{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:54:32Z","timestamp":1792457672396,"version":"4.5.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR003017"],"award-info":[{"award-number":["UL1TR003017"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Metacarpal fractures are common injuries with multiple options for fixation. Our purpose was to compare outcomes in metacarpal fractures treated with intramedullary screw fixation (IMF), Kirschner wires (K-wires), or plating.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A systematic literature review using the MEDLINE database was performed for studies investigating metacarpal fractures treated with IMF, plating, or K-wires. We identified 34 studies (9 IMF, 8 plating, 17 K-wires). A meta-analysis using both mixed and fixed effects models was performed. Outcome measures included mean Disabilities of the Arm, Shoulder, and Hand (DASH) scores, total active motion (TAM), grip strength, time to radiographic healing, and rates of infection and reoperation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Patients with IMF had significantly lower DASH scores (0.6 [95% confidence interval [CI], 0.2-1.0]) compared with K-wires (7.4 [4.8-9.9]) and plating (9.8 [5.3-14.3]). Intramedullary screw fixation also had significantly lower rates of reoperation (4%, [2%-7%]), compared with K-wires (11% [7%-16%]) and plating (11% [0.07-0.17]). Grip strength was significantly higher in IMF (104.4% [97.0-111.8]) compared with K-wires (88.5%, [88.3-88.7]) and plating (90.3%, [85.4-95.2]). Mean odds ratio time was similar between IMF (21.0 minutes [10.4-31.6]) and K-wires (20.8 minutes [14.0-27.6]), but both were shorter compared with plating (52.6 minutes [33.1-72.1]). There were no statistically significant differences in time to radiographic healing, TAM, or rates of reoperation or infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This meta-analysis compared the outcomes of metacarpal fixation with IMF, K-wires, or plating. Intramedullary screw fixation provided statistically significant lower DASH scores, higher grip strength, and lower rates of reoperation, suggesting that it is a comparable method of fixation to K-wires and plating for metacarpal fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447241232094","type":"journal-article","created":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T06:52:30Z","timestamp":1709016750000},"page":"691-700","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Comparison of Intramedullary Screw Fixation, Plating, and K-Wires for Metacarpal Fracture Fixation: A Meta-Analysis"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3334-1199","authenticated-orcid":false,"given":"Cristina R.","family":"DelPrete","sequence":"first","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Chao","sequence":"additional","affiliation":[{"name":"Division of Plastic &amp; Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9084-6223","authenticated-orcid":false,"given":"Bobby B.","family":"Varghese","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The University of Texas Southwestern Medical Center, Dallas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Rutgers University, Piscataway, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hari","family":"Iyer","sequence":"additional","affiliation":[{"name":"The Center for Hand &amp; Upper Extremity Surgery, Shrewsbury, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajul","family":"Shah","sequence":"additional","affiliation":[{"name":"The Center for Hand &amp; Upper Extremity Surgery, Shrewsbury, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,2,27]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.09.041"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-021-04849-7"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-012-9442-0"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000205888.04200.c5"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2013.09.004"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-013-9531-8"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002877"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200203000-00019"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181bb8ea0"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.12271"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.04.032"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.08.016"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517751397"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2005.06.022"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-012-0223-y"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000003895"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2004.34.12.781"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001581"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517721692"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-020-02057-y"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.06.031"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2021.04.009"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005478"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193420919060"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1572534"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpra.2023.10.002"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.17392\/1310-21"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.4466"},{"issue":"8","key":"e_1_3_2_30_2","first-page":"518","article-title":"Kirschner wire pin tract infection rates between percutaneous and buried wires in treating metacarpal and phalangeal fractures","volume":"16","author":"Rafique A","year":"2006","unstructured":"Rafique A, Ghani S, Sadiq M, et al. 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