4. Discussion
Conventional K-wire, A. Zemirline, angulations, nonunion, angulation, infections, head avascular necrosis, reduction loss
INFECTIONS, COMPLICATIONS
Our IPKP method demonstrated superior outcomes compared with the conventional methods. At the 1-year follow-up visits, the average shortening measured 0.4 mm (±0.1), and the average angulation was 12.6° (±2.5), both exhibiting a statistically significant difference (Among the various conventional methods, internal fixation using plates is known to provide substantial mechanical strength; however, many complications have been documented. These complications encompass metacarpal head avascular necrosis, nonunion, severe tendon irritation, and a high incidence of stiffness attributable to excessive soft tissue damage, which, in turn, may lead to infections [Conventional K-wire pinning is associated with complications such as angulations and reduction loss [The conventional intramedullary pinning (IP) method is known to result in complications such as shortening and reduced range of motion (ROM) [Sherif et al. [Recently, new techniques that bear a resemblance to conventional methods have emerged. Eisenschenk et al. [A. Zemirline et al. [The mean duration of surgery for our new technique was 5 min longer compared with using the IP method alone. This means our new technique required an average of 10.6 min for the IP method and an additional 5 min to insert the parallel pinning. In comparison, the KP method took 13.2 min on average, 3 min longer than our new technique. The insertion of additional parallel pinning proved beneficial in achieving a more accurate reduction, leading to improved clinical outcomes [