{"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":1790791287163,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"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":[[2023,10,16]]},"abstract":"<jats:p>Objective. This study aims to evaluate the outcomes of single intramedullary K-wire fixation in nonthumb, metacarpal shaft fractures with immediate postoperative hand mobilization without any immobilization. Method. This is a retrospective case series conducted from January 2019 to December 2022. We included patients with closed, simple transverse, or short oblique metacarpal shaft fracture treated with single, 1.4\u2009mm, intramedullary K-wire fixation. Gentle postoperative range of motion exercise was encouraged in every patient without any hand, finger, or wrist motion restriction material. Clinical outcomes were evaluated with total active flexion; grip strength; disability of arm, shoulder, and hand (DASH) score; and the American Society for Surgery of the Hand Total Active Flexion (ASSH TAF) score. Results. This study included 34 patients, 25 males and 9 females with a mean age of 33.14\u2009years (ranging 18\u201359). A total of 43 metacarpal shafts were treated. The mean DASH score at two and 6\u2009weeks postoperative was 41.5 (ranging 19.16\u201360.34) and 9.58 (ranging 0.83\u201323.27). The mean final DASH score at last follow-up was 3.48 (ranging 0\u20138.33). Mean TAF at 2\u2009weeks postoperative, 6\u2009weeks postoperative, and at final follow-up was 203.8 (ranging 185\u2013240), 238.2 (ranging 220\u2013270), and 259.25 (ranging 240\u2013270) degrees, respectively. The mean grip strength of the injured hand was 66.14 and 86.1% of the uninjured hand at 6\u2009weeks and 3\u2009months postoperative. There was no nonunion, malrotation, or infection. In conclusion, single intramedullary K-wire fixation gives excellent outcomes in the treatment of single or multiple, simple, metacarpal shaft fractures without the need of postoperative immobilization.<\/jats:p>","DOI":"10.1155\/2023\/1439011","type":"journal-article","created":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T15:20:11Z","timestamp":1697469611000},"page":"1-9","source":"Crossref","is-referenced-by-count":4,"title":["Single Buried Intramedullary K-Wire Fixation in Nonthumb Metacarpal Shaft Fractures with Immediate Postoperative Mobilization without Any Immobilization"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5542-1791","authenticated-orcid":true,"given":"Wuttipong","family":"Siriwittayakorn","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Nakornping Hospital, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5663-1889","authenticated-orcid":true,"given":"Nath","family":"Adulkasem","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pichet","family":"Sangthongsil","sequence":"additional","affiliation":[{"name":"Chularat 3 Hospital, Bang Phli, Samut Prakarn, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wasapol","family":"Pitiguagool","sequence":"additional","affiliation":[{"name":"Chularat 3 Hospital, Bang Phli, Samut Prakarn, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wattanai","family":"Atthakorn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Nakornping Hospital, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2337-7969","authenticated-orcid":true,"given":"Kraisong","family":"Watatham","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wichit","family":"Siritattamrong","sequence":"additional","affiliation":[{"name":"Chularat 3 Hospital, Bang Phli, Samut Prakarn, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","first-page":"260","article-title":"Fractures of the metacarpals and phalanges","volume-title":"Green's Operative Hand Surgery","author":"R. 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