{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T15:27:11Z","timestamp":1790868431386,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,9,14]],"date-time":"2016-09-14T00:00:00Z","timestamp":1473811200000},"content-version":"vor","delay-in-days":44,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to compare the clinical and radiologic outcomes of <jats:styled-content style=\"fixed-case\">AO<\/jats:styled-content> titanium locking plate and screw (<jats:styled-content style=\"fixed-case\">ATLPS<\/jats:styled-content>) and anterograde intramedullary (<jats:styled-content style=\"fixed-case\">AIM<\/jats:styled-content>) fixation for treating unstable metacarpal and phalangeal fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adult patients with isolated fresh unstable metacarpal and phalangeal fractures who met the inclusion criteria were enrolled into this prospective study from July 2013. Patients were divided into <jats:styled-content style=\"fixed-case\">ATLPS<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">AIM<\/jats:styled-content> groups when they were admitted to our department after considering their work requirement, fracture complexity, and surgeon's experience and were then treated accordingly. Relevant demographic, clinical and preoperative clinical data were collected and analyzed. Clinical examination and radiograph evaluation were performed 1 week and 1, 3, and 6 months postoperatively. Outcome measures were visual analog scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>) scores for pain, total range of motion (<jats:styled-content style=\"fixed-case\">ROM<\/jats:styled-content>) of the injured digit, Quick Disabilities of the Arm, Shoulder, and Hand scores (Quick\u2010<jats:styled-content style=\"fixed-case\">DASH<\/jats:styled-content>) and grip strength (percentage of the contralateral corresponding digit).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From July 2013 to September 2014, 76 patients were treated by <jats:styled-content style=\"fixed-case\">AIM<\/jats:styled-content> and 71 by <jats:styled-content style=\"fixed-case\">ATLPS<\/jats:styled-content>. Age, sex, time from injury to operation, dominant hand, injury mechanism, fracture location, fracture type and participant occupation were similar in both groups (<jats:italic>P<\/jats:italic> &gt; 0.05). Operations were all performed well and followed by uneventful postoperative functional recoveries. At 3\u2010month follow\u2010up, all clinical outcomes were significantly better in the <jats:styled-content style=\"fixed-case\">AIM<\/jats:styled-content> than <jats:styled-content style=\"fixed-case\">ATLPS<\/jats:styled-content> group (<jats:styled-content style=\"fixed-case\">\n<jats:italic>P<\/jats:italic>\n<\/jats:styled-content> &lt; 0.05) except for <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> pain scores. However, at 6\u2010month follow\u2010up, the differences were no longer significant, indicating similar results for both types of fixation. Patients in the <jats:styled-content style=\"fixed-case\">AIM<\/jats:styled-content> group developed significantly more complications (<jats:styled-content style=\"fixed-case\">\n<jats:italic>P<\/jats:italic>\n<\/jats:styled-content> = 0.037). Sick leave was significantly longer in the <jats:styled-content style=\"fixed-case\">AIM<\/jats:styled-content> group (<jats:styled-content style=\"fixed-case\">\n<jats:italic>P<\/jats:italic>\n<\/jats:styled-content> = 0.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>\n<jats:styled-content style=\"fixed-case\">AIM<\/jats:styled-content> outperforms <jats:styled-content style=\"fixed-case\">ATLPS<\/jats:styled-content> in the treatment of unstable metacarpal and phalangeal fractures in the early, but not the later, postoperative period; the latter is associated with significantly more complications. Patients treated by <jats:styled-content style=\"fixed-case\">ATLPS<\/jats:styled-content> require shorter sick leave, which is of particular benefit to workers with specialized manual skills.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12271","type":"journal-article","created":{"date-parts":[[2016,9,14]],"date-time":"2016-09-14T16:25:51Z","timestamp":1473870351000},"page":"316-322","source":"Crossref","is-referenced-by-count":17,"title":["Comparison of <scp>AO<\/scp> Titanium Locking Plate and Screw Fixation versus Anterograde Intramedullary Fixation for Isolated Unstable Metacarpal and Phalangeal Fractures"],"prefix":"10.1111","volume":"8","author":[{"given":"Bing","family":"Zhang","sequence":"first","affiliation":[{"name":"Departments of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Departments of Hand Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pan","family":"Hu","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun\u2010lun","family":"Yu","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Departments of Hand Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiang\u2010bo","family":"Bai","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Departments of Hand Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"De\u2010hu","family":"Tian","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Departments of Hand Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gui\u2010sheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Departments of Hand Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin\u2010zhong","family":"Shao","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Departments of Hand Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying\u2010ze","family":"Zhang","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Departments of Hand Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9,14]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"772","volume-title":"Rockwoodand Green's Fractures in Adults","author":"Henry MH","year":"2006"},{"key":"e_1_2_7_3_1","volume-title":"Clinical Epidemiology of Orthopedic Trauma","author":"Zhang Y","year":"2012"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-012-0223-y"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2005.06.022"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-012-1036-6"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-012-1112-y"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-012-1524-7"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2006.02.017"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2005.09.013"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-004-0745-7"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000215925.58902.bc"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.01.040"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2842.1997.00443.x"},{"key":"e_1_2_7_15_1","first-page":"178","article-title":"Fractures of the metacarpal. 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