Open Access“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases
Author(s) -
Fayaz Memon,
Hemant Patankar,
Abdul Malik Nagori
Publication year - 2018
Publication title -
international journal of biomedical research
Language(s) - English
Resource type - Journals
eISSN - 2455-0566
pISSN - 0976-9633
DOI - 10.7439/ijbr.v9i5.4663
Subject(s) - medicine , radiological weapon , surgery , radiography , metacarpal bones , reduction (mathematics) , soft tissue , numerical digit , geometry , mathematics , arithmetic
Background: Fifth metacarpal neck fractures, also known as Boxer’s fractures, commonly occur as a result of axial impact on a clenched fist. There is no agreement over the optimum management of undisplaced boxers fracture. We present the results of treatment by a Bouquet technique, described by Foucher in 143 consecutive cases of displaced fifth metacarpal neck fractures.Methods: We retrospectively reviewed our records for 143 consecutive cases of fifth metacarpal neck fractures treated with Bouquet technique. Clinical and radiological evaluation was done at 6 weeks, 12 weeks and 6 months. Total active motion of the fifth digit, radiography and complications if any were noted.Results: Of 143 cases, there were 113 cases with closed reduction and 30 with open reduction. Radiological union was achieved in 140 cases. Remaining 3 were lost to follow up. Good to excellent result was achieved in 95% cases. Seven cases developed bursitis at the K-wire entry site which required k-wire removal.Conclusion: The technique of flexible antegrade intramedulary nailing of fifth metacarpal neck fractures is simple, safe, soft tissue sparing, minimally invasive technique giving excellent functional and cosmetic results with minimal complications.