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Subject Area

Public Health

Article Type

Original Study

Abstract

Objectives The aim of this study was to evaluate the results of bouquet technique in fixation of metacarpal subcapital, neck, or shaft fractures regarding fixation stability and functional and radiological outcomes. Background Metacarpal subcapital, neck, or shaft fractures can be managed conservatively or operatively depending on fracture pattern and stability. Patients and methods A follow-up study in Boulak Eldakror Allgemein Hospital from July 2014 to February 2016 was conducted. Thirty cases of unstable metacarpal fractures were managed by antegrade intramedullary K-wires fixation and were documented and evaluated radiographically and functionally with follow-up for 6 months. Result Thirty cases were enrolled in this study. Fracture union was achieved in all cases at the mean of 5 weeks. At the last visit (6 months postoperatively), the total active motion score for 30 patients ranged from 170° to 260°, with mean of 222°. Normal score of 260°, with good functional and completely powerful hand, was recorded in three patients. The range of grip strength was 60–100%, with the mean of 86% compared with the healthy side. The range for Quick-DASH scores for 30 patients was from 15.9 to 0.0. Score 0 with sound union was recorded in 12 patients. Conclusion Antegrade intramedullary K-wires fixation in this study showed good functional and radiographic results with fewer complications.

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