{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:04:29Z","timestamp":1763463869872,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated functional results and effectiveness of open reduction and low-profile plate fixation for the treatment of low-severity metacarpal fractures.\\r\\nMethods: We retrospectively reviewed 50 metacarpal fractures of 43 patients (37 men, 6 women; mean age 31\u00b19 years; range 17 to 52 years) who were treated with open reduction and low-profile plate fixation. Fractures of the first metacarpal were excluded. There were 26 oblique, 12 transverse, and 12 comminuted fractures. Three fractures were open. Objective assessment included total active motion (TARM) and grip strength. Subjective assessment was made using the Turkish version of the Quick-DASH scale. Radiographic evaluations were made on anteroposterior\/lateral and oblique roentgenograms. Complications were classified as major or minor according to the Page-Stern system. The mean follow-up was 62.2\u00b124.8 months (range 12 to 96 months).\\r\\nResults: At final evaluations, the mean TARM was 220.5\u00b143.9 degrees (range 30\u00b0-260\u00b0). The results were excellent in 25 patients (58.1%), good in 12 patients (27.9%), fair in five patients (11.6%), and poor in one patient (2.3%). The mean loss of grip strength was 5.2\u00b17.3%. The mean Quick-DASH score was 2.0\u00b12.8 (range 0-11). All fractures were united. Ten patients had major complications (23.2%), which included extensor tenosynovitis and plate-related discomfort requiring plate removal in four patients (9.3%), and less than 180 degrees of TARM in six patients (14%).\\r\\nConclusion: Low-severity metacarpal fractures can be treated successfully with open reduction and low-profile plate fixation, allowing early and safe functional use.\n\n\u00d6zet\n\nAma\u00e7: A\u00e7\u0131k red\u00fcksiyon ve d\u00fc\u015f\u00fck profilli mini plak vida ile tespit uygulanan d\u00fc\u015f\u00fck enerjili metakarp k\u0131r\u0131klar\u0131nda fonksiyonel sonu\u00e7lar ve y\u00f6ntemin etkinli\u011fi de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Birinci metakarp d\u0131\u015f\u0131ndaki metakarplerdeki k\u0131r\u0131k nedeniyle a\u00e7\u0131k red\u00fcksiyon ve mini plak vida ile tespit uygulanan 43 hastan\u0131n (37 erkek, 6 kad\u0131n; ort. ya\u015f 31\u00b19; da\u011f\u0131l\u0131m 17-52) 50 metakarp\u0131 incelendi. Yirmi alt\u0131 k\u0131r\u0131k oblik, 12 k\u0131r\u0131k transvers, 12 k\u0131r\u0131k par\u00e7al\u0131yd\u0131. \u00dc\u00e7 olguda a\u00e7\u0131k k\u0131r\u0131k vard\u0131. Hastalarda objektif de\u011ferlendirme i\u00e7in toplam aktif eklem hareket aral\u0131\u011f\u0131 (TAEHA) puanlamas\u0131 kullan\u0131ld\u0131 ve kavrama g\u00fcc\u00fc \u00f6l\u00e7\u00fcld\u00fc. Memnuniyet de\u011ferlendirmesi i\u00e7in Quick-DASH skorlamas\u0131n\u0131n T\u00fcrk\u00e7e uyarlamas\u0131 kullan\u0131ld\u0131. Radyografik de\u011ferlendirme \u00f6n-arka\/yan ve oblik grafilerle yap\u0131ld\u0131. Komplikasyonlar Page-Stern sistemine g\u00f6re \u00f6nemli ve hafif olarak s\u0131n\u0131fland\u0131r\u0131ld\u0131. Ortalama takip s\u00fcresi 62.2\u00b124.8 ay (da\u011f\u0131l\u0131m 12-96 ay) idi.\\r\\nSonu\u00e7lar: Son kontrolde ortalama TAEHA 220.5\u00b143.9 derece (da\u011f\u0131l\u0131m 30\u00b0-260\u00b0) bulundu. Sonu\u00e7lar 25 hastada m\u00fckemmel (%58.1), 12 hastada iyi (%27.9), be\u015f hastada orta (%11.6), bir hastada k\u00f6t\u00fc (%2.3) olarak de\u011ferlendirildi. Ortalama kavrama g\u00fcc\u00fc kayb\u0131 %5.2\u00b17.3 bulundu. Quick-DASH skoru ortalamas\u0131 2.0\u00b12.8 (da\u011f\u0131l\u0131m 0-11) idi. T\u00fcm hastalarda kaynama sa\u011fland\u0131. On hastada (%23.2) \u00f6nemli komplikasyon saptand\u0131. D\u00f6rt hastada (%9.3) plak \u00e7\u0131kar\u0131lmas\u0131n\u0131 gerektirecek ekstans\u00f6r tenosinovit ve plak rahats\u0131zl\u0131\u011f\u0131, alt\u0131 hastada (%14) 180 dereceden az toplam aktif eklem hareket aral\u0131\u011f\u0131 vard\u0131. \\r\\n\u00c7\u0131kar\u0131mlar: D\u00fc\u015f\u00fck enerjili metakarp k\u0131r\u0131klar\u0131nda a\u00e7\u0131k red\u00fcksiyon ve mini plak vida uygulamas\u0131, erken ve g\u00fcvenli fonksiyonel kullan\u0131ma izin veren ba\u015far\u0131l\u0131 bir tespit y\u00f6ntemidir.<\/jats:p>","DOI":"10.3944\/aott.2008.303","type":"journal-article","created":{"date-parts":[[2009,1,19]],"date-time":"2009-01-19T23:01:13Z","timestamp":1232406073000},"page":"303-309","source":"Crossref","is-referenced-by-count":2,"title":["Treatment of metacarpal fractures with open reduction and lowprofile plate and screw fixation"],"prefix":"10.5152","volume":"42","author":[{"given":"Ufuk","family":"Nalbantoglu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arel","family":"Gereli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bekir","family":"Yavuz Ucar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baris","family":"Kocaoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teoman","family":"Dogan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2214\/2171","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:01:04Z","timestamp":1763463664000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2214"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2008,1,5]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2008.303","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}