Intramedullary headless screw fixation of extraarticular metacarpal and proximal phalanx fractures, North African trauma center early experience

doi:10.5312/wjo.v17.i4.115014

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Observational Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Orthop. Apr 18, 2026; 17(4): 115014
Published online Apr 18, 2026. doi: 10.5312/wjo.v17.i4.115014

Table 1 Basic patient demographics, nature of injury, fracture characteristics, and operative details, n (%)/mean ± SD (range)

		Total of 53 patients (67 fractures)	Group A (n = 38 patients) (51 fractures)	Group B (n = 15 patients) (16 fractures)	P value for comparisons between group A vs group B
Age (years)		33.79 ± 12.69 (17-65)	35.08 ± 13.04 (17-60)	32.53 ± 12.17 (19-65)	0.517
Sex	Male	47 (88.68)	35 (92.11)	12 (80)	0.334
Sex	Female	6 (11.32)	3 (7.89)	3 (20)	0.334
Frequency	Multiple fracture	12 patients	24 (47.06) (11 patients)	2 (12.5) (1 patient)	0.002^a
Frequency	Single fracture	41 patients	27 (52.94) (27 patients)	14 (87.5) (14 patients)	0.144
Side of fracture	Right hand	27 (50.94)	20 (52.63)	7 (46.67)	0.766
	Left hand	26 (49.06)	18 (47.37)	8 (53.33)	0.766
	Dominant hand	45 (84.9)	34 (89.47)	11 (73.33)	0.202
Mode of trauma	MCA	14 (26.42)	11 (28.95)	3 (20)	0.732
	HOT	1 (1.89)	1 (2.63)	0 (0)	1.000
	FOG	22 (41.51)	14 (36.84)	8 (53.33)	0.357
	MBA	4 (7.55)	3 (7.89)	1 (6.67)	1.000
	AFO	12 (22.64)	9 (23.68)	3 (20)	1.000
Associated injuries	Radius fracture	1 (1.89)	1 (2.63)	0 (0)	1.000
	Ulna fracture	3 (5.66)	3 (7.89)	0 (0)	0.550
	Lunate fracture	1 (1.89)	1 (2.63)	0 (0)	1.000
	Femur fracture	2 (3.77)	1 (2.63)	1 (6.67)	0.490
	Tibia fracture	2 (3.77)	1 (2.63)	1 (6.67)	0.490
	Spine fracture	1 (1.89)	0 (0)	1 (6.67)	0.283
Fractures characteristics
Fractures location	1^st	0 (0)	0 (0)	0 (0)	1.000
	2^nd	11 (16.42)	7 (13.73)	4 (25)	0.438
	3^rd	9 (13.43)	7 (13.73)	2 (12.5)	1.000
	4^th	20 (29.85)	16 (31.37)	4 (25)	0.760
	5^th	27 (40.30)	21 (41.18)	6 (37.5)	1.000
Fracture pattern	Spiral	11 (16.42)	10 (19.61)	1 (6.25)	0.274
	Oblique	15 (22.39)	10 (19.61)	5 (31.25)	0.327
	Comminuted	20 (29.85)	17 (33.33)	3 (18.75)	0.356
	Transverse	21 (31.34)	14 (27.45)	7 (43.75)	0.234
Anatomical site	Diaphysis	42 (62.69)	34 (66.67)	8 (50)	0.251
Anatomical site	Metaphysis	25 (37.31)	17 (33.33)	8 (50)	0.251
Operative details
Anaesthesia	General	20 (29.85)	17 (33.33)	3 (18.75)	0.356
Anaesthesia	Wideawake	47 (70.15)	34 (66.67)	13 (81.25)	0.356
Operative time (minutes)		14.37 ± 3.46 (10-30)	14.43 ± 3.81 (10-30)	14.19 ± 2.07 (11-19)	0.747
Fracture Reduction	Open	3 (4.48)	3 (5.88)	0 (0)	1.000
Fracture Reduction	Closed	64 (95.52)	48 (94.12)	16 (100)	1.000
Type of screw	Acutrak 4 mm (fully threaded)	38 (56.72)	31 (60.78)	7 (43.75)	0.260
	Herbert 3.5 (partially threaded)	18 (26.87)	12 (23.53)	6 (37.5)	0.336
	Herbert 2.7 (partially threaded)	11 (16.42)	8 (15.69)	3 (18.75)	0.716

^aP values < 0.05 indicate statistical significance.

MCA: Motor car accident; HOT: Heavy object trauma; FOG: Fall on ground; MBA: Motor bike accident; AFO: Assault from others.

Full Size Table

Citation: Saleh WR, Khalifa AA, Ragheb YF, El-Sayed A, Megahed AA. Intramedullary headless screw fixation of extraarticular metacarpal and proximal phalanx fractures, North African trauma center early experience. World J Orthop 2026; 17(4): 115014
URL: https://www.wjgnet.com/2218-5836/full/v17/i4/115014.htm
DOI: https://dx.doi.org/10.5312/wjo.v17.i4.115014

Saleh WR, Khalifa AA, Ragheb YF, El-Sayed A, Megahed AA. Intramedullary headless screw fixation of extraarticular metacarpal and proximal phalanx fractures, North African trauma center early experience. World J Orthop 2026; 17(4): 115014 [DOI: 10.5312/wjo.v17.i4.115014]

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