Outcome of internal fixation procedure: miniplate vs cross K wires for displaced metacarpal metaphyseal fracture

Naveed Ali Shair; Abdullah Tariq; Muhammad Shakeel; Muhammad Kashif; Ejaz Ahmad; Muhammad Abubakar

doi:10.18203/2320-6012.ijrms20204872

Authors

Naveed Ali Shair Department of Orthopedic Surgery, Lahore General Hospital, Lahore, Pakistan.
Abdullah Tariq Department of Orthopedic Surgery, DHQ Hopsital, Nanakana Sahab, Lahore.
Muhammad Shakeel Department of Orthopedic Surgery, Lahore General Hospital, Lahore.
Muhammad Kashif Department of Orthopedic Surgery, Central Park Medical College, Lahore, Pakistan.
Ejaz Ahmad Department of Orthopedic Surgery, Lahore General Hospital, Lahore.
Muhammad Abubakar Department of Orthopedic Surgery, Sir Ganga Ram Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.18203/2320-6012.ijrms20204872

Keywords:

Kirschner wire, Metacarpal fractures, Metaphysis, Miniplate

Abstract

Background: Metacarpal fractures are considered a frequent orthopedic injury seen commonly in emergency units. Objectibe of thestudy was to compare the outcome of internal fixation procedure of miniplate versus cross kirschner wires (k-wires) for displaced metacarpal metaphyseal fractures.

Methods: In this experimental prospective study, 100 patients with metacarpal metaphyseal fracture were considered. internal fixation was done by miniplate in one group and cross k wires in other group. Outcomes in terms of radiological union were compared between both groups. The data was analyzed by using SPSS for windows (version 26.0).

Results: Mean age of the patients was 38.70±13.61 years. Male to female ratio of the patients was 1.2:1. The radiological success was noted in 76 (76.0%) patients. Statistically insignificant difference was found between the study groups in terms of radiological success of the patients (p=0.6396). K wire fixation was recorded to have significantly shorter duration of operation time in comparison to miniplate fixation (p=0.0001).

Conclusions: The internal fixation procedure of both miniplate and k wire are equally effective in terms of radiological success for management displaced metacarpal metaphysis fractures. As compared to miniplate fixation, K wire fixation was found to have significantly shorter duration of operation time.

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