Surgical Evaluation of Fixation of Hand Metacarpals Fractures With K-wires

Surgical Evaluation of Fixation of Hand Metacarpals Fractures With K-wires

different techniques have been described forfracture fixation ofmetacarpals fracture withk-wires being the most described technique as it is minimally invasive methodsfor metacarpals fractures in this research ,we are aimingto evaluate k-wire fixation of metacarpal fracture to optimize the clical outcome as regardsto the degree of stiffnessas avouding the impairment of the gluding tissue of the fingers

hand fractures is about 19%of all fractures k-wires fixation is the most frequently method operative procedure which provide operative stability,early mobilization and excellent functional results primary option for fixation of theses fractures include k-wires ,plateand screws and more recently headless intramedullay compression scres and Bouquet k -wire technique Aim of work fir evaluation of the clinical,functional and radiological outcome of metacarpals fractures fixed by k -wires with variious techniques as antigrade intramedullay k-wires,transverse pinning of unstable displaced shaft and neck fractures.

also direct orif for intra articular head fractures Materials and Methods we are analyzing all patients with metacarpals fractures except patients abnormal hands fuctions before injury procedure done under general anesthesia ,brachial plexus block and wrist block outcome and evaluation handgrip strength 3 month after surgery Geniometer for range of motion AP ,Lateral and oblique radiograph

Inclusion Criteria:

• all patients with metacarpal fracture

Exclusion Criteria:

• patients with abnormal hand function before surgery