{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T01:30:37Z","timestamp":1793669437184,"version":"4.5.1"},"reference-count":31,"publisher":"World Scientific Pub Co Pte Ltd","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p> Background: Intramedullary screws (IMS) have become a viable option for metacarpal fracture fixation. To further appraise their utility, this study assessed clinical and patient-reported short- and medium-term outcomes of IMS fixation for extra-articular metacarpal fractures. <\/jats:p><jats:p> Methods: A retrospective cohort study was performed in a series of 32 patients (with a total of 37 fractures) who underwent metacarpal fracture fixation over a 42-month period between January 2020 and July 2023. <\/jats:p><jats:p> Results: Mean time for return to work was 39.8 days; mean time for return to full function was 88.4 days; total active motion was 250.7\u00b0 (range: 204.9\u2013270.9); Quick Disabilities of the Arm, Shoulder and Hand score was 2.3 (range: 0\u201322.7); mean visual analogue pain score was 0.9 out of 10 (range: 0\u20136) and a single complication was observed. <\/jats:p><jats:p> Conclusions: The use of IMS in metacarpal fracture fixation is a practicable surgical option. IMS fixations yields a satisfactory duration for return to function, good postoperative range of movement, modest pain scores and low rates of complications. <\/jats:p><jats:p> Level of Evidence: Level IV (Therapeutic) <\/jats:p>","DOI":"10.1142\/s2424835524500231","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T07:50:45Z","timestamp":1715327445000},"page":"217-224","source":"Crossref","is-referenced-by-count":8,"title":["Metacarpal Fracture Fixation with Intramedullary Screws"],"prefix":"10.1142","volume":"29","author":[{"given":"Adam R.","family":"GEORGE","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, Sydney Medical School, Camperdown, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zac","family":"DRAGAN","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, The University of Sydney, Sydney Medical School, Camperdown, NSW, 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