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 120
- Downloads 0
Application of PHILOS humerus plate for a distal Tibial fracture: An effective alternative
Ankle fractures are among the most common fracture injury in young and old and, if not managed correctly, can be debilitating in the long term. The most common ankle fracture is an isolated malleolar fracture that repres...
Dynamic condylar screw in subtrochanteric fracture with osteopetrosis: A case report
Osteopetrosis is a rare hereditary disease which is characterized by increased bone density and it usually presents with increased bone mass and generalized osteosclerosis. We report the case of an adult patient with mar...
Open reduction and internal fixation in close middle third fracture clavicle by pre-contoured anatomical clavicle plate: A study of 125 cases
Introduction: The concept of treating displaced, middle third fractures of clavicle by open reduction and stable fixation thereby restoring the clavicular length is gaining more and more acceptance amongst trauma surgeon...
Evaluation of pulmonary function in adolescent idiopathic thoracic scoliosis
Pulmonary function is known to be effected adversely in congenital and infantile scoliosis. But the changes in lung function in adolescent scoliosis are not much studied. We evaluated 33 patients with adolescent idiopath...
Primary prophylactic bone grafting for distal end radius fracture, Is it justified?
Background: Our objective was to evaluate role of primary percutaneous bone grafting for extra articular fracture distal end radius and its usefulness in preventing secondary complications – collapse and stiffness. Metho...