{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,2]],"date-time":"2024-06-02T14:12:28Z","timestamp":1717337548102},"reference-count":14,"publisher":"SLACK, Inc.","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:p>Certain metacarpal fracture patterns require operative fixation to restore anatomy and optimize results. Compared with dorsal plating, the width of the minicondylar blade plate buttresses the deforming volar pull of the intrinsics and provides a stronger construct. The implant provides firm fixation in the juxta-articular fragment with minimal space requirements. Therefore, the purpose of this study was to examine the outcomes following the use of a minicondylar blade plate for the treatment of distal metacarpal fractures.<\/jats:p>\n          <jats:p>Twenty-two distal metacarpal fractures in 20 patients treated with a minicondylar blade plate were retrospectively reviewed. Outcome measures collected included postoperative grip strength, range of motion, return to work, and radiographic evidence of osseous union. Average range of motion of the metacarpophalangeal joint was 62\u00b0 postoperatively. Eighty-two percent (18\/22) of fractures were able to flex their digits to their distal palmar crease. Seventy-one percent (12\/17) of patients had at least 75% return to grip strength compared with the contralateral side. Seventeen patients returned to full activity at a mean of 2.5 months (range, 1\u20133 months) postoperatively; 1 patient was on disability, and data were not available for the final 2 patients. No major complications occurred.<\/jats:p>\n          <jats:p>The minicondylar blade plate is a safe and effective technique for stabilizing unstable periarticular metacarpal fractures. Stable fixation allows for early range of motion, rapid return to strength, and a relatively quick return to full work duty.<\/jats:p>","DOI":"10.3928\/01477447-20130821-20","type":"journal-article","created":{"date-parts":[[2014,8,19]],"date-time":"2014-08-19T20:38:08Z","timestamp":1408480688000},"source":"Crossref","is-referenced-by-count":1,"title":["Internal Fixation of Distal Metacarpal Fractures: New Uses for an Old Plate"],"prefix":"10.3928","volume":"36","author":[{"given":"Paul A.","family":"Sibley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sidney M.","family":"Jacoby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua M.","family":"Abzug","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina L.","family":"Waddell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Rivlin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"Bednar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(82)80005-3"},{"key":"e_1_3_1_3_2","first-page":"341","article-title":"Injuries to the metacarpal bones and joints","volume":"2","author":"Smith RJ","year":"1977","unstructured":"Smith RJ, Peimer CA. Injuries to the metacarpal bones and joints. Adv Surg. 1977; 2:341\u2013374.","journal-title":"Adv Surg"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(95)80176-6"},{"key":"e_1_3_1_5_2","first-page":"1139","article-title":"A new technique in osteosynthesis in fractures of the distal third of the fifth metacarpus","volume":"5","author":"Foucher G","year":"1976","unstructured":"Foucher G, Chemorin C, Sibilly A. A new technique in osteosynthesis in fractures of the distal third of the fifth metacarpus. Nouv Press Med. 1976; 5:1139\u20131140.","journal-title":"Nouv Press Med"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0072-968X(73)90008-9"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(89)90188-3"},{"issue":"214","key":"e_1_3_1_8_2","first-page":"53","article-title":"Use of a minicondylar plate for metacarpal and phalangeal periarticular injuries","author":"B\u00fcchler U","year":"1987","unstructured":"B\u00fcchler U, Fischer T. Use of a minicondylar plate for metacarpal and phalangeal periarticular injuries. Clin Orthop Relat Res. 1987; (214):53\u201358.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1962.tb26135.x"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199606000-00007"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.02.005"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01090"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200401000-00036"},{"issue":"214","key":"e_1_3_1_14_2","first-page":"59","article-title":"Complications of plate fixation in the hand skeleton","author":"Stern PJ","year":"1987","unstructured":"Stern PJ, Weiser MJ, Reilly DG. Complications of plate fixation in the hand skeleton. Clin Orthop Relat Res. 1987; (214):59\u201365.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_15_2","first-page":"39","article-title":"Phalangeal fractures: factors influencing digital performance","volume":"9","author":"Strickland JW","year":"1982","unstructured":"Strickland JW, Steichen JB, Kleinman WB, et al. Phalangeal fractures: factors influencing digital performance. Orthop Rev. 1982; 9:39\u201350.","journal-title":"Orthop Rev"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20130821-20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T23:57:20Z","timestamp":1683071840000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20130821-20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.3928\/01477447-20130821-20"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20130821-20","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9]]}}}