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 2 Radiological, functional, and complications outcomes, n (%)/mean ± SD (range)

		Total of 53 patients (n = 67 fractures)	Group A (n = 38 patients) (n = 51 fractures)	Group B (n = 15 patients) (n = 16 fractures)	P value for comparisons between group A vs group B
Time till fracture union (weeks)		5.62 ± 0.99 (4-8)	5.57 ± 0.94 (4-8)	5.68 ± 1.04 (5-8)	0.706
Last follow up (days)		101.19 ± 52.31 (60-350)	102.06 ± 53.92 (60-350)	98.43 ± 48.31 (60-244)	0.812
ROM MCPJ 85 (°)		82 ± 1.9 (65-85)	82.92 ± 2.97 (65-85)	79.88 ± 5.44 (65-85)	0.033
ROM PIPJ 110 (°)		107.4 ± 4.93 (87-110)	108.49 ± 2.76 (95-110)	102.63 ± 7.19 (87-110)	0.001^a
ROM DIPJ 65 (°)		63.84 ± 2.66 (50-65)	64.22 ± 2.32 (55-65)	61.43 ± 3.81 (50-65)	0.006^a
TAM (°)		253.15 ± 10.29 (202-260)	255.14 ± 9.11 (223-260)	244.31 ± 15.12 (202-260)	0.007^a
Extension lag		2.53 ± 3.77 (0-20.2)	1.15 ± 2.08 (0-13.8)	2.01 ± 1.74 (0-6.2)	0.100
Hand grip strength (% of the contralateral side)		98.66 ± 1.31 (92.2 to 99.8)	98.84 ± 1.07 (92.2-99.8)	98.11 ± 1.8 (93.5-99.7)	0.124
QuickDASH score		15.08 ± 11.95 (2-57)	2.9 ± 4.99 (0-34)	6.88 ± 9.32 (0-34)	0.030^a
VAS score		0.69 ± 1.10 (0-5)	0.35 ± 0.77 (0-3)	1.94 ± 1.57 (0-5)	< 0.001^a
Complications	Infection	0 (0.00)	0 (0)	0 (0)	1.000
	Nonunion	0 (0.00)	0 (0)	0 (0)	1.000
	Shortening with metal protrusion	2 (2.99)	1 (1.96)	1 (6.25)	0.423
	Shortening without metal protrusion	2 (2.99)	1 (1.96)	1 (6.25)	0.423
	Malunion	1 (1.49)	0 (0)	1 (6.25)	0.239

^aP values < 0.05 indicate statistical significance.

ROM: Range of motion; MCPJ: Metacarpophalangeal joint; PIPJ: Proximal interphalangeal joint; DIPJ: Distal interphalangeal joint; TAM: Total active motion; QuickDASH: Quick Disabilities of the Arm, Shoulder, and Hand; VAS: Visual analogue score.

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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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