Circumosseous wire fixation for metacarpal fractures: an old method revisited

Authors

  • Anil Malik Department of Plastic Surgery, Command Hospital, Chandimandir, Haryana, India http://orcid.org/0000-0003-1515-2122
  • Parvesh Malik Department of Plastic Surgery, Command Hospital, Chandimandir, Haryana, India
  • Vijay Kumar Pandey Department of Plastic Surgery, Command Hospital, Chandimandir, Haryana, India
  • Dev Jyoti Sharma Department of Plastic Surgery, Command Hospital, Chandimandir, Haryana, India
  • Kumar Pushkar Department of Community Medicine, Command Hospital, Wanowrie, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20205666

Keywords:

Metacarpal, Fracture, Circumossoeus wiring

Abstract

Background: Different methods are in use for fixation of metacarpal fractures. Krischener wire and titanium miniplates are most commonly used methods. Both these methods require special & sophisticated instruments. In this study, we have used a dental wire in circumosseous fashion to fix the metacarpal fractures.

Methods: In the study, we included all the fracture of metacarpals with operative indication. K-wire, minilplate system and circumosseous dental wire methods were used randomly.

Results: The results were compared in term of immediate post-operative complications & functional recovery in form of ability of fist formation at 06 weeks. All the three methods were found comparable, in fact in this study the results of fractures treated with circumosseous wiring were appreciable and significantly better.

Conclusions: Circumossoeus use of dental wire can be an alternate method of metacarpal fracture fixation.

Author Biographies

Anil Malik, Department of Plastic Surgery, Command Hospital, Chandimandir, Haryana, India

Plastic Surgery

Parvesh Malik, Department of Plastic Surgery, Command Hospital, Chandimandir, Haryana, India

Plstic Surgery

Vijay Kumar Pandey, Department of Plastic Surgery, Command Hospital, Chandimandir, Haryana, India

Plastic Surgery

Dev Jyoti Sharma, Department of Plastic Surgery, Command Hospital, Chandimandir, Haryana, India

Plastic Surgery

Kumar Pushkar, Department of Community Medicine, Command Hospital, Wanowrie, Pune, Maharashtra, India

Plastic surgery

References

Chung KC, Spilson SV. The frequency and epidemiology of hand and forearm fractures in the United States. J Hand Surg. 2001;26:908-15.

Gudmundsen TE, Borgen L. Fractures of the fifth metacarpal. Acta Radiol. 2009;50:296-300 .

Kollitz KM, Hammert WC, Vedder NB, Huang JI. Metacarpal fractures: treatment and complications. Hand. 201;9(1):16-23.

Debnath UK, Nassab RS, Oni JA, Davis TRC. A prospective study of the treatment of fractures of the little finger metacarpal shaft with a short hand cast. J Hand Surg. 2004;29B:214-7.

Al-Qattan MM. Metacarpal shaft fractures of the fingers: treatment with interosseous loop wire fixation and immediate postoperative finger mobilisation in a wrist splint. J Hand Surg. 2006;31B:377-82.

Bruser P, Krein R, Larkin G. Fixation of metacarpal fractures using absorbable hemi-cerclage sutures. J Hand Surg. 1999;24B:683-7.

Crawford GP. Screw fixation for certain fractures of the phalanges and metacarpals. J Bone Joint Surg. 1976;58A:487-92.

Faraj AA, Davis TRC). Percutaneous intramedullary fixation of metacarpal shaft fractures. J Hand Surg. 1999;24B:76-9.

Gonzalez MH, Igram CM, Hall RF. Flexible intramedullary nailing for metacarpal fractures. J Hand Surg. 1995;20A:382-7.

Greene TL, Noellert RC, Belsole RJ, Simpson LA. Composite wiring of metacarpal and phalangeal fractures. J Hand Surg. 1989;14A:665-9.

Gropper PT, Bowen V. Cerclage wiring of metacarpal fractures. Clinic Orthoped Relat Res. 1984;188:203-7.

Haas SB, Savage RC. Metacarpal fracture fixation with interosseous nylon suture in a patient with metal allergies. J Hand Surg. 1989;14A:107-10.

Mennen U. Metacarpal fractures and the clamp-on plate. J Hand Surg. 1990;15B:295-8.

Puckett CL, Welsh CF, Croll GH, Concannon MJ. Application of maxillofacial miniplating and microplating systems to the hand. Plast Reconstruct Surg. 1993;92:699-707.

Bach HG, Gonzalez MH, Hall RF. Locked intramedullary nailing of metacarpal fractures secondary to gunshot wounds. Journal of Hand Surg. 2006;31A:1083-7.

Diao E. Metacarpal fixation. Hand Clinics. 1997;13:557-71.

Koch SL. Disabilities of hand resulting from loss of joint function. J Am Medic Assoc. 1935;5;104(1):30-5.

Müller ME, Perren SM, Allgöwer M, Müller ME, Schneider R, Willenegger H. Manual of internal fixation: techniques recommended by the AO-ASIF group. Spring Sci Busin Med. 1991.

Al-Qattan MM. The Use of a Combination Of Cerclage And Unicortical Interosseous Loop Dental Wires For Long Oblique/Spiral Metacarpal Shaft Fractures. J Hand Surg. 2008;33E:6:728-31.

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Published

2020-12-28

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Original Research Articles