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Introduction & Objectives: Nowhere in the body, the form and function are so closely related to each otherthan in hand. Too often these fractures, treated as minor injuries result in major disabilities. Metacarpalfractures comprise between 18–44% of all hand fractures. While many metacarpal fractures do well withoutsurgery, Proper preoperative plannin, surgical intervention wherever needed at a center with backing ofequipment and implants with the application of the principles of biological fixation, rigid enough, aids inachieving stable fractures and the ability to allow early mobilization resulting in a good functional outcome.The aim of this study was to compare the outcome between JESS and K wire fixation techniques for extraarticularfractures of the metacarpals.Materials and Methods: 60 patients were allocated into two groups (Group A - 30 & Group B - 30), GroupA underwent K-wire fixation and Group B underwent JESS fixation. Outcomes were measured based onStability of fixation, tenderness at fracture site, Pin tract infection, Residual fixation, ROM achieved, Wristand Mayo score, DASH score and VAS scoring system.Results: Parameters such as the stability of fixation, incidence of pin tract infections, recovery of goodrange of motion and the outcome was found to be 90%, 20%, 50% (in case of extension) and 83.67% (incase of flexion) and 60%(excellent outcome) respectively in Group B patients who were treated with JESSfixation.Conclusion: The results of this randomized comparative study showed that JESS fixation was moreeffective than K-wire fixation in treatment of Extra-articular metacarpal fractures, with emphasis to beprovided on regular pin tract dressings and early and effective post-operative mobilization of the joints.Keywords: JESS, K-wire, Extra-articular metacarpal fractures.

indian journal of orthopaedics surgery

A comparative study of the anatomical and functional outcome between Joshi’s External Stabilization System and Kirschner wire fixation technique for Extra-articular Metacarpal fracture