{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T19:19:53Z","timestamp":1788808793471,"version":"build-2803163510"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T00:00:00Z","timestamp":1532476800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008903","name":"Ministry of Health and Welfare","doi-asserted-by":"publisher","award":["MOHW107-TDU-B-212-123004"],"award-info":[{"award-number":["MOHW107-TDU-B-212-123004"]}],"id":[{"id":"10.13039\/100008903","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST 106-2221-E-039-002"],"award-info":[{"award-number":["MOST 106-2221-E-039-002"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"published-print":{"date-parts":[[2018,12]]},"DOI":"10.1186\/s13018-018-0890-2","type":"journal-article","created":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T09:18:30Z","timestamp":1532510310000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["New fixation approach for transverse metacarpal neck fracture: a biomechanical study"],"prefix":"10.1186","volume":"13","author":[{"given":"Yung-Cheng","family":"Chiu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming-Tzu","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng-En","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horng-Chaung","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heng-Li","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jui-Ting","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2018,7,25]]},"reference":[{"issue":"3","key":"890_CR1","doi-asserted-by":"publisher","first-page":"e32933","DOI":"10.5812\/atr.32933","volume":"5","author":"EM Padegimas","year":"2016","unstructured":"Padegimas EM, Warrender WJ, Jones CM, Ilyas AM. Metacarpal neck fractures: a review of surgical indications and techniques. Arch Trauma Res. 2016;5(3):e32933.","journal-title":"Arch Trauma Res"},{"key":"890_CR2","first-page":"187","volume":"18","author":"H Boussakri","year":"2014","unstructured":"Boussakri H, Elidrissi M, Azarkane M, Bensaad S, Bachiri M, Shimi M, Elibrahimi A, Elmrini A. Fractures of the neck of the fifth metacarpal bone, treated by percutaneous intramedullary nailing: surgical technique, radiological and clinical results study (28 cases). Pan Afr Med J. 2014;18:187.","journal-title":"Pan Afr Med J"},{"issue":"5","key":"890_CR3","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1016\/j.otsr.2010.02.009","volume":"96","author":"S Facca","year":"2010","unstructured":"Facca S, Ramdhian R, Pelissier A, Diaconu M, Liverneaux P. Fifth metacarpal neck fracture fixation: locking plate versus K-wire? Orthop Traumatol Surg Res. 2010;96(5):506\u201312.","journal-title":"Orthop Traumatol Surg Res"},{"issue":"2","key":"890_CR4","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1016\/j.injury.2011.10.036","volume":"43","author":"V Potenza","year":"2012","unstructured":"Potenza V, Caterini R, De Maio F, Bisicchia S, Farsetti P. Fractures of the neck of the fifth metacarpal bone. Medium-term results in 28 cases treated by percutaneous transverse pinning. Injury. 2012;43(2):242\u20135.","journal-title":"Injury"},{"issue":"2","key":"890_CR5","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/s11552-008-9150-y","volume":"4","author":"AR Harris","year":"2009","unstructured":"Harris AR, Beckenbaugh RD, Nettrour JF, Rizzo M. Metacarpal neck fractures: results of treatment with traction reduction and cast immobilization. Hand (N Y). 2009;4(2):161\u20134.","journal-title":"Hand (N Y)"},{"issue":"1","key":"890_CR6","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1142\/S0218810415500148","volume":"20","author":"KP Wong","year":"2015","unstructured":"Wong KP, Hay RA, Tay SC. Surgical outcomes of fifth metacarpal neck fractures\u2014a comparative analysis of dorsal plating versus tension band wiring. Hand Surg. 2015;20(1):99\u2013105.","journal-title":"Hand Surg"},{"issue":"1","key":"890_CR7","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1007\/s11552-013-9562-1","volume":"9","author":"KM Kollitz","year":"2014","unstructured":"Kollitz KM, Hammert WC, Vedder NB, Huang JI. Metacarpal fractures: treatment and complications. Hand (N Y). 2014;9(1):16\u201323.","journal-title":"Hand (N Y)."},{"issue":"1","key":"890_CR8","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/J.JHSB.2005.06.022","volume":"31","author":"TC Wong","year":"2006","unstructured":"Wong TC, Ip FK, Yeung SH. Comparison between percutaneous transverse fixation and intramedullary K-wires in treating closed fractures of the metacarpal neck of the little finger. J Hand Surg. 2006;31(1):61\u20135.","journal-title":"J Hand Surg"},{"issue":"6","key":"890_CR9","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1007\/s00402-006-0254-y","volume":"127","author":"M Sch\u00e4del-H\u00f6pfner","year":"2007","unstructured":"Sch\u00e4del-H\u00f6pfner M, Wild M, Windolf J, Linhart W. Antegrade intramedullary splinting or percutaneous retrograde crossed pinning for displaced neck fractures of the fifth metacarpal? Arch Orthop Trauma Surg. 2007;127(6):435\u201340.","journal-title":"Arch Orthop Trauma Surg"},{"issue":"6","key":"890_CR10","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1016\/J.JHSE.2007.07.011","volume":"32","author":"M Winter","year":"2007","unstructured":"Winter M, Balaguer T, Bessiere C, Carles M, Lebreton E. Surgical treatment of the boxer\u2019s fracture: transverse pinning versus intramedullary pinning. J Hand Surg Eur Vol. 2007;32(6):709\u201313.","journal-title":"J Hand Surg Eur Vol"},{"key":"890_CR11","doi-asserted-by":"crossref","unstructured":"Leinberry C, Ukomadu U, Ilyas A, Metacarpal fractures and carpometacarpal fracture-dislocations. 1st ed New Delhi: Jaypee Brothers Medical Publishers Ltd;. 2013;","DOI":"10.5005\/jp\/books\/11776_2"},{"issue":"4","key":"890_CR12","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1007\/s11552-013-9544-3","volume":"8","author":"C Barr","year":"2013","unstructured":"Barr C, Behn AW, Yao J. Plating of metacarpal fractures with locked or nonlocked screws, a biomechanical study: how many cortices are really necessary? Hand (N Y). 2013;8(4):454\u20139.","journal-title":"Hand (N Y)."},{"issue":"3","key":"890_CR13","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1007\/s11552-015-9744-0","volume":"10","author":"P Malasitt","year":"2015","unstructured":"Malasitt P, Owen JR, Tremblay M-A, Wayne JS, Isaacs JE. Fixation for metacarpal neck fracture: a biomechanical study. Hand. 2015;10(3):438\u201343.","journal-title":"Hand"},{"key":"890_CR14","doi-asserted-by":"publisher","first-page":"1692","DOI":"10.1100\/2011\/465371","volume":"11","author":"S Ochman","year":"2011","unstructured":"Ochman S, Vordemvenne T, Paletta J, Raschke MJ, Meffert RH, Doht S. Experimental fracture model versus osteotomy model in metacarpal bone plate fixation. TheScientificWorldJOURNAL. 2011;11:1692\u20138.","journal-title":"TheScientificWorldJOURNAL"},{"issue":"10","key":"890_CR15","doi-asserted-by":"publisher","first-page":"1732","DOI":"10.1016\/j.jhsa.2008.07.010","volume":"33","author":"S Nicklin","year":"2008","unstructured":"Nicklin S, Ingram S, Gianoutsos MP, Walsh WR. In vitro comparison of lagged and nonlagged screw fixation of metacarpal fractures in cadavers. J Hand Surg. 2008;33(10):1732\u20136.","journal-title":"J Hand Surg"},{"issue":"4","key":"890_CR16","doi-asserted-by":"publisher","first-page":"755","DOI":"10.1053\/jhsu.2001.24145","volume":"26","author":"KJ Bozic","year":"2001","unstructured":"Bozic KJ, Perez LE, Wilson DR, Fitzgibbons PG, Jupiter JB. Mechanical testing of bioresorbable implants for use in metacarpal fracture fixation. J Hand Surg. 2001;26(4):755\u201361.","journal-title":"J Hand Surg"},{"issue":"3","key":"890_CR17","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1111\/os.12195","volume":"7","author":"BD Curtis","year":"2015","unstructured":"Curtis BD, Fajolu O, Ruff ME, Litsky AS. Fixation of metacarpal shaft fractures: biomechanical comparison of intramedullary nail crossed K-wires and plate-screw constructs. Orthop Surg. 2015;7(3):256\u201360.","journal-title":"Orthop Surg"},{"issue":"27","key":"890_CR18","doi-asserted-by":"publisher","first-page":"e6926","DOI":"10.1097\/MD.0000000000006926","volume":"96","author":"E Liodaki","year":"2017","unstructured":"Liodaki E, Wendlandt R, Waizner K, Schopp BE, Mailander P, Stang F. A biomechanical analysis of plate fixation using unicortical and bicortical screws in transverse metacarpal fracture models subjected to 4-point bending and dynamical bending test. Medicine. 2017;96(27):e6926.","journal-title":"Medicine"},{"issue":"2","key":"890_CR19","first-page":"111","volume":"22","author":"J Elfar","year":"2014","unstructured":"Elfar J, Stanbury S, Menorca RMG, Reed JD. Composite bone models in orthopaedic surgery research and education. J Am Acad Orthop Surg. 2014;22(2):111.","journal-title":"J Am Acad Orthop Surg"},{"key":"890_CR20","unstructured":"American Society for Testing and Materials A. ASTM F1839 - 08 Standard specification for rigid polyurethane foam for use as a standard material for testing orthopedic devices and instruments."},{"key":"890_CR21","doi-asserted-by":"publisher","first-page":"648787","DOI":"10.1155\/2014\/648787","volume":"2014","author":"S Doht","year":"2014","unstructured":"Doht S, Meffert RH, Raschke MJ, Blunk T, Ochman S. Biomechanical analysis of the efficacy of locking plates during cyclic loading in metacarpal fractures. TheScientificWorldJOURNAL. 2014;2014:648787.","journal-title":"TheScientificWorldJOURNAL"},{"issue":"4","key":"890_CR22","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1016\/j.jhsa.2010.01.002","volume":"35","author":"S Ochman","year":"2010","unstructured":"Ochman S, Doht S, Paletta J, Langer M, Raschke MJ, Meffert RH. Comparison between locking and non-locking plates for fixation of metacarpal fractures in an animal model. J Hand Surg. 2010;35(4):597\u2013603.","journal-title":"J Hand Surg"},{"issue":"12","key":"890_CR23","doi-asserted-by":"publisher","first-page":"1033 e1","DOI":"10.1016\/j.jhsa.2017.07.018","volume":"42","author":"A Eu-Jin Cheah","year":"2017","unstructured":"Eu-Jin Cheah A, Behn AW, Comer G, Yao J. A biomechanical analysis of 2 constructs for metacarpal spiral fracture fixation in a cadaver model: 2 large screws versus 3 small screws. J Hand Surg. 2017;42(12):1033 e1\u20136.","journal-title":"J Hand Surg"},{"issue":"4","key":"890_CR24","doi-asserted-by":"publisher","first-page":"466","DOI":"10.1016\/S0363-5023(85)80067-8","volume":"10","author":"D Black","year":"1985","unstructured":"Black D, Mann R, Constine R, Daniels A. Comparison of internal fixation techniques in metacarpal fractures. J Hand Surg. 1985;10(4):466\u201372.","journal-title":"J Hand Surg"},{"key":"890_CR25","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1097\/00003086-199604000-00036","volume":"325","author":"KK Firoozbakhsh","year":"1996","unstructured":"Firoozbakhsh KK, Moneim MS, Doherty W, Naraghi FF. Internal fixation of oblique metacarpal fractures. A biomechanical evaluation by impact loading. Clinical Orthopaedics and Related Research. 1996;325:296\u2013301.","journal-title":"Clinical Orthopaedics and Related Research"},{"issue":"6","key":"890_CR26","doi-asserted-by":"publisher","first-page":"1024","DOI":"10.1016\/S0363-5023(85)80029-0","volume":"10","author":"R Mann","year":"1985","unstructured":"Mann R, Black D, Constine R, Daniels A. A quantitative comparison of metacarpal fracture stability with five different methods of internal fixation. J Hand Surg. 1985;10(6):1024\u20138.","journal-title":"J Hand Surg"},{"issue":"4","key":"890_CR27","doi-asserted-by":"publisher","first-page":"689","DOI":"10.1016\/j.jhsa.2004.03.002","volume":"29","author":"MJ Meunier","year":"2004","unstructured":"Meunier MJ, Hentzen E, Ryan M, Shin AY, Lieber RL. Predicted effects of metacarpal shortening on interosseous muscle function. J Hand Surg. 2004;29(4):689\u201393.","journal-title":"J Hand Surg"},{"issue":"1","key":"890_CR28","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1186\/1471-2474-10-140","volume":"10","author":"H Handoll","year":"2009","unstructured":"Handoll H, Brealey S, Rangan A, Torgerson D, Dennis L, Armstrong A, Chuang L-H, Cross B, Dumville J, Gardner S. Protocol for the ProFHER (PROximal Fracture of the Humerus: Evaluation by Randomisation) trial: a pragmatic multi-centre randomised controlled trial of surgical versus non-surgical treatment for proximal fracture of the humerus in adults. BMC Musculoskelet Disord. 2009;10(1):140.","journal-title":"BMC Musculoskelet Disord"},{"issue":"3","key":"890_CR29","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1302\/0301-620X.99B3.BJJ-2016-1028","volume":"99","author":"H Handoll","year":"2017","unstructured":"Handoll H, Keding A, Corbacho B, Brealey S, Hewitt C, Rangan A. Five-year follow-up results of the PROFHER trial comparing operative and non-operative treatment of adults with a displaced fracture of the proximal humerus. The Bone & Joint Journal. 2017;99(3):383\u201392.","journal-title":"The Bone & Joint Journal"},{"issue":"10","key":"890_CR30","doi-asserted-by":"publisher","first-page":"1037","DOI":"10.1001\/jama.2015.1629","volume":"313","author":"A Rangan","year":"2015","unstructured":"Rangan A, Handoll H, Brealey S, Jefferson L, Keding A, Martin BC, Goodchild L, Chuang L-H, Hewitt C, Torgerson D. Surgical vs nonsurgical treatment of adults with displaced fractures of the proximal humerus: the PROFHER randomized clinical trial. JAMA. 2015;313(10):1037\u201347.","journal-title":"JAMA"},{"issue":"4","key":"890_CR31","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1007\/s10195-017-0471-x","volume":"18","author":"N Maffulli","year":"2017","unstructured":"Maffulli N. We are operating too much. J Orthop Traumatol. 2017;18(4):289\u201392.","journal-title":"J Orthop Traumatol"},{"issue":"3","key":"890_CR32","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1308\/003588407X155482","volume":"89","author":"H Sharma","year":"2007","unstructured":"Sharma H, Taylor GR, Clarke NM. A review of K-wire related complications in the emergency management of paediatric upper extremity trauma. Ann R Coll Surg Engl. 2007;89(3):252\u20138.","journal-title":"Ann R Coll Surg Engl"},{"key":"890_CR33","doi-asserted-by":"publisher","first-page":"7515760","DOI":"10.1155\/2016\/7515760","volume":"2016","author":"KY Wong","year":"2016","unstructured":"Wong KY, Mole R, Gillespie P. Kirschner wire breakage during removal requiring retrieval. Case reports in surgery. 2016;2016:7515760.","journal-title":"Case reports in surgery"},{"key":"890_CR34","volume-title":"Manual of internal fixation: techniques recommended by the AO-ASIF Group","year":"1979","unstructured":"Osteotomies MM, M\u00fcller ME, Allg\u00f6wer M, Schneider R, et al., editors. Manual of internal fixation: techniques recommended by the AO-ASIF Group. Berlin Heidelberg New York: Springer-Verlag; 1979."},{"issue":"3","key":"890_CR35","doi-asserted-by":"publisher","first-page":"522","DOI":"10.1097\/00005373-200109000-00016","volume":"51","author":"F-C Kao","year":"2001","unstructured":"Kao F-C, Chao E-K, Chen C-H, Yu S-W, Chen C-Y, Yen C-Y. Treatment of distal clavicle fracture using Kirschner wires and tension-band wires. J Trauma Acute Care Surg. 2001;51(3):522\u20135.","journal-title":"J Trauma Acute Care Surg"},{"issue":"3","key":"890_CR36","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1007\/s10195-017-0450-2","volume":"18","author":"F Claessen","year":"2017","unstructured":"Claessen F, van den Bekerom MPJ, van Dijk CN, Carel Goslings J, Kerkhoffs G, Doornberg JN. Tension band wiring for simple olecranon fractures: evaluation of surgical technique. J Orthop Traumatol : official journal of the Italian Society of Orthopaedics and Traumatology. 2017;18(3):275\u201381.","journal-title":"J Orthop Traumatol : official journal of the Italian Society of Orthopaedics and Traumatology"},{"issue":"4","key":"890_CR37","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1097\/00005131-199212000-00013","volume":"6","author":"RF Ostrum","year":"1992","unstructured":"Ostrum RF, Litsky AS. Tension band fixation of medial malleolus fractures. J Orthop Trauma. 1992;6(4):464\u20138.","journal-title":"J Orthop Trauma"},{"issue":"5","key":"890_CR38","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1016\/j.cjtee.2016.06.009","volume":"19","author":"M Ali","year":"2016","unstructured":"Ali M, Kuiper J, John J. Biomechanical analysis of tension band wiring (TBW) of transverse fractures of patella. Chin J Traumatol. 2016;19(5):255\u20138.","journal-title":"Chin J Traumatol"},{"issue":"6","key":"890_CR39","doi-asserted-by":"publisher","first-page":"909","DOI":"10.3233\/THC-161243","volume":"24","author":"M Zens","year":"2016","unstructured":"Zens M, Goldschmidtboeing F, Wagner F, Reising K, Sudkamp NP, Woias P. Polydimethylsiloxane pressure sensors for force analysis in tension band wiring of the olecranon. Technol Health Care : official journal of the European Society for Engineering and Medicine. 2016;24(6):909\u201317.","journal-title":"Technol Health Care : official journal of the European Society for Engineering and Medicine"},{"issue":"8","key":"890_CR40","doi-asserted-by":"publisher","first-page":"1586","DOI":"10.1016\/j.jhsa.2015.03.035","volume":"40","author":"SV Hiatt","year":"2015","unstructured":"Hiatt SV, Begonia MT, Thiagarajan G, Hutchison RL. Biomechanical comparison of 2 methods of intramedullary K-wire fixation of transverse metacarpal shaft fractures. J Hand Surg. 2015;40(8):1586\u201390.","journal-title":"J Hand Surg"}],"container-title":["Journal of Orthopaedic Surgery and Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-018-0890-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13018-018-0890-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-018-0890-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,21]],"date-time":"2019-10-21T03:53:46Z","timestamp":1571630026000},"score":1,"resource":{"primary":{"URL":"https:\/\/josr-online.biomedcentral.com\/articles\/10.1186\/s13018-018-0890-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,25]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["890"],"URL":"https:\/\/doi.org\/10.1186\/s13018-018-0890-2","relation":{},"ISSN":["1749-799X"],"issn-type":[{"value":"1749-799X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,25]]},"assertion":[{"value":"17 April 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 July 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 July 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"No authors of this study have any financial and personal relationships with other people or organizations, which could result in an inappropriate influence of this study. The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"183"}}