Comparative study between bouquet technique and transverse wires in management of unstable metacarpal fractures | ||
| Benha Journal of Applied Sciences | ||
| Article 66, Volume 8, Issue 3, March 2023, Pages 187-195 PDF (453.98 K) | ||
| Document Type: Original Research Papers | ||
| DOI: 10.21608/bjas.2023.196430.1098 | ||
| Authors | ||
| ayman goda* ; Eslam Tabl; wael kandel | ||
| Orthopedic Dept., Faculty of Medicine, Benha University | ||
| Abstract | ||
| Background: Frequent hand trauma is accompanied by many metacarpal and phalangeal fractures. Metacarpal fractures represent 18 to 44% of all hand fractures. About 88 percent of all metacarpal fractures involve metacarpals other than the thumb, with the fifth finger being the most commonly afflicted. The majority of metacarpal fractures occur in active and working populations, particularly adolescents and young adults, and are often caused by a direct blow, crushing, or projectile. Methods: This prospective study was carried out in Benha university hospital on 20 patients with unstable 2nd to 5th metacarpal fractures:10 fixed by intramedullary k-wires (Bouquet osteosynthesis), 10 fixed with transverse wiring. Conclusion: Transverse wires are versatile, easily accessible, affordable, and surgeon-friendly compared to the bouquet method. They provide a suitable range of motion, enough grip strength, and a functionally favorable result overall. We urge more prospective clinical trials to give a strong guideline for selecting an appropriate surgical method for the fixation of a metacarpal fracture and evaluating the functional outcomesBackground: Frequent hand trauma is accompanied by many metacarpal and phalangeal fractures. Metacarpal fractures represent 18 to 44% of all hand fractures. About 88 percent of all metacarpal fractures involve metacarpals other than the thumb, with the fifth finger being the most commonly afflicted. The majority of metacarpal fractures occur in active and working populations, particularly adolescents and young adults, and are often caused by a direct blow, crushing, or projectile. Methods: This prospective study was carried out in Benha university hospital on 20 patients with unstable 2nd to 5th metacarpal fractures:10 fixed by intramedullary k-wires (Bouquet osteosynthesis), 10 fixed with transverse wiring. Conclusion: Transverse wires are versatile, easily accessible, affordable, and surgeon-friendly compared to the bouquet method. They provide a suitable range of motion, enough grip strength, and a functionally favorable result overall. We urge more prospective clinical trials to give a strong guideline for selecting an appropriate surgical method for the fixation of a metacarpal fracture and evaluating the functional outcomes. | ||
| Keywords | ||
| bouquet technique; transverse wires; metacarpal fractures | ||
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