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


  • 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




Kirschner wire, Metacarpal fractures, Metaphysis, Miniplate


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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How to Cite

Shair, N. A., Tariq, A., Shakeel, M., Kashif, M., Ahmad, E., & Abubakar, M. (2020). Outcome of internal fixation procedure: miniplate vs cross K wires for displaced metacarpal metaphyseal fracture. International Journal of Research in Medical Sciences, 8(11), 3866–3869. https://doi.org/10.18203/2320-6012.ijrms20204872



Original Research Articles