Bouquet technique in management of unstable metacarpal fractures | ||
| Benha Medical Journal | ||
| Article 267, Volume 39, Issue 2, July and August 2022, Pages 680-695 PDF (799.77 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2022.14337.1004 | ||
| Authors | ||
| husam elaxir* 1; Adel Hassan Adawy2; Osama Mohamed Essawy3; Saad Abd El-Rahim Shoulah4 | ||
| 1Orthopedic department, Faculty of medicine, Benha University, Benha, Egypt | ||
| 2professor of orthopedic surgery Faculty of Medicine Benha university Benha, Egypt | ||
| 3Assistant professor of orthopedic surgery Faculty of medicine , Benha university, Benha, Egypt | ||
| 4lecturer of orthopedic surgery Faculty of Medicine Benha university Benha, Egypt | ||
| Abstract | ||
| Background Several methods of fixing unstable metacarpal shaft fractures have been described; the aim of the study was to assess the clinical and radiological results of bouquet technique in management of unstable metacarpals fractures. Patients and Methods ` A prospective study held between 2017 and 2019 at Benha University Hospital on 20 patients (15 males and 5 females) had unstable metacarpal fractures affecting second to fifth metacarpals treated with bouquet technique. The patient’s mean age was 31.6 years. The dominant hand was affected in 15 patients while in 5 patients the non-dominant hand was affected. Under fluoroscopy, closed reduction and percutaneous bouquet pinning fixation was done using two or three K-wires. Results The mean follow-up period was 11.6 weeks. Bony union achieved at an average of 7.4 weeks. At the final follow-up, all patients had almost full ROM with a mean total active range of motion 260.5° (245°- 270°). None of the patients had any clinically detectable rotational deformity, functional outcome was satisfactory with mean grip strength of the injured hand 96% in comparison to the non-injured side, average Quick Dash score was 1.45 (± 1.2) ranging from zero to 4 points. The mean VAS for pain was 0.85 (± 0.8). All patients returned to their ordinary jobs and were cosmetically and functionally satisfied with the results of their surgery. Conclusion Bouquet technique is an effective, easy and safe method for treating unstable metacarpal fractures, without significant complications. | ||
| Keywords | ||
| Unstable Metacarpal fractures; Displaced metacarpal fractures; metacarpal fractures; bouquet technique; percutaneous pinning | ||
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