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Background: Metacarpal and phalangeal bones are proneto injury in daily work and life and hand fractures accountfor about 1.5% of all emergency room visits. Problems associatedwith those fractures relate to shortening, rotation, anddorsal apex angulation. If closed methods of treatment fail toachieve or maintain reduction, surgery could be used. Obliqueand spiral fractures are prone to mal-rotation so operativefixation could be necessary. Commonly used surgical techniquesare Kirschner-wire, miniplate, and screw fixations.Biodegradable materials such as Polyglycolic acid (PGA) andPoly-L-lactic acid (PLA) implants have been widely used forhand fracture fixation including pins, rods, screws and plates.Patients and Methods: In this study, we compare theresults of fixation of metacarpal fractures by titanium metalplates (group A) with the results of biodegradable plates(group B). This study involved twenty patients who presentedwith metacarpal and phalangeal fractures who presented tothe Plastic Surgery Department of Minia University Hospitalbetween March 2016 and December 2016. Surgical procedurewas performed under local intravenous or general anaesthesia.We followed cases for 6 months postoperatively.Results: Mean age = 38.9±14.9 and 35.7±13.1 years oldfor group A and B respectively. 13 patients were males and7 were female. Operative time in group A was 55±19.4 minuteswhile in group B, it was 84.5±21.2 minutes. In group A, totalrange of motion was 234±15.05 degrees while in group B, itwas 133±17.02 degrees as measured by goniometer. In groupA, time for union was 7.5±1.7 weeks while in group B,unfortunately no union occurred. In group A, one case (10%of cases) was complicated with delayed union and anothercase of infection (10% of cases), while in group B all caseswere complicated with non-union and fracture displacementwhich forced us to replace with K-wire fixation.Conclusion: In this series of metacarpal and phalangealfractures treated with titanium or biodegradable plates andscrews, titanium plates (group A) showed more favorableoutcomes. The stable bony construct achievable by usingtitanium plates and screws (group A) is the key to goodfunctional results compared with the bad results using biodegradableplates and screws (group B). Further studies arerequired.Disclosure: The authors have no financial interest todeclare in relation to the content of this articl

Biodegradable Plates Versus Titanium Mini-Plates for Fixation of Metacarpal and Phalangeal Fractures