الفهرس 
Introductionيوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
SUMMARY
M
etacarpal bone fractures are one of the commonest orthopedic injuries. Metacarpal fractures may be complicated by deformity from neglecting treatment, stiffness from overtreatment, and both deformity and stiffness from mal-treatment.The differences in the clinical outcomes of closed reduction and percutaneous fixation and open reduction with internal fixation (ORIF) using plate and screws in the treatment of metacarpal bone fractures are crucial to be investigated.
Therefore, the aim of the present study was to evaluate the clinical and radiological outcomes after open reduction and fixation of metacarpal fractures with mini-plates versus closed reduction and internal fixation with K-wires.
This prospective comparative study included 20 patients with metacarpal fracture, they were divided into two groups; group A was reduced by closed methodwith K-wires and group B was treated by ORIF with mini-plates. They were recruited and assessed for eligibility from Orthopaedic Surgery Department, Faculty of Medicine, Beni-suef University.
Regarding the demographic data in all patients, our results indicated that the mean age of the recruited patients was 33.30 years old and that 75% of patients were males and 25% were females. The present study revealed no statistically significant difference between both types of fixation regarding the demographic data including gender and age (P value>0.05) and side affected among type of fixation (P value>0.05).
Concerning the malunion and nonunion among type of fixation, the present study indicated that more patients (30% of patients) treated with Mini-plate have malunion and 10% have non-union compared with patients treated with K-wire who showed less malunion incidence (10%) and the non-union occurred in 10% of patients, however, such differences were statistically non-significant (P value>0.05).
Regarding the range of motion among type of fixation, our results revealed that 10% of patients either treated with K-wire or mini-plate showed decreased range of motion.
Moreover, regarding the incidence of infection among the studied groups, the present results indicated that about 30% of patients treated with mini-plate experienced infection compared with no infection detected among patients treated with K-wire, however, such difference was statistically non-significant (P value>0.05).
Regarding the frequency of chronic pain and instability among type of fixation, the present study demonstrated that there was no significant difference in chronic pain in miniplate fixation or K-wire fixation, and no instability in miniplate fixation compared to K-wire fixation.
Additionally, regarding hardware removal among type of fixation, the present study shown a statistically significant increase in hardware removal among patients treated with K-wire (100%) compared with mini-plate (20%) (P value<0.001).
Concerning DASH score among type of fixation, the present study revealed higher score among patients treated with K-wire compared with mini-plate (80.60±14.84; 78.8±15.68), however, such difference was statistically non-significant (P value>0.05).