{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:17:28Z","timestamp":1774138648201,"version":"3.50.1"},"reference-count":0,"publisher":"World Scientific Pub Co Pte Lt","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p> Background: Surgical fixation using intramedullary headless screws (IHS) is a relatively new technique for metacarpal fracture repair. However, there are very few studies investigating the outcomes of this procedure. We present the surgical and functional outcomes of a consecutive series of 30 metacarpal fractures treated by a single surgeon over a 2.5-year period using IHS. <\/jats:p><jats:p> Methods: We retrospectively reviewed the records of 30 metacarpal fractures in 27 patients who underwent IHS fixation from March 2016 to October 2018. There were 29 fractures of the metacarpal neck and 1 was to the metacarpal head. All fractures underwent the procedure by a single operating surgeon. Individual joint movements along with total active movement (TAM) was measured at postoperative follow-up appointments 4\u20138 weeks after surgery. Fracture healing was confirmed with plain radio-graphs. Patients were also recalled in March 2019 for their latest functional measurements. A QuickDASH (disabilities of the arm, shoulder and hand) questionnaire was used to assess for any residual functional disability. <\/jats:p><jats:p> Results: All fractures healed within acceptable radiological parameters with no mal-unions or rotational deformities. The average TAM at initial follow-up was 245\u00b0, which improved to 264\u00b0 at the March 2019 review. All patients returned to work in an average of 6 weeks. The final functional QuickDASH score was an average of 2.9\/100 (range 0\u201318.2). 2\/27 patients required further surgery for stiffness before regaining excellent TAM. No patient required metalwork removal. There were no other complications. <\/jats:p><jats:p> Conclusions: Our findings suggest that IHS fixation is an effective alternative technique for the treatment of metacarpal fractures. It is a relatively simple procedure, which provides good stable fixation, allowing for early mobilisation. It has few complications and does not routinely require removal of the implant. <\/jats:p>","DOI":"10.1142\/s2424835521500089","type":"journal-article","created":{"date-parts":[[2020,12,24]],"date-time":"2020-12-24T03:25:45Z","timestamp":1608780345000},"page":"52-59","source":"Crossref","is-referenced-by-count":8,"title":["Intramedullary Headless Screw Fixation of Distal Metacarpal Fractures \u2013 the Birmingham Experience"],"prefix":"10.1142","volume":"26","author":[{"given":"Arjuna","family":"Thakker","sequence":"first","affiliation":[{"name":"Department of Musculoskeletal Research, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeev Chaand","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Whittington Health NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manish","family":"Gupta","sequence":"additional","affiliation":[{"name":"Hand Unit, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"219","published-online":{"date-parts":[[2020,12,24]]},"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835521500089","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T12:49:20Z","timestamp":1612874960000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/abs\/10.1142\/S2424835521500089"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,24]]},"references-count":0,"journal-issue":{"issue":"01","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1142\/S2424835521500089"],"URL":"https:\/\/doi.org\/10.1142\/s2424835521500089","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,24]]}}}