5. Limitation
fractures
First, since we did not examine computed tomography (CT) scans in our patients, we had to clinically evaluate rotational deformity instead of comparing radiological images. Comparing immediate postoperative and 1-year follow-up CT scans would have led to a more accurate comparison, which might have provided a more precise understanding of our new technique. Second, this was a retrospective study. Therefore, it was difficult to perform direct comparisons with other studies. Third, the number of patients who underwent our new technique does not match those of conventional groups. We developed this technique recently, which provided us with fewer surgery cases with which to make precise comparisons. Another limitation of this study is that we did not consider bouquet pinning. Moreover, inserting K-wires using an anterograde approach might have led to ideal outcomes. Comparing our new technique with this method might have generated more meaningful statistics and outcomes. Despite several limitations, our study is the first to report a new method that combines intramedullary pinning with K-wire pinning. It will aid in the selection of surgical techniques for fifth-metacarpal neck fractures.