Evaluation of surgical management of metacarpal fractures – A prospective clinical study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 2
Abstract
Introduction: Metacarpal fractures constitutes between 14-28% of all visits to the hospital following trauma. Too often these metacarpal fractures are neglected or treated as minor injuries and results in major disability and deformity with permanent crippling of fine movements. A stable fracture fixation helps in restoring early mobilization. Early mobilization can prevent adhesions and is the key to good clinical outcome. Materials and Methods: Thirty patients with metacarpal fractures were surgically fixed with k-wire or plate and screw in our trauma centre. 24 males and 6 female patients were part of the study. The mean age was 38 years. Radiographs of affected hand, both AP & Lateral views were obtained before surgery, post- surgery, and at follow-ups. Results: Male patients in their 3rd decade following a road traffic accident fracturing right hand 4th metacarpal shaft was the common presentation. Transverse fracture pattern was most common. 70% of cases had excellent result, 20% patients with good results and 10% had fair result. Finger stiffness was the most frequently encountered complication. Conclusion: Displaced metacarpal fractures treated surgically by plate and screw or k-wire gives good result in terms of union, functional recovery and prevent stiffness. CRIF with k-wire shows faster union, faster recovery and lesser stiffness compared to ORIF with k-wire and plates and screws. Multiple metacarpal fractures in same hand treated surgically gives better results than those treated conservatively. Metacarpal fractures fixed rigidly with plate and screw can be mobilized much earlier then those with k wire fixation.
Authors and Affiliations
Raghavendra V, Tarsem Motten
Keywords
Related Articles
- EP ID EP501746
- DOI 10.22271/ortho.2017.v3.i2e.46
- Views 100
- Downloads 0
The Dervan protocol: A new improved rehabilitation protocol for faster recovery of knee replacement surgery
Introduction: Osteoarthritis is a progressive disorder of joints caused by gradual loss of cartilage most commonly occurring at knee joint in Indian population. Post-operative physiotherapy is one of the most important p...
A randomized controlled study of dynamic compression plate (DCP) versus limited contact dynamic compression plate (LC-DCP) in treatment of forearm bone fractures in adults (age 18-60 years)
Background and objectives: Fracture of forearm bone are one of the most common injuries seen in day to day practice. The forearm, in combination with the proximal and distal radioulnar joints, allows pronation and supina...
Outcome evaluation of dynamic condylar screw fixation for subtrochanteric femur fracture
Objective: To study the results of dynamic condylar screw DCS (Dynamic condylar screw) fixation for subtrochanteric femoral fractures. Materials and Methods: This study included 34 males and 6 female patients with age ra...
Efficacy of vancomycin impregnated deep freeze irradiated allogenic bone graft in osteoreconstructive surgery
Aim of study was to use the allogenic bone graft with or without vancimpregnation in osteoreconstrutive surgery and compare the results with respect to: • Efficacy and safety in prevention of graft related and surgical s...
Management of pathological femoral fracture secondary to Ewing sarcoma in pregnancy: A case report
Ewing's sarcoma is an ultra-orphan disease (2/1,000,000/year) which requires a multimodal therapy approach in high-volume centers. Treatment consists of pre-operative therapy followed by surgery and post-operative combin...