Functional outcome of closed metacarpal shaft fractures managed by low-profile miniplate osteosynthesis: A prospective clinical study

BACKGROUND: Fractures of the metacarpal bones of the hand are one of the most frequently encountered orthopedic injuries constituting between 14% and 28% of all visits to the hospital. They can be treated conservatively or surgically depending on the nature of injuries, fracture pattern, and the fracture stability.OBJECTIVES: This study was done to assess the functional outcome of metacarpal fractures managed by low-profile miniplate fixation.METHODS: Thirty patients with closed metacarpal shaft fractures were managed by open reduction and internal fixation with mini fragment plate fixation in our hospital between 2012 and 2015. Radiographs of affected hand both anteroposterior and lateral views were obtained before surgery, after surgery, and at follow-ups. Early active motion was begun in all cases postoperatively. Patients were permitted to use their hands in daily activities 4 weeks after surgery. For objective assessment, total range of joint motion was measured. Rotational deformity of the fingers was assessed.RESULTS: There were 24 male and 6 female patients. The mean age was 30 years. Transverse fracture pattern was the most common. Nearly 70% of cases had an excellent result, 20% patients with good results, and 10% had a fair result. Finger stiffness was the most frequently encountered complication.CONCLUSION: Open reduction and low profile miniplate fixation in metacarpal fractures obtain an anatomical and stable reduction, fracture union, and early mobilization to avoid the loss of function