{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:46:48Z","timestamp":1777880808526,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medicine"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The thumb is very exposed to trauma due to its position and function. Fractures of the base of the first metacarpal bone are very frequent in hand traumatology. Most Bennett\u2019s fractures are treated surgically. However, the optimal surgical approach is controversial. The aim of this study is to compare the results of closed reduction and percutaneous pinning in the treatment of Bennett\u2019s fracture of the base of firsthand metacarpal in fractures with both small and large fragments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We studied retrospectively the data of 40 patients treated for a Bennett\u2019s fracture in the department of orthopaedic and traumatologic surgery between January 2016 and December 2018. The purpose of this study was to compare the functional (pain, grip strength, first web space opening and thumb opposition) and radiological (quality of reduction and arthritic changes) results of the Iselin\u2019s technique for the treatment of Bennett\u2019s fractures in two groups of patients with large and small bone fragments according to the size of articular surface detached with the antero-medial fragment (superior or inferior to 25%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The average age of the patients was 34 (range\u2009=\u200919\u201366) years. Males were by far the most affected (90%). We noted 24 cases of large fragment fractures (60%) and 16 cases of small fragment fracture (40%). An excellent overall functional result was found in 68.8% of cases of small fragment fractures versus 50% of cases of large fragment fractures. Radiological results were roughly similar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>All surgical techniques aim to restore the articular congruence to the best, maintain the opening of the first web space and obtain a stable and painless trapezo-metacarpal joint. The Iselin\u2019s technique is simple, inexpensive and easy to perform even by inexperienced surgeons. It yields satisfactory results in most cases of Bennett\u2019s fracture regardless of the size of the fragment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20503121221105569","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T02:04:10Z","timestamp":1656295450000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparative study of Iselin\u2019s technique for the treatment of Bennett\u2019s fracture with large and small fragments"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4837-1954","authenticated-orcid":false,"given":"Walid","family":"Bouaicha","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia"},{"name":"Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Jlidi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia"},{"name":"Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Senda","family":"Bellila","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia"},{"name":"Department of Burns and Plastic Surgery, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3259-4056","authenticated-orcid":false,"given":"Selim","family":"Daas","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia"},{"name":"Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Ben Ammar","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia"},{"name":"Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Ali","family":"Sbai","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia"},{"name":"Department of Burns and Plastic Surgery, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adel","family":"Khorbi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia"},{"name":"Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,6,26]]},"reference":[{"key":"bibr1-20503121221105569","first-page":"72","volume":"73","author":"Bennett EH.","year":"1882","journal-title":"Dublin J Med Sci"},{"key":"bibr2-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(72)80006-8"},{"key":"bibr3-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(72)80005-6"},{"key":"bibr4-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001293"},{"key":"bibr5-20503121221105569","doi-asserted-by":"publisher","DOI":"10.3109\/17453675208989009"},{"key":"bibr6-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681_90_90049-A"},{"key":"bibr7-20503121221105569","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197961020-00018"},{"key":"bibr8-20503121221105569","doi-asserted-by":"publisher","DOI":"10.3109\/02844317109042955"},{"issue":"4","key":"bibr9-20503121221105569","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1302\/0301-620X.45B4.732","volume":"45","author":"Spangberg O","year":"1963","journal-title":"J Bone Joint Surg Br"},{"issue":"3","key":"bibr10-20503121221105569","first-page":"197","volume":"74","author":"Guss MS","year":"2016","journal-title":"Bull Hosp Jt Dis (2013)"},{"key":"bibr11-20503121221105569","first-page":"197","volume":"56","author":"Nealy RW","year":"1933","journal-title":"Surg Gynecol Obstet"},{"issue":"9","key":"bibr12-20503121221105569","first-page":"719","volume":"34","author":"Kapandji A","year":"1980","journal-title":"Ann Chir"},{"issue":"2","key":"bibr13-20503121221105569","first-page":"91","volume":"15","author":"Brazier J","year":"1996","journal-title":"Ann Chir Main"},{"issue":"2","key":"bibr14-20503121221105569","first-page":"122","volume":"13","author":"Surzur P","year":"1994","journal-title":"Ann Chir Main"},{"key":"bibr15-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(83)80008-8"},{"key":"bibr16-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(86)80053-9"},{"key":"bibr17-20503121221105569","first-page":"771","volume":"82","author":"Iselin M","year":"1956","journal-title":"Mem Acad"},{"key":"bibr18-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(86)80033-3"},{"key":"bibr19-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(82)80073-2"},{"issue":"6","key":"bibr20-20503121221105569","first-page":"1087","volume":"39","author":"Sedel L.","year":"1973","journal-title":"Acta Orthopbelg"},{"key":"bibr21-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1016\/j.main.2012.04.011"},{"key":"bibr22-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1016\/j.main.2015.10.168"},{"issue":"5","key":"bibr23-20503121221105569","first-page":"380","volume":"43","author":"Obry C","year":"1989","journal-title":"Ann Chir"},{"key":"bibr24-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-012-1499-2"},{"key":"bibr25-20503121221105569","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(02)00307-8"},{"key":"bibr26-20503121221105569","first-page":"22","volume":"26","author":"Zine A","year":"2006","journal-title":"Rev Maroc Chir Orthop Traumatol"},{"key":"bibr27-20503121221105569","author":"Ettoumi R.","year":"2010","journal-title":"Les fractures de la base du premier m\u00e9tacarpien trait\u00e9es par double embrochage inter-metacarpien selon la technique d\u2019Iselin (A propos de 170 cas)"}],"container-title":["SAGE Open Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20503121221105569","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20503121221105569","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20503121221105569","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:23:03Z","timestamp":1777594983000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20503121221105569"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":27,"alternative-id":["10.1177\/20503121221105569"],"URL":"https:\/\/doi.org\/10.1177\/20503121221105569","relation":{},"ISSN":["2050-3121","2050-3121"],"issn-type":[{"value":"2050-3121","type":"print"},{"value":"2050-3121","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"20503121221105569"}}