Early Results of Bouquet Technique in Treatment of Metacarpal Fractures
Abdelaziz, A., Elshamy, A., Agwa, A. (2023). Early Results of Bouquet Technique in Treatment of Metacarpal Fractures. EKB Journal Management System, 90(2), 2211-2215. doi: 10.21608/ejhm.2023.285512
Ashraf M Abdelaziz; Ahmed Sayed Ahmed Elshamy; Ahmed Elsayed Agwa. "Early Results of Bouquet Technique in Treatment of Metacarpal Fractures". EKB Journal Management System, 90, 2, 2023, 2211-2215. doi: 10.21608/ejhm.2023.285512
Abdelaziz, A., Elshamy, A., Agwa, A. (2023). 'Early Results of Bouquet Technique in Treatment of Metacarpal Fractures', EKB Journal Management System, 90(2), pp. 2211-2215. doi: 10.21608/ejhm.2023.285512
Abdelaziz, A., Elshamy, A., Agwa, A. Early Results of Bouquet Technique in Treatment of Metacarpal Fractures. EKB Journal Management System, 2023; 90(2): 2211-2215. doi: 10.21608/ejhm.2023.285512

Early Results of Bouquet Technique in Treatment of Metacarpal Fractures

The Egyptian Journal of Hospital Medicine
Article 31, Volume 90, Issue 2, January 2023, Page 2211-2215  XML PDF (288.67 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2023.285512
View on SCiNiTO View on SCiNiTO
Authors
Ashraf M Abdelaziz; Ahmed Sayed Ahmed Elshamy; Ahmed Elsayed Agwa email orcid
Orthopaedic department al azhar university alzahraa hospital
Abstract
Introduction: Metacarpal fractures are frequent, and many of them can be managed non-surgically with the proper reduction and immobilisation. As with any hand fracture, the major goals are to achieve anatomic and stable reduction, bone union, and early mobilisation. Objective: The aim of the present study was to evaluate the outcome of bouquet technique in management of unstable metacarpals fractures as isolated or multiple shaft metacarpal fractures, irreducible or unstable fracture, greater than 30 degree fracture angulation, greater than 10 degree rotational deformity, and extensive (more than 5 mm) metacarpal shortening.
Patients and methods: A prospective follow up study was carried out on 20 patients with metacarpal factures, managed at El Qureen Hospital, Dar Elhekmah Hospital and Abo Khalifa Emergency Hospital, A total of 17 males and 3 females with unstable 2nd to 5th metacarpal fractures fixed by intramedullary k-wires (Bouquet osteosynthesis) were recruited.    Results: The average Quick DASH score was 1.45 (SD 1.23), ranging from zero to four points, and the mean grip strength of the damaged hand was 96%, which was significantly lower than the non-injured side's range of 85% to 100%. The functional outcome was satisfactory. Up to 18 patients (90%) patients reported being extremely satisfied, while 2 (10%) patients reported being satisfied.
Conclusion: Bouquet pinning and transverse wiring techniques in metacarpal fractures showed good range of motion (total active motion >245), grip strength, early radiographic bone union and less post-operative infection.
 
Keywords
Metacarpal Fractures; Bouquet Technique; Fixation; Immobilization; Follow up study; Al-Azhar University
Statistics
Article View: 109
PDF Download: 284