Ahmed, A., Hifny, M., Omar, M., Said, S. (2022). 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, 46(4), 367-373. doi: 10.21608/ejprs.2022.269078
Ali A Ahmed; Mahmooud A Hifny; Mohamed A Omar; Samia Mohamed Ahmed Said. "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, 46, 4, 2022, 367-373. doi: 10.21608/ejprs.2022.269078
Ahmed, A., Hifny, M., Omar, M., Said, S. (2022). '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, 46(4), pp. 367-373. doi: 10.21608/ejprs.2022.269078
Ahmed, A., Hifny, M., Omar, M., Said, S. 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, 2022; 46(4): 367-373. doi: 10.21608/ejprs.2022.269078
The Role of Mini-Plate and Screws in Metacarpal Shaft Fracture Fixation: A Clinical and Functional Study
1The Department of Plastic Surgery, Faculty of Medicine, Qena University
2General Surgery, Faculty of Medicine, South Valley University
3Plastic Surgery, Faculty of Medicine, Sohag University
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. Objectives: To evaluate the clinical and function outcome of mini-plates and screws in the management of isolated, healed, 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. Patients 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 early hand movement and achieving good functional outcomes
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