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Comparison of Miniplate and K-wire in the Treatment of Metacarpal and Phalangeal Fractures

Introduction Metacarpal and phalangeal fractures are common upper limb fractures due to direct blows, axial loading, and torsional loading injuries. The universal goal in treating all fractures for the patient to achieve normal motion, but the ideal technique for stabilization is still debated. For...

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Autores principales: Ahmed, Zulfiqar, Haider, Muhammad Imran, Buzdar, M Iqbal, Bakht Chugtai, Babar, Rashid, Majid, Hussain, Nazar, Ali, Farman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083253/
https://www.ncbi.nlm.nih.gov/pubmed/32211271
http://dx.doi.org/10.7759/cureus.7039
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author Ahmed, Zulfiqar
Haider, Muhammad Imran
Buzdar, M Iqbal
Bakht Chugtai, Babar
Rashid, Majid
Hussain, Nazar
Ali, Farman
author_facet Ahmed, Zulfiqar
Haider, Muhammad Imran
Buzdar, M Iqbal
Bakht Chugtai, Babar
Rashid, Majid
Hussain, Nazar
Ali, Farman
author_sort Ahmed, Zulfiqar
collection PubMed
description Introduction Metacarpal and phalangeal fractures are common upper limb fractures due to direct blows, axial loading, and torsional loading injuries. The universal goal in treating all fractures for the patient to achieve normal motion, but the ideal technique for stabilization is still debated. For internal fixation, Kirschner wires (K-wires) or miniplates can be used, and each carries certain advantages. No previous study has compared K-wire use to miniplate use in treating metacarpal and phalangeal fractures. Therefore, we conducted this randomized control trial to evaluate the outcomes of K-wire and miniplate use in treating metacarpal and phalangeal fractures. Materials and methods This randomized controlled trial was conducted in the Department of Orthopaedic Surgery, Bahawal Victoria Hospital, from February 2017 to February 2018. Seventy-five patients were included in this study and randomly assigned into two groups. One group was treated with K-wire fixation, and the other group was treated with miniplate fixation. We assessed total active motion (TAM), range of motion (ROM), duration of injury, and complication rate. Data were analyzed using IBM SPSS Statistics for Windows, Version 23.0 (Armonk, NY: IBM Corp). P values ≤ 0.05 were considered significant. Results Mean surgical time, pain scale, and time of union of K-wire treated patients was 38.63±3.64 minutes, 4.17±1.11, and 12.95±3.38 weeks, respectively. The success of the union was noted in 38 K-wire patients (95%). Total active ROM was greater in miniplate fixation patients compared with K-wire treated patients, but this difference was statistically significant. Similarly, TAM was also greater in the miniplate fixation patients compared to the K-wire treated patients, but this difference was also not statistically significant. Conclusion Both K-wire fixation and miniplate fixation are equally effective in terms of TAM, ROM, and complications when used to treat metacarpal and phalangeal fractures.
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spelling pubmed-70832532020-03-24 Comparison of Miniplate and K-wire in the Treatment of Metacarpal and Phalangeal Fractures Ahmed, Zulfiqar Haider, Muhammad Imran Buzdar, M Iqbal Bakht Chugtai, Babar Rashid, Majid Hussain, Nazar Ali, Farman Cureus Orthopedics Introduction Metacarpal and phalangeal fractures are common upper limb fractures due to direct blows, axial loading, and torsional loading injuries. The universal goal in treating all fractures for the patient to achieve normal motion, but the ideal technique for stabilization is still debated. For internal fixation, Kirschner wires (K-wires) or miniplates can be used, and each carries certain advantages. No previous study has compared K-wire use to miniplate use in treating metacarpal and phalangeal fractures. Therefore, we conducted this randomized control trial to evaluate the outcomes of K-wire and miniplate use in treating metacarpal and phalangeal fractures. Materials and methods This randomized controlled trial was conducted in the Department of Orthopaedic Surgery, Bahawal Victoria Hospital, from February 2017 to February 2018. Seventy-five patients were included in this study and randomly assigned into two groups. One group was treated with K-wire fixation, and the other group was treated with miniplate fixation. We assessed total active motion (TAM), range of motion (ROM), duration of injury, and complication rate. Data were analyzed using IBM SPSS Statistics for Windows, Version 23.0 (Armonk, NY: IBM Corp). P values ≤ 0.05 were considered significant. Results Mean surgical time, pain scale, and time of union of K-wire treated patients was 38.63±3.64 minutes, 4.17±1.11, and 12.95±3.38 weeks, respectively. The success of the union was noted in 38 K-wire patients (95%). Total active ROM was greater in miniplate fixation patients compared with K-wire treated patients, but this difference was statistically significant. Similarly, TAM was also greater in the miniplate fixation patients compared to the K-wire treated patients, but this difference was also not statistically significant. Conclusion Both K-wire fixation and miniplate fixation are equally effective in terms of TAM, ROM, and complications when used to treat metacarpal and phalangeal fractures. Cureus 2020-02-19 /pmc/articles/PMC7083253/ /pubmed/32211271 http://dx.doi.org/10.7759/cureus.7039 Text en Copyright © 2020, Ahmed et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Ahmed, Zulfiqar
Haider, Muhammad Imran
Buzdar, M Iqbal
Bakht Chugtai, Babar
Rashid, Majid
Hussain, Nazar
Ali, Farman
Comparison of Miniplate and K-wire in the Treatment of Metacarpal and Phalangeal Fractures
title Comparison of Miniplate and K-wire in the Treatment of Metacarpal and Phalangeal Fractures
title_full Comparison of Miniplate and K-wire in the Treatment of Metacarpal and Phalangeal Fractures
title_fullStr Comparison of Miniplate and K-wire in the Treatment of Metacarpal and Phalangeal Fractures
title_full_unstemmed Comparison of Miniplate and K-wire in the Treatment of Metacarpal and Phalangeal Fractures
title_short Comparison of Miniplate and K-wire in the Treatment of Metacarpal and Phalangeal Fractures
title_sort comparison of miniplate and k-wire in the treatment of metacarpal and phalangeal fractures
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083253/
https://www.ncbi.nlm.nih.gov/pubmed/32211271
http://dx.doi.org/10.7759/cureus.7039
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