The role of Mini-plate and Screws in Metacarpal Shaft Fracture Fixation : A clinical and Functional Study | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 17 September 2022 | ||
| Document Type: Research article | ||
| DOI: 10.21608/ejprs.2022.153444.1197 | ||
| Author | ||
| ali mahmoud ali* | ||
| egypt-qena - qus elber and eltaqua st | ||
| Abstract | ||
| Background: Hand fractures account for 10% of all broken bones, with metacarpal fractures accounting for one-third of all hand breaks. Mini-plates and screws may offer firm fixation, allowing for early joint mobility and hence excellent functional outcomes while preventing the problems associated with Kirschner-wires fixation. Purpose: To evaluate the clinical and function outcome of mini-plates and screws in the management of isolated, sealed, single-digit metacarpal shaft fractures along with long- term functional assessment of the fractured hand by the disabilities of the arm, shoulder and hand (DASH) outcome questionnaire. Material and Methods: This is a prospective cohort study that conducted between April 2021 and March 2022 on patients presented with metacarpal shaft fracture. The primary outcomes evaluation includes: presence of complications related to fixation technique, time of radiographic fracture union, metacarpophalangeal joint's range of motion (ROM) and the Total Active Flexion (TAF) score. Results: All fractures in all patients (30 cases) had a successful union (100%) ranging between 8-12 weeks with a median of 10 weeks. The mean ROM of the respective MP joint was 74 ± 8.96°at 3 month post-operative, which improved significantly, to 85.6 ± 3.98°( p < 0.004) at 6 month follow up. The total active flexion (TAF) score showed that (73.3%) of our patients have excellent results, while it was good in (20%) patients, and fair in (6.7%) patients. The mean quick DASH score was 8.36 ± 4.86, which significantly decreased to 6.47 ± 4.08 at the end of follow up period. Conclusions: Mini-plate and screws is a suitable approach for unstable metacarpal fracture fixation. The employment of mini-plate and screws provide rigid stable fixation which enables initial hand movement and achieving good functional outcomes. | ||
| Keywords | ||
| Functional; Metacarpal shaft; screws; Disabilities; fixation | ||
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