MANAGEMENT OF METACARPAL FRACTURE TREATED WITH CLOSED INTRAMEDULLARY PRE-BENT K-WIRE INSERTION USING BOUQUET TECHNIQUE

Abstract

Background: Metacarpal fractures are among the most common fractures majority of which are treated conservatively. There are numerous indications and techniques for operative xation. The purpose of this research is to study the management of metacarpal fracture treated with intramedullary pre-bent K-wires using Bouquet technique. 100 patients aged between 18-60yea Materials and Method: rs, with 100 closed metacarpal fractures involving shaft and neck region, which were ≤2weeks old, were included in this study. Radiograph of the involved hand anteroposterior (AP) and oblique views were obtained. Postoperative immobilization and rehabilitation regimen were followed for all the patients. Outcome assessment was done using Visual analogue score (VAS), Disabilities of the arm, shoulder and hand (DASH) score, Total active movement (TAM) and grip strength. Radiographs were taken at regular intervals. Descriptive statistical analysis was done using MS Excel 2019. Result and Observations: Out of 100 patients, 73 were male, with overall mean age of 31.76±10.46 years. Right side was affected in 63 patients, however the dominant side was involved in 73 cases. Metacarpal shaft was involved more often (77/100 cases). Most common cause was sports injury. At nal follow-up, mean post-op VAS was 0.33±0.54, mean post-op DASH score was 2.44±3.91, mean TAM score was 232.33±22.38º and the mean grip strength was 94.37±6.53%. Pin tract infection was seen in 13 patients; pin loosening in 10 patients and partial stiffness in 7 patients. Conclusion: The proposed technique is simple, minimally invasive, less time consuming and provides satisfactory stabilization for early union. This xation technique also showed good functional and radiographic outcome with few complications