Comparative Study between Using Kirschner Wires Versus Mini-set Plates in Management of Metacarpal Shaft Fractures in Souad Kafafi University Hospital, Egypt | ||
| The Egyptian Orthopaedic Journal | ||
| Volume 60, Issue 3, September 2025, Pages 200-205 PDF (609.33 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EOJ.2025.449733 | ||
| Authors | ||
| Waleed Arafat; Fatma Elzahraa Salah Mahmoud* ; Ali Mohamed Abo El-Fath; Assem Bastawisy | ||
| Department of Orthopedic Surgery, Faculty of Medicine, Misr University for Science and Technology, Cairo, Egypt. | ||
| Abstract | ||
| Background Metacarpal shaft fractures typically exhibit stability and minimal displacement, attributed to the distal connection by interosseous ligaments and proximal linkage by intrinsic hand muscles. This work aimed to compare percutaneous intramedullary Kirschner wires and open reduction with internal fixation using a mini plate in treating unstable metacarpal shaft fractures in adults. Patients and Methods This prospective interventional work had been conducted on 60 participants ranging in age from 20 to 60 years old, both genders, with any rotational deformity, angulation >10° in the index and middle fingers, 20° for the ring finger, and 30° for the little finger, shaft displacement of more than 50%, more than 3mm shortening. All patients were subjected to open reduction and internal fixation with mini-plates and screws and percutaneous pinning with K-wires. Results Union time is significantly lower in the k-wires group contrasted to the mini-plates group. No significant variation existed among the groups regarding hand grip. No significant variation existed among both studied groups as regard complications. Occupation, fracture side, side affected details, and pattern of fracture distribution were insignificantly different between both groups. Conclusions Percutaneous intramedullary K-wires or open reduction internal fixation utilizing mini-plates and screws are viable methods for addressing unstable metacarpal fractures, as they facilitate reduction and fixation, enabling mobilization of adjacent joints and promoting favorable functional outcomes. | ||
| Keywords | ||
| Kirschner Wires; Metacarpal Shaft Fractures; Mini-Set Plates | ||
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