Early Results of Bouquet Technique in Treatment of Metacarpal Fractures

Abstract

Introduction: Metacarpal fractures are frequent, and many of them can be managed non-surgically with the proper reduction and immobilisation. As with any hand fracture, the major goals are to achieve anatomic and stable reduction, bone union, and early mobilisation. Objective: The aim of the present study was to evaluate the outcome of bouquet technique in management of unstable metacarpals fractures as isolated or multiple shaft metacarpal fractures, irreducible or unstable fracture, greater than 30 degree fracture angulation, greater than 10 degree rotational deformity, and extensive (more than 5 mm) metacarpal shortening. Patients and methods: A prospective follow up study was carried out on 20 patients with metacarpal factures, managed

The study outcome of bouquet technique for the management of displaced boxer's fracture

“…Fracture reduction is done under image intensifier guidance; rotation is corrected by rotation the little finger and the wires are further advanced up to the subchondral bone. 19 While advancing, the wires are also rotated so that their tips engage different quadrants of fifth metacarpal head from within, thus providing stability. Subsequently 3 wires are used.…”