Comparative Study between Kirschner Wire versus Mini Plate in Management of Unstable Metacarpal Fractures

Article information Background: Fractures of the metacarpals are often seen in the orthopedic emergency department. Complicated metacarpal fractures are more common than any other type of fracture. The general goal of treating all fractures is for the patient to achieve normal motion. However, the ideal stabilization technique is still debated. For internal fixation, Kirchner wires [Wires] or can be used, each offering several advantages. No previous study has compared the use of Kwire with miniplates in the treatment of unstable metacarpal fractures. Therefore, we conducted this prospective intervention study to evaluate the outcomes of using Kwire and miniplates in the treatment of unstable metacarpal fractures . Aim of the work: To contrast the functional and radiological outcomes of MPIF and also KWIF for the treatment of unstable metacarpal fractures; and to determine which fixation method [Kirschner wire or mini plates] provides the best functional and radiological outcome in the treatment of metacarpal fractures. Patients and Methods: This prospective interventional investigation was performed at the Al-Azhar university Hospital in Damietta, in the department of orthopedic surgery. This study was conducted on 40 patients with unstable metacarpal fractures. Results: There were statistically significant variations among the two groups regarding operative time [minutes], blood loss [milliliters] & hospital stay [day]. The hand grip, DASH, and TAF scores did not differ significantly among the two groups. There was no statistically significant variation in result among the two groups. In regards to complications, there was not a significant distinction among both groups examined. Conclusion: In the treatment of unstable metacarpal fractures, both the Kirschner wire and the Mini Plate proved to be reliable options. Kirschner Wire was related with much less operating time, shorter hospital stay, reduced blood loss, and quicker union time, despite the fact that both procedures had comparable functional outcomes and complication rates.