{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:01:27Z","timestamp":1790791287839,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T00:00:00Z","timestamp":1620086400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Advances in Orthopedics"],"published-print":{"date-parts":[[2021,5,4]]},"abstract":"<jats:p>Objective. This study aims to evaluate the outcome after the internal fixation of diaphyseal metacarpal fractures by a single intramedullary K-wire. Methods. In this prospective case series study, conducted from July 2017 to June 2019 in 23 adult patients with a single, unstable, diaphyseal metacarpal fracture, outcomes after internal surgical fixation using a single antegrade intramedullary K-wire were evaluated. The outcomes were evaluated by union rate, time to union, handgrip measurements at 6 and 12 months, and the modified Disabilities of the Arm, Shoulder, and Hand (DASH) score at 12 months. Results. The study population consisted of 17 males and 6 females, with a mean patient age of 28.4\u2009\u00b1\u20098.5 years (range, 16\u201345 years). The median time to final follow-up was 14\u2009\u00b1\u20091.8 months (range: 12\u201324 months). The mean duration of the union was 7.3\u2009\u00b1\u20091.6 weeks (range: 5\u201311 weeks), with a union rate of 95.7% (22 cases). The mean handgrip strength was 68%\u2009\u00b1\u200912.8% of the strength of the uninjured hand after 6\u2009months and 92.7%\u2009\u00b1\u20096.9% after 12 months. The mean modified DASH score was 2.6\u2009\u00b1\u20090.26 after 12 months (range: 0\u20135.8). There were no cases of malrotation or infection. In conclusion, using a single 1.8\u20132.0\u2009mm K-wire gives excellent functional outcomes and union rate without significant complications when used to treat an unstable metacarpal shaft fracture.<\/jats:p>","DOI":"10.1155\/2021\/9963186","type":"journal-article","created":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T00:35:22Z","timestamp":1620174922000},"page":"1-7","source":"Crossref","is-referenced-by-count":5,"title":["A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft Fractures"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3778-3294","authenticated-orcid":true,"given":"Mohamed I.","family":"Abulsoud","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5656-8012","authenticated-orcid":true,"given":"Mohammed","family":"Elmarghany","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1619-4893","authenticated-orcid":true,"given":"Tharwat","family":"Abdelghany","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4460-7475","authenticated-orcid":true,"given":"Mohamed","family":"Abdelaal","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4457-3188","authenticated-orcid":true,"given":"Mohamed F.","family":"Elhalawany","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4727-8566","authenticated-orcid":true,"given":"Ahmed R.","family":"Zakaria","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Helwan University, Helwan, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000312"},{"issue":"4","key":"2","doi-asserted-by":"crossref","first-page":"97","DOI":"10.5539\/gjhs.v9n4p97","article-title":"Epidemiology of the upper extremity trauma in a traumatic center in Iran","volume":"9","author":"M. 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