Are We Over Treating Hand Fractures? Current Practice of Single Metacarpal Fractures

Plastic Surgery
Helene RetrouveyPaul Binhammer

Abstract

We conducted a national survey of Canadian plastic surgeons to assess if inconsistencies in management strategies exist for single metacarpal fractures. A cross-sectional study of Canadian plastic surgeons who perform hand surgeries was conducted. A 15-question survey was distributed to all members of the Canadian Society of Plastic Surgeons. Participants' demographics, practice settings, and current treatment strategies for patients presenting with single metacarpal fractures were evaluated. A total of 113 Canadian plastic surgeons met inclusion criteria. The majority of respondents were male (76%), with 50% in practice for more than 15 years. Canadian surgeons used a wide variety of surgical techniques for the management of single metacarpal fractures, with close reduction (94%), Kirshner wires (94%), and splinting and immobilization (89%) being the most common. The majority of plastic surgeons stated that rotational deformity (81%) was the most important indication for surgery. Surgeons demonstrated a trend toward immobilization after splinting (48%), instead of early mobilization after splinting (21%). When results were stratified by years in practice, no differences in surgical and non-surgical management were found, altho...Continue Reading

References

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Citations

Dec 1, 2020·Hand : Official Journal of the American Association for Hand Surgery·Rowa H M TahaAlexia Karanatana
Jul 1, 2021·The South African Journal of Physiotherapy·Monique M KellerLauren M Hepworth
Jul 2, 2021·Irish Journal of Medical Science·Ertuğrul Şahin

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