Kirschner Wire versus Miniplate Internal Fixation Effectiveness for Metacarpal Fractures in Pakistani Population
Muhammad Ali,TayyabShoaib, Muhammad Iqbal, YasirIqbal, Muhammad IkramUllah Khan, Muhammad Omer
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ABSTRACT
Aim: To compare the outcome of K-wire with miniplate internal fixation in term
of achievement of fracture union among patients suffering metacarpal fracture
in our population
Methods: This
experimental study was done in Orthopedics ward, LGH, Lahore. Non-probability
convenient sampling technique was utilized, and the sample size was 50 cases,
with 25 patients in each group (A&B). Inclusion criteria include both
genders, age 6-50 years, and patients that come within 2 weeks of metacarpal
fracture while exclusion criteria include osteoporosis, fractures with bone
loss, comminution to the extent that accurate reconstruction with firm cortical
apposition is impossible, and refractures.
Results: Among total 50
patients with metacarpal fracture patients, 52% had left side involved while 24(48%)
had right side involved. 50% patients were managed with K-wire internal
fixation (group 1) while other 50% with Miniplate internal fixation (group 2).
The mean age of the first group patients was 34.44±10.12 years while the mean
age of the second group of the patients was 33.28±9.09 years. Among 25metacarpal fracture patients managed
with K-wires, none showed union at post-operative day 1, 2nd
and 4th post-op week. After 6 post-op weeks, 1 (4%) patient had
union, after 8 post-op weeks, 7 (28%) patients had union, on 10th
post-op week, 18(72%) cases had union and on 3rd and 4th
post-op month, in 24 (96%) cases union on radiographs was visible.
Conclusion: Metacarpal fractures have excellent union rates with both K-wire and
Miniplate internal fixation. 96% patients managed with K-wire and 100% patients
managed with Miniplate achieved union after 4 months in our studied population.
Both techniques proved equally effective for our patients regarding union of
the metacarpal fracture as statistically difference in union rates was
insignificant.
Keywords: metacarpal
fracture, Fracture Union, Kirschner (K) wire, Miniplates
ABSTRACT
Aim: To compare the outcome of K-wire with miniplate internal fixation in term
of achievement of fracture union among patients suffering metacarpal fracture
in our population
Methods: This
experimental study was done in Orthopedics ward, LGH, Lahore. Non-probability
convenient sampling technique was utilized, and the sample size was 50 cases,
with 25 patients in each group (A&B). Inclusion criteria include both
genders, age 6-50 years, and patients that come within 2 weeks of metacarpal
fracture while exclusion criteria include osteoporosis, fractures with bone
loss, comminution to the extent that accurate reconstruction with firm cortical
apposition is impossible, and refractures.
Results: Among total 50
patients with metacarpal fracture patients, 52% had left side involved while 24(48%)
had right side involved. 50% patients were managed with K-wire internal
fixation (group 1) while other 50% with Miniplate internal fixation (group 2).
The mean age of the first group patients was 34.44±10.12 years while the mean
age of the second group of the patients was 33.28±9.09 years. Among 25metacarpal fracture patients managed
with K-wires, none showed union at post-operative day 1, 2nd
and 4th post-op week. After 6 post-op weeks, 1 (4%) patient had
union, after 8 post-op weeks, 7 (28%) patients had union, on 10th
post-op week, 18(72%) cases had union and on 3rd and 4th
post-op month, in 24 (96%) cases union on radiographs was visible.
Conclusion: Metacarpal fractures have excellent union rates with both K-wire and
Miniplate internal fixation. 96% patients managed with K-wire and 100% patients
managed with Miniplate achieved union after 4 months in our studied population.
Both techniques proved equally effective for our patients regarding union of
the metacarpal fracture as statistically difference in union rates was
insignificant.
Keywords: metacarpal
fracture, Fracture Union, Kirschner (K) wire, Miniplates