Treatment of unstable metacarpal fractures by miniplate and screws

The goals of this study are to evaluate usefulness of open reduction and internal fixation with miniplate and screws in unstable metacarpal fractures. In the series 24 patients (23 males and 1 female), with mean age of 26 years (range: 18-34 years) were having unstable metacarpal fractures, treated with miniplate and screws. Clinicoradiological follow-up after surgery was done at 4, 6 and 8 weeks and monthly for next 6 months.Metacarpal fractures were predominantly seen in the dominant hand. The second metacarpal is the commonest site with male preponderance. Results were assessed in terms of union at fracture site and it was found that all metacarpal fractures were united clinicoradiologically with good functional recovery. In 6 cases implants were removed after 8 months. Twenty patients were followed up for 8 months, none developed infection or deformity or restriction of movements of fingers while 4 patients did not turn up for follow-up after 8 weeks. The results of this procedure were highly encouraging. Fixation of unstable metacarpal fracture with miniplate and screws is a demanding procedure. This procedure provides rigid and stable fixation, achieves anatomical reduction, early mobilization and restoration of functions.