{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T21:27:16Z","timestamp":1781299636017,"version":"3.54.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T00:00:00Z","timestamp":1626220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T00:00:00Z","timestamp":1626220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aimed to explore the clinical efficacy of treating a first metacarpal base fracture by closed reduction and percutaneous parallel K-wire interlocking fixation between the first and second metacarpals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty patients treated by the abovementioned modified technique (modified technique group) and ten patients treated by the traditional percutaneous K-wire fixation technique (traditional technique group) from October 2015 to November 2019 at our institution were retrospectively reviewed. The patients\u2019 average age was 38 years (range, 16\u201361 years). The mean follow-up period was 13 months (range, 10\u201318 months). At the final follow-up, the functional recovery of the injured hand was assessed and compared between the modified and traditional technique groups. In addition, the functional recovery of the injured hand was compared with that of the uninjured hand within the modified technique group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All patients recovered well, with no cases of infection or nonunion. Compared with the traditional technique group, the modified technique group had a shorter operative time, lower postoperative visual analogue scale pain score, better effective range of motion score of the first carpometacarpal joint (Kapandji score), and had almost no need for auxiliary plaster fixation, enabling functional exercise to be started earlier. Within the modified technique group, the mean hand grip strength, pinch strength, and Kapandji score on the injured side did not significantly differ to the values on the uninjured side in both the extra-articular and intra-articular fracture subgroups. While the abduction and flexion\u2013extension arcs of the thumb on the injured hand were significantly smaller than those on the uninjured hand in both the extra-articular and intra-articular fracture subgroups, the patients felt clinically well with respect to daily activities and strength.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The percutaneous parallel K-wire and interlocking fixation technique is simple, effective, and economical for first metacarpal base fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13018-021-02600-5","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T07:03:25Z","timestamp":1626246205000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Clinical efficacy of closed reduction and percutaneous parallel K-wire interlocking fixation of first metacarpal base fracture"],"prefix":"10.1186","volume":"16","author":[{"given":"Wu","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junxiao","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yihe","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,7,14]]},"reference":[{"key":"2600_CR1","first-page":"467","volume-title":"Metacarpal and phalangeal fractures. Plastic surgery secrets","author":"N Weinzweig","year":"1999","unstructured":"Weinzweig N, Gonzalez MH. Metacarpal and phalangeal fractures. Plastic surgery secrets. Philadelphia: Hanley & Belfus lnc; 1999. p. 467\u201372."},{"issue":"1","key":"2600_CR2","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1177\/1753193414554357","volume":"40","author":"PA Liverneaux","year":"2015","unstructured":"Liverneaux PA, Ichihara S, Hendriks S, Facca S, Bodin F. Fractures and dislocation of the base of the thumb metacarpal. J Hand Surg Eur. 2015;40(1):42\u201350. https:\/\/doi.org\/10.1177\/1753193414554357.","journal-title":"J Hand Surg Eur"},{"issue":"8","key":"2600_CR3","doi-asserted-by":"publisher","first-page":"1470","DOI":"10.1016\/j.injury.2019.06.027","volume":"50","author":"APA Greeven","year":"2019","unstructured":"Greeven APA, Van Groningen J, Schep NWL, et al. Open reduction and internal fixation versus closed reduction and percutaneous fixation in the treatment of Bennett fractures: a systematic review. Injury. 2019;50(8):1470\u20137. https:\/\/doi.org\/10.1016\/j.injury.2019.06.027.","journal-title":"Injury."},{"issue":"2","key":"2600_CR4","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1016\/0002-9610(50)90537-X","volume":"80","author":"CJ Wagner","year":"1950","unstructured":"Wagner CJ. Method of treatment of Bennett\u2019s fracture dislocation. Am J Surg. 1950;80(2):230\u20131. https:\/\/doi.org\/10.1016\/0002-9610(50)90537-X.","journal-title":"Am J Surg"},{"issue":"6","key":"2600_CR5","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1097\/BCO.0b013e3181f3e6c0","volume":"21","author":"I Proubasta","year":"2010","unstructured":"Proubasta I, Lamas C, Itarte J, Sarasquete J, Carrera I. Rolando fractures. Curr Orthop Pract. 2010;21(6):615\u201323. https:\/\/doi.org\/10.1097\/BCO.0b013e3181f3e6c0.","journal-title":"Curr Orthop Pract"},{"key":"2600_CR6","first-page":"1","volume":"00","author":"T Fischborn","year":"2018","unstructured":"Fischborn T, Beckenbauer D, Held M, et al. Analysis of operative techniques of fractures of the first metacarpal base. Ann Plast Surg. 2018;00:1\u20138.","journal-title":"Ann Plast Surg"},{"issue":"4","key":"2600_CR7","first-page":"368","volume":"67","author":"J Br\u00fcske","year":"2001","unstructured":"Br\u00fcske J, Bednarski M, Nied\u017awied\u017a Z, Zyluk A, Grzeszewski S. The results of operative treatment of fractures of the thumb metacarpal base. Acta Orthop Belg. 2001;67(4):368\u201373.","journal-title":"Acta Orthop Belg"},{"issue":"2","key":"2600_CR8","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1097\/BTH.0000000000000040","volume":"18","author":"M Adi","year":"2014","unstructured":"Adi M, Miyamoto H, Taleb C, Zemirline A, Gouzou S, Facca S, et al. Percutaneous fixation of first metacarpal base fractures using locked K-wires: a series of 14 cases. Tech Hand Up Extrem Surg. 2014;18(2):77\u201381. https:\/\/doi.org\/10.1097\/BTH.0000000000000040.","journal-title":"Tech Hand Up Extrem Surg"},{"key":"2600_CR9","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1001\/jama.1944.82850360002008a","volume":"126","author":"EC Johnson","year":"1944","unstructured":"Johnson EC. Fracture of the base of the thumb: a new method of fixation. JAMA. 1944;126:27\u20138.","journal-title":"JAMA"},{"issue":"6","key":"2600_CR10","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1016\/0020-1383(89)90014-4","volume":"20","author":"JL Van Niekerk","year":"1989","unstructured":"Van Niekerk JL, Ouwens R. Fractures of the base of the first metacarpal bone: results of surgical treatment. Injury. 1989;20(6):359\u201362. https:\/\/doi.org\/10.1016\/0020-1383(89)90014-4.","journal-title":"Injury."},{"issue":"2","key":"2600_CR11","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1016\/j.injury.2011.10.038","volume":"43","author":"APA Greeven","year":"2012","unstructured":"Greeven APA, Alta TDW, Scholtens REM, de Heer P, van der Linden FM. Closed reduction intermetacarpal Kirschner wire fixation in the treatment of unstable fractures of the base of the first metacarpal. Injury. 2012;43(2):246\u201351. https:\/\/doi.org\/10.1016\/j.injury.2011.10.038.","journal-title":"Injury."},{"issue":"9","key":"2600_CR12","doi-asserted-by":"publisher","first-page":"979","DOI":"10.1177\/1753193412468565","volume":"38","author":"AP Greeven","year":"2013","unstructured":"Greeven AP, Hammer S, Deruiter MC, et al. Accuracy of fluoroscopy in the treatment of intra-articular thumb metacarpal fractures. J Hand Surg Eur. 2013;38(9):979\u201383. https:\/\/doi.org\/10.1177\/1753193412468565.","journal-title":"J Hand Surg Eur"},{"key":"2600_CR13","doi-asserted-by":"crossref","unstructured":"Cullen JP, Parentis MA, Chinchilli VM, et al. Simulated Bennett fracture treated with closed reduction and percutaneous pinning. A biomechanical analysis of residual incongruity of the joint. J Bone Joint Surg Am. 1997;79(3):413\u201320.","DOI":"10.2106\/00004623-199703000-00015"},{"issue":"1","key":"2600_CR14","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1186\/1471-2474-11-94","volume":"11","author":"F Angst","year":"2010","unstructured":"Angst F, Drerup S, Werle S, Herren DB, Simmen BR, Goldhahn J. Prediction of grip and key pinch strength in 978 healthy subjects. BMC Musculoskelet Disord. 2010;11(1):94. https:\/\/doi.org\/10.1186\/1471-2474-11-94.","journal-title":"BMC Musculoskelet Disord"},{"key":"2600_CR15","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1016\/S0363-5023(98)80042-7","volume":"23","author":"KC Chung","year":"1998","unstructured":"Chung KC, Pillsbury MS, Walters MR, et al. Reliability and validity testing of the Michigan hand outcomes questionnaire. J Hand Surg Am. 1998;23:575\u201387.","journal-title":"J Hand Surg Am"},{"key":"2600_CR16","first-page":"333","volume":"59","author":"JB Jupiter","year":"2010","unstructured":"Jupiter JB, Hastings H, Capo JT. The treatment of complex fractures and fracture-dislocation of the hand. Instr Course Lect. 2010;59:333\u201341.","journal-title":"Instr Course Lect"},{"key":"2600_CR17","first-page":"343","volume":"59","author":"JI Huang","year":"2010","unstructured":"Huang JI, Fernandez DL. Fractures of the base of the thumb metacarpal. Instr Course Lect. 2010;59:343\u201356.","journal-title":"Instr Course Lect"},{"issue":"2","key":"2600_CR18","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1016\/j.hansur.2018.11.003","volume":"38","author":"SJM Kamphuis","year":"2019","unstructured":"Kamphuis SJM, Greeven APA, Kleinveld S, Gosens T, van Lieshout EMM, Verhofstad MHJ. Bennett\u2019s fracture: comparative study between open and closed surgical techniques. Hand Surg Rehabil. 2019;38(2):97\u2013101. https:\/\/doi.org\/10.1016\/j.hansur.2018.11.003.","journal-title":"Hand Surg Rehabil"},{"issue":"2","key":"2600_CR19","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1308\/003588412X13171221501140","volume":"94","author":"D Marsland","year":"2012","unstructured":"Marsland D, Sanghrajka A, Goldie B. Static monolateral external fixation for the Rolando fracture: a simple solution for a complex fracture. Ann R Coll Surg. 2012;94(2):112\u20135. https:\/\/doi.org\/10.1308\/003588412X13171221501140.","journal-title":"Ann R Coll Surg"},{"issue":"1","key":"2600_CR20","first-page":"182","volume":"90","author":"S Niempoog","year":"2007","unstructured":"Niempoog S, Waitayawinyu T. Comminuted Rolando\u2019s fracturess: treatment with modified wrist external fixator and transmetacarpal pinning. J Med Assoc Thail. 2007;90(1):182\u20137.","journal-title":"J Med Assoc Thail"},{"issue":"4","key":"2600_CR21","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1016\/S0753-9053(82)80082-3","volume":"1","author":"P Vichard","year":"1982","unstructured":"Vichard P, Tropet Y, Nicolet F. Longitudinal pinning of fractures of the base of the first metacarpal. Ann Chir Main. 1982;1(4):301\u20136. https:\/\/doi.org\/10.1016\/S0753-9053(82)80082-3.","journal-title":"Ann Chir Main"},{"issue":"1","key":"2600_CR22","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.hansur.2018.09.005","volume":"38","author":"W Duan","year":"2019","unstructured":"Duan W, Zhang X, Yu Y, Zhang Z, Shao X, du W. Treatment of comminuted fractures of the base of the thumb metacarpal using a cemented bone-K-wire frame. Hand Surg Rehabil. 2019;38(1):44\u201351. https:\/\/doi.org\/10.1016\/j.hansur.2018.09.005.","journal-title":"Hand Surg Rehabil"},{"issue":"1","key":"2600_CR23","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1177\/1558944716685828","volume":"13","author":"V Levy","year":"2018","unstructured":"Levy V, Mazzola M, Gonzalez M. Intra-articular fracture of the base of the first metacarpal bone: treatment through a volar approach. Hand (NY). 2018;13(1):90\u20134. https:\/\/doi.org\/10.1177\/1558944716685828.","journal-title":"Hand (NY)"},{"issue":"2","key":"2600_CR24","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, et al. 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. https:\/\/doi.org\/10.1016\/j.injury.2011.10.036.","journal-title":"Injury."},{"issue":"7","key":"2600_CR25","doi-asserted-by":"publisher","first-page":"e217","DOI":"10.1016\/j.jhsa.2016.04.017","volume":"41","author":"S Shafific","year":"2016","unstructured":"Shafific S. A simple phalangeal external fixator using Kirschner wires and locking balls: no need for cement or rubber bands. J Hand Surg Am. 2016;41(7):e217\u201321.","journal-title":"J Hand Surg Am"},{"issue":"8","key":"2600_CR26","doi-asserted-by":"publisher","first-page":"1655","DOI":"10.2106\/00004623-197355080-00010","volume":"55","author":"RG Eaton","year":"1973","unstructured":"Eaton RG, Littler JW. Ligament reconstruction for the painful thumb carpometacarpal joint. J Bone Joint Surg Am. 1973;55(8):1655\u201366. https:\/\/doi.org\/10.2106\/00004623-197355080-00010.","journal-title":"J Bone Joint Surg Am"}],"container-title":["Journal of Orthopaedic Surgery and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-021-02600-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13018-021-02600-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-021-02600-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T07:06:58Z","timestamp":1626246418000},"score":1,"resource":{"primary":{"URL":"https:\/\/josr-online.biomedcentral.com\/articles\/10.1186\/s13018-021-02600-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,14]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2600"],"URL":"https:\/\/doi.org\/10.1186\/s13018-021-02600-5","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-447849\/v1","asserted-by":"object"}]},"ISSN":["1749-799X"],"issn-type":[{"value":"1749-799X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,14]]},"assertion":[{"value":"14 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 July 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 July 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed following the principles of the Declaration of Helsinki and the National Ethics Guidelines Statement. Informed consent was obtained from all participants.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All patients\u2019 data were published with their informed consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"454"}}