Functional outcome of osteosynthesis of closed metacarpal fractures with mini-plates and screws: A prospective study

Abstract

Background: Metacarpal fractures are not uncommon injuries of the human skeleton. Earlier studies suggest the management of metacarpal fractures is closed reduction with “K” wire fixation. Aim of the study is to assess the functional outcome and duration of union in closed metacarpal fractures with Mini plates and screws.Materials and Methods: In Thirty-five patients with closed meta-carpal fractures managed with open reduction and internal fixation using mini fragment plate, the functional outcome was obtained using the American Society for Surgery of the Hand (ASSH) Total Active Flexion (TAF) score and the Disabilities of the Arm, Shoulder, and Hand (DASH) scoring system.Results: A Union rate of 100% was achieved. Functional outcome was excellent in 91.40% (32 of 35), good in 2.8% (1 of 35) of patients and fair in 5% (2 of 35). One case with infection (superficial) which subsided with dressings and antibiotics and two cases with stiffness were reported, which improved with physiotherapy and exercises.Conclusions: Miniplate fixation is an effective treatment option for closed metacarpal fractures because it provides rigid fixation that allows early mobilization and a favorable functional outcome.