Abstract
Introduction:Management of metacarpal shaft fracture is dictated by the stability and personality of the fracture. It may be conservative or surgical. Surgical management of Metacarpal fractures has different techniques and different instruments.
Highlights
Management of metacarpal shaft fracture is dictated by the stability and personality of the fracture
This study was a prospective study, included 40 patients presented at Emergency Hospital, Faculty of Medicine, Mansoura University, with 48 fractured metacarpals in 30 hands. 20 patients were fixed by open reduction and internal fixation using mini-plates, the other 20 patients were fixed by percutaneous K wires
Figure 5: 4th and 5th metacarpal fractures managed by k wire fixation
Summary
Management of metacarpal shaft fracture is dictated by the stability and personality of the fracture Surgical management of Metacarpal fractures has different techniques and different instruments. Trauma to the hand is exceedingly common, frequently resulting in metacarpal, fractures and dislocations [3,4]. Appropriate treatment includes a thorough assessment, physical examination, and directed imaging. Such an approach should lead to a rational treatment plan that focuses on the rehabilitation of all damaged components, including osseous, articular, and soft tissue structures [5,6]. Undisplaced fracture with any fracture configuration can be managed by conservative method with a slab or a splint immobilizing the wrist in Extension and MP joint in flexion greater than 70° (Clam digger slab/cast), allowing early IP mobilization [7,8,9,10,11]
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