{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T11:08:01Z","timestamp":1779361681914,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T00:00:00Z","timestamp":1766880000000},"content-version":"vor","delay-in-days":57,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2025,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n Metacarpal fractures are common injuries which can result in significant loss of function. While many metacarpal fractures can be treated nonoperatively, surgical management options include the use of Kirschner wires, plates and screws (1, 2). In Australia, metacarpal fractures are usually managed by specialised Plastic or Orthopaedic surgeons. Provision of plastic and orthopaedic surgery in rural and remote Australia is often limited. Management of metacarpal fractures by general surgeons, who are more widespread throughout rural Australia, is not described in the literature. This study describes the demographics, surgical techniques and outcomes of metacarpal fractures managed by a rural general surgeon in rural Western Australia.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Retrospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Observational.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Single\u2010centre public hospital in rural Western Australia.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n All patients who underwent surgical management of metacarpal fractures from 2018 to 2023 at the study hospital.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n Demographics, mechanism of injury, surgical techniques and outcomes of surgically managed metacarpal fractures.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n In total, 68 cases of surgically managed metacarpal fractures are described, including 42 open and 25 percutaneous fixations. Mean time to surgery from injury was 7.3\u2009days (median 4\u2009days). Documented nonunion or malunion occurred in 3% of cases. In total, seven cases required unplanned return to theatre, and four cases experienced postoperative infection within 30\u2009days.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Metacarpal fractures can be safely managed by an appropriately trained general surgeon in rural Australia, ensuring patient\u2010centred, timely and effective treatment with excellent clinical outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ajr.70136","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T05:14:06Z","timestamp":1766985246000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Management of Metacarpal Fractures by a General Surgeon in Rural Australia: A Single\u2010Centre Experience"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7251-9157","authenticated-orcid":false,"given":"Jamie","family":"Cransberg","sequence":"first","affiliation":[{"name":"Western Australian Country Health Service, Great Southern Albany Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Yeboah","sequence":"additional","affiliation":[{"name":"Western Australian Country Health Service, Great Southern Albany Australia"},{"name":"The University of Western Australia Perth Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17818"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-013-9562-1"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13246"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00561"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003470"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12171"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12579"},{"key":"e_1_2_13_9_1","unstructured":"Commonwealth Government department of health and aged care \u201cModified Monash Model \u201d(2025) Canberra https:\/\/www.health.gov.au\/topics\/rural\u2010health\u2010workforce\/classifications\/mmm."},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2023.01.012"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200203000-00019"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/BCO.0000000000001108"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.5812\/atr.32933"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20200925-02"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558944719836214"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/17504589221119739"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.52232"},{"key":"e_1_2_13_18_1","unstructured":"Australian Institute of Health and Welfare \u201cRural and Remote Health [Internet] \u201dCanberra (2024) https:\/\/www.aihw.gov.au\/reports\/rural\u2010remote\u2010australians\/rural\u2010and\u2010remote\u2010health."},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.7241\/ourd.20204.21"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50277"},{"key":"e_1_2_13_21_1","first-page":"1","article-title":"Reasons Why Specialist Doctors Undertake Rural Outreach Services: An Australian Cross\u2010Sectional Study","volume":"15","author":"O'Sullivan B. G.","year":"2017","journal-title":"Human Resources for Health"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/107937391603800404"},{"key":"e_1_2_13_23_1","volume-title":"Strategic Plan 2019\u20132024","author":"Western Australian Country Health Service","year":"2019"}],"container-title":["Australian Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.70136","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajr.70136","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.70136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T10:48:09Z","timestamp":1779360489000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajr.70136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1111\/ajr.70136"],"URL":"https:\/\/doi.org\/10.1111\/ajr.70136","archive":["Portico"],"relation":{},"ISSN":["1038-5282","1440-1584"],"issn-type":[{"value":"1038-5282","type":"print"},{"value":"1440-1584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2025-05-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70136"}}