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
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
fracture, Fracture Union, Kirschner (K) wire, Miniplates