The Role of Mini-Plate and Screws in Metacarpal Shaft Fracture Fixation: A Clinical and Functional Study
Ahmed, A., Hifny, M., Omar, M., Said, S. (2022). The Role of Mini-Plate and Screws in Metacarpal Shaft Fracture Fixation: A Clinical and Functional Study. EKB Journal Management System, 46(4), 367-373. doi: 10.21608/ejprs.2022.269078
Ali A Ahmed; Mahmooud A Hifny; Mohamed A Omar; Samia Mohamed Ahmed Said. "The Role of Mini-Plate and Screws in Metacarpal Shaft Fracture Fixation: A Clinical and Functional Study". EKB Journal Management System, 46, 4, 2022, 367-373. doi: 10.21608/ejprs.2022.269078
Ahmed, A., Hifny, M., Omar, M., Said, S. (2022). 'The Role of Mini-Plate and Screws in Metacarpal Shaft Fracture Fixation: A Clinical and Functional Study', EKB Journal Management System, 46(4), pp. 367-373. doi: 10.21608/ejprs.2022.269078
Ahmed, A., Hifny, M., Omar, M., Said, S. The Role of Mini-Plate and Screws in Metacarpal Shaft Fracture Fixation: A Clinical and Functional Study. EKB Journal Management System, 2022; 46(4): 367-373. doi: 10.21608/ejprs.2022.269078

The Role of Mini-Plate and Screws in Metacarpal Shaft Fracture Fixation: A Clinical and Functional Study

The Egyptian Journal of Plastic and Reconstructive Surgery
Article 7, Volume 46, Issue 4, November 2022, Page 367-373  XML PDF (4.64 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2022.269078
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Authors
Ali A Ahmed* 1; Mahmooud A Hifny1; Mohamed A Omar2; Samia Mohamed Ahmed Said3
1The Department of Plastic Surgery, Faculty of Medicine, Qena University
2General Surgery, Faculty of Medicine, South Valley University
3Plastic Surgery, Faculty of Medicine, Sohag University
Abstract
Background: Hand fractures account for 10% of all broken
bones, with metacarpal fractures accounting for one-third of
all hand breaks. Mini-plates and screws may offer firm fixation,
allowing for early joint mobility and hence excellent functional
outcomes while preventing the problems associated with
Kirschner-wires fixation.
Objectives: To evaluate the clinical and function outcome
of mini-plates and screws in the management of isolated,
healed, single-digit metacarpal shaft fractures along with
long- term functional assessment of the fractured hand by the
disabilities of the arm, shoulder and hand (DASH) outcome
questionnaire.
Patients and Methods: This is a prospective cohort study
that conducted between April 2021 and March 2022 on patients
presented with metacarpal shaft fracture. The primary outcomes
evaluation includes: Presence of complications related to
fixation technique, time of radiographic fracture union, metacarpophalangeal
joint's range of motion (ROM) and the Total
Active Flexion (TAF) score.
Results: All fractures in all patients (30 cases) had a
successful union (100%) ranging between 8-12 weeks with
a median of 10 weeks. The mean ROM of the respective MP
joint was 74±8.96° at 3 month post-operative, which improved
significantly, to 85.6±3.98° (p < 0.004) at 6 month follow-up.
The total active flexion (TAF) score showed that (73.3%) of
our patients have excellent results, while it was good in (20%)
patients, and fair in (6.7%) patients. The mean quick DASH
score was 8.36±4.86, which significantly decreased to
6.47±4.08 at the end of follow-up period.
Conclusions: Mini-plate and screws is a suitable approach
for unstable metacarpal fracture fixation. The employment of
mini-plate and screws provide rigid stable fixation which
enables early hand movement and achieving good functional
outcomes
Keywords
Functional-Metacarpal Shaft; Fracture; Miniplate; Fixation
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