RESULTS OF INTRAMEDULLARY HEADLESS SCREW FIXATION FOR METACARPAL FRACTURES IN ADULTS

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Authors

Orthopaedics dept., Sohag Faculty of Medicine, Sohag, Egypt

Abstract

Purpose: To evaluate clinical outcomes of intramedullary headless (Herbert) screw fixation for metacarpal fractures in adults. Methods: This is a prospective cohort study, conducted at Sohag University Hospital from August 2024 to February 2025 and included patients with isolated metacarpal shaft fractures treated with intramedullary headless (Herbert) screw fixation. Clinical and radiological assessment was done at 4, 8 and 12 weeks postoperatively using VAS, Quick DASH score and Total Active Motion score (TAM). Results: This study included 20 patients (80% males). Average age of 32.6 ± 10.2 years. Pain levels signifi-cantly improved, with all patients became pain-free by 12 weeks (p < 0.001). Functional recovery showed progressive improvement, with 70% achieving "excellent" Quick DASH scores at 12 weeks (p < 0.001). TAM scores also improved significantly, with all patients achieving a "satisfactory" range by week 12 (p < 0.001). Conclusion: Intramedullary headless Herbert screw fixation of metacarpal fractures provides consistent pain relief and functional recovery. Existing research reinforces the effectiveness of this technique, but further studies are necessary to optimize rehabilitation strategies and minimize postoperative risks.

Keywords

Egyptian Journal of Orthopedic Research
Volume 5, Issue 2
September 2025
Pages 79-86

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