Authors :
Pinki Pargal, (MCH); Junaise MS; Pallavi Nigam, (MS); Anurag Salwan, (MS); Randeep Singh Lamba, (MS)
Volume/Issue :
Volume 8 - 2023, Issue 5 - May
Google Scholar :
https://bit.ly/3TmGbDi
Scribd :
https://tinyurl.com/y7x3w4du
DOI :
https://doi.org/10.5281/zenodo.8134131
Abstract :
Background:
Kirschner wire (KW) internal fixation and AO
microplate screw fixation are among the more popular
types of internal fixation that are utilized in the
treatment of metacarpal fractures in clinical settings.
Internal fixation is the first option that is currently used
in the treatment of metacarpal fractures. The application
effect of the aforementioned two types of internal
fixation treatment continues to be debatable in clinical
settings, despite the fact that they both exist. The aim of
this study was to assess the functional outcome of
metacarpal fracture managed by K-wire fixation or mini
plate.
Methods and Materials:
Retrospective study with a total of 120 patients with
metacarpal fractures were included in the study and
patients with severely crushed metacarpal and soft tissue
were excluded from the study. Patients were divided into
two groups. Group A included patients in which k wiring
was done and group B contained patients in which
miniplate was applied for fracture fixation .
Results:
Functional outcomes of both surgery was compared
in the groups and p value of less than 0.05 was
considered to be significant. There was a statistically
significant difference in the rate of union between the
two groups. Additionally, there was a difference in the
complications and DASH scores, but the difference was
not statistically significant.
Conclusion:
Mini-plate is a good alternative for metacarpal
fractures to K-wire fixation with comparable outcomes
and accelerated rate of fracture union.
Keywords :
Mini-Plate, Kirshner Wiring, Metacarpal Fractures.
Background:
Kirschner wire (KW) internal fixation and AO
microplate screw fixation are among the more popular
types of internal fixation that are utilized in the
treatment of metacarpal fractures in clinical settings.
Internal fixation is the first option that is currently used
in the treatment of metacarpal fractures. The application
effect of the aforementioned two types of internal
fixation treatment continues to be debatable in clinical
settings, despite the fact that they both exist. The aim of
this study was to assess the functional outcome of
metacarpal fracture managed by K-wire fixation or mini
plate.
Methods and Materials:
Retrospective study with a total of 120 patients with
metacarpal fractures were included in the study and
patients with severely crushed metacarpal and soft tissue
were excluded from the study. Patients were divided into
two groups. Group A included patients in which k wiring
was done and group B contained patients in which
miniplate was applied for fracture fixation .
Results:
Functional outcomes of both surgery was compared
in the groups and p value of less than 0.05 was
considered to be significant. There was a statistically
significant difference in the rate of union between the
two groups. Additionally, there was a difference in the
complications and DASH scores, but the difference was
not statistically significant.
Conclusion:
Mini-plate is a good alternative for metacarpal
fractures to K-wire fixation with comparable outcomes
and accelerated rate of fracture union.
Keywords :
Mini-Plate, Kirshner Wiring, Metacarpal Fractures.
