Comparison of Intramedullary Nailing Versus Plate-Screw Fixation of Extra-Articular Metacarpal Fractures

Antegrade intramedullary Kirschner-wire fixation of displaced metacarpal shaft fractures

“…The results of these PROMs with a mean DASH of 5 and a mean PRWHE of 7 show that the functional outcome of this technique is excellent. This is in line with the two other studies found measuring PROMs for intramedullary fixation of metacarpal fractures in general; Ozer et al measured a mean DASH score of 9.5 (range 1-26) after 3 months and Schädel-Höpfner et al for the fifth metacarpal neck fractures and measured a mean DASH score of only 0.8 (range 0-15) after 17 months [17,18]. Nevertheless, using both PRWHE and the DASH questionnaire, as is done in our study, gives an even more precise idea of the functional outcome than shown in the existing literature.…”

Metacarpal Fractures: Treatment and Complications

“…IM nailing required hardware removal and loss of fixation was more common; however, the two treatment groups were not of equal sizes and definitive conclusions regarding complication rates could not be drawn [35]. Facca et al prospectively compared locking plates to IM Kwire fixation of closed, isolated, displaced fifth metacarpal fractures [14].…”

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

“…Plate fixation is used in comminuted metacarpal fractures. [1,2,11,16,17,20,[26][27][28] A stable fixation allows for passive and active movements in intrinsic muscles affected by the trauma, significantly improving hand functions. Preservation of the anatomic reduction prevents rotational deformity.…”

“…Preservation of the anatomic reduction prevents rotational deformity. [11,24,27] In patients treated with plate and screw osteosynthesis, an adequate stability was achieved and early motion was initiated. All patients returned to their preinjury occupations, and none had angulation or rotational deformities.…”