Management of unstable metacarpal shaft fractures by k-wires versus mini-plate fixation

Abstract

Objective To compare the clinical and functional outcome of treatment of unstable metacarpal shaft fracture by K-wires versus open reduction and mini-plate fixation prospectively. Place and duration The study was conducted at the Department of Orthopedic, Al-Zahraa Hospital, Faculty of Medicine for Girls, Al Azhar University, for a duration of 1 year from 1st January 2019 to 30th December 2019. Patients and methods A total of 20 patients with unstable metacarpal shaft fracture were divided into two groups. Group A included 10 patients who were fixed by mini-plate and screws. Group B included 10 patients who were fixed by K-wires. Hand function was assessed 3 months postoperatively and when the patients finish physiotherapy by using Quick DASH score. Results Union occurred in all cases. In group A, only one (5%) case reported tendon adherence. In group B, three (15%) cases reported joint stiffness. Conclusion The mini-plate fixation is superior to K-wire fixation in the treatment of unstable metacarpal shaft fractures.