الفهرس | Only 14 pages are availabe for public view |
Abstract Background: There is no consensus on the optimal operative treatment of metacarpal fractures as every technique is associated with advantages and shortcomings. Objective: This study aim to compare the clinical and functional outcome of treatment of displaced transverse and short oblique metacarpal shaft fractures by Interosseous wiring vs mini-plates fixation. Patients and methods: The study was conducted on patients with metacarpal shaft fractures presented at Emergency Hospital of Kasr-ALAiny from June 2021 to January 2022. It included 48 patients who were allocated randomly into 2 groups according to fixation methods; group (A) 24 patients: were fixed with Interosseous wiring, group (B) 24 patients: were fixed with mini-plates and screws. All the patients were evaluated postoperatively both clinically using the American Society for Surgery of the Hand (ASSH), Total Active Motion (TAM), Total Active Flexion (TAF)) and the quick DASH scores, and radiologically using three views of the hand (antero-posterior, oblique, and lateral) at each visit. The follow up period ranged from 4 to 6 months. |