin Miltenberg, MD Daniel Nemirov, MD Hassan Siddiqui, BS Alexis Kasper, BS Asif M. Ilyas, MD, MBA |
| author_sort | Benjamin Miltenberg, MD |
| collection | DOAJ |
| description | Purpose: Metacarpal fractures are common injuries of the hand that often require operative repair. However, there is a paucity of data regarding the rate of reoperation and circumstances following metacarpal repair. Methods: A retrospective review of all metacarpal fracture cases performed at a single academic institution between 2017 and 2021 was performed. All patients with isolated, acute metacarpal fractures were included for review. Data on patient demographics, fracture morphology, surgical technique, rate of early reoperation, and reason for reoperation were collected. Results: A total of 499 patients were identified to have undergone operative treatment for an isolated metacarpal fracture with an average follow-up of 4.2 months. The rate of unplanned early reoperation was 8.0% (n = 40), with seven patients requiring revision fracture surgery and 33 patients undergoing removal of symptomatic hardware. Mean and median time to reoperation was 2.1 and 1.5 months, respectively. The rate of reoperation for fractures of the metacarpal shaft was significantly lower than that of other fracture locations. Among the 40 revision cases, one case was following percutaneous fixation while 39 cases were following open reduction and internal fixation. Other demographic factures and fracture characteristics failed to show significant correlations to the rate of reoperation. Conclusions: An unplanned early reoperation rate of 8.0% after operative fixation of acute metacarpal fractures was observed with the majority involving cases of removal of symptomatic hardware and an average time to reoperation of approximately 2.1 months. This information can be used to counsel patients and set expectations about the potential for metacarpal fracture surgeries. Type of Study/Level of Evidence: Prognosis 2b. |
| first_indexed | 2024-03-08T12:47:26Z |
| format | Article |
| id | doaj.art-8266fe20fcb14f8a9e31d22042ee60a1 |
| institution | Directory Open Access Journal |
| issn | 2589-5141 |
| language | English |
| last_indexed | 2024-03-08T12:47:26Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj.art-8266fe20fcb14f8a9e31d22042ee60a12024-01-21T05:10:01ZengElsevierJournal of Hand Surgery Global Online2589-51412024-01-01612730Metacarpal Fracture Repair: Early Reoperation Rates and CharacteristicsBenjamin Miltenberg, MD0Daniel Nemirov, MD1Hassan Siddiqui, BS2Alexis Kasper, BS3Asif M. Ilyas, MD, MBA4Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA USARothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA USARothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA USARothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA USARothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA USA; Corresponding author: Asif M. Ilyas, MD, MBA, Rothman Orthopaedic Institute, 925 Chestnut St, Philadelphia, PA 19107.Purpose: Metacarpal fractures are common injuries of the hand that often require operative repair. However, there is a paucity of data regarding the rate of reoperation and circumstances following metacarpal repair. Methods: A retrospective review of all metacarpal fracture cases performed at a single academic institution between 2017 and 2021 was performed. All patients with isolated, acute metacarpal fractures were included for review. Data on patient demographics, fracture morphology, surgical technique, rate of early reoperation, and reason for reoperation were collected. Results: A total of 499 patients were identified to have undergone operative treatment for an isolated metacarpal fracture with an average follow-up of 4.2 months. The rate of unplanned early reoperation was 8.0% (n = 40), with seven patients requiring revision fracture surgery and 33 patients undergoing removal of symptomatic hardware. Mean and median time to reoperation was 2.1 and 1.5 months, respectively. The rate of reoperation for fractures of the metacarpal shaft was significantly lower than that of other fracture locations. Among the 40 revision cases, one case was following percutaneous fixation while 39 cases were following open reduction and internal fixation. Other demographic factures and fracture characteristics failed to show significant correlations to the rate of reoperation. Conclusions: An unplanned early reoperation rate of 8.0% after operative fixation of acute metacarpal fractures was observed with the majority involving cases of removal of symptomatic hardware and an average time to reoperation of approximately 2.1 months. This information can be used to counsel patients and set expectations about the potential for metacarpal fracture surgeries. Type of Study/Level of Evidence: Prognosis 2b.http://www.sciencedirect.com/science/article/pii/S2589514123001445Hardware removalMetacarpal fractureMetacarpal repairReoperation |
| spellingShingle | Benjamin Miltenberg, MD Daniel Nemirov, MD Hassan Siddiqui, BS Alexis Kasper, BS Asif M. Ilyas, MD, MBA Metacarpal Fracture Repair: Early Reoperation Rates and Characteristics Journal of Hand Surgery Global Online Hardware removal Metacarpal fracture Metacarpal repair Reoperation |
| title | Metacarpal Fracture Repair: Early Reoperation Rates and Characteristics |
| title_full | Metacarpal Fracture Repair: Early Reoperation Rates and Characteristics |
| title_fullStr | Metacarpal Fracture Repair: Early Reoperation Rates and Characteristics |
| title_full_unstemmed | Metacarpal Fracture Repair: Early Reoperation Rates and Characteristics |
| title_short | Metacarpal Fracture Repair: Early Reoperation Rates and Characteristics |
| title_sort | metacarpal fracture repair early reoperation rates and characteristics |
| topic | Hardware removal Metacarpal fracture Metacarpal repair Reoperation |
| url | http://www.sciencedirect.com/science/article/pii/S2589514123001445 |
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