Comparative Study Between Results of Fixation of Unstable Metacarpal Fractures Using Bouquet Technique Versus Mini-plate and Screws

Document Type : Original Research Papers

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Orthopedic Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Abstract

Metacarpal fractures are difficult to treat since there is no clear evidence on the optimal course of action. The goal of this research was to compare the clinical and radiological outcomes of displaced metacarpal fractures treated with an antegrade intramedullary nail (Bouquet procedure) vs a low-profile micro plate. Methods: A total of 20 metacarpal fractures were deemed surgically fixable, and 10 were treated using the Bouquet approach (antegrade intramedullary nailing) (group I), whereas the other 10 were treated using the low profile micro plate (group II). For one year, all patients were followed up on subjective and objective criteria (PVAS, Q-DASH, grip strength TAM, blesky score radiography (union and residual deformity), complications, operational time, and time to union) to evaluate the success of the procedure. Time to radiological union was not significantly different between PVAS, Q-DASH, and TAM. Remaining malformations or grip strength blesky score In the k-wire group, operative time and time off work were dramatically reduced. It was found that antegrade intramedullary K-wire nailing (Bouquet technique) was superior for the management of unstable metacarpal fractures because it required less operative time and anaesthesia. A low-cost, low-tech solution that does not upset the fractured biosphere.

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