Archives of International Surgery

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 4  |  Issue : 3  |  Page : 136--140

Comparative study of open reduction and internal fixation in fractures of metacarpal and proximal phalanx with Kirschner俟Q製 wire and miniplate


Kavin Khatri1, Darsh Goyal2, Deepak Bansal3, Harminder S Sohal4 
1 Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India
2 Department of Orthopaedics, Sports Injury Centre, Safdarjung Hospital, New Delhi, India
3 Department of Orthopaedics, Employee's State Insurance Hospital, Ludhiana, India
4 Department of Orthopaedics, Guru Nanak Dev Hospital, Amritsar, Punjab, India

Correspondence Address:
Dr. Kavin Khatri
Room no 311, doctor俟Q製 hostel, JPNATC-AIIMS, Safdarjung enclave, New Delhi - 110 029
India

Background: There is a rising trend in the use of miniplates over Kirschner俟Q製 wire for treating hand fractures. The improved system of internal fixation by miniplates has many advantages over the Kirschner俟Q製 wire. The purpose of this prospective study was to evaluate the differences between these two commonly used methods of internal fixation in fractures of proximal phalanges and metacarpals in terms of radiological union and functional outcome. Patients and Methods: The study included a total of 40 patients with a mean age of 35.72 years. The patients excluded from the study included those with a compound injury, severe osteoporosis, and severe co-morbid conditions. The patients were divided into two groups (Group A - treated with Kirschner俟Q製 wire and Group B - treated with miniplate) with 20 cases each. The outcomes of treatment were compared in the two groups using Student俟Q製 t-test and chi-square test. Results: The average time for radiological union in Group A (Kirschner俟Q製 wire) was 8 weeks, while it was 8.7 weeks in Group B (miniplate). There was no statistically significant difference in the radiological union time between the two groups (P = 0.464, chi-square = 1.532). Stiffness was the most common associated complication in this study. It was more common in the group treated with Kirschner俟Q製 wire (30%) compared to the group treated with mini fragment plating (20%). In Group A, 75% of cases had shown good to excellent results; while in Group B, 85% of the cases had similar result. There was no statistically significant difference (P = 0.737, chi-square = 1.268) in outcome in both groups. Conclusions: Both Kirschner俟Q製 wire and miniplate are good methods of internal fixation in fractures of metacarpal and proximal phalanx. Though patients who were treated with miniplating had better functional results, but the difference was not statistically significant.


How to cite this article:
Khatri K, Goyal D, Bansal D, Sohal HS. Comparative study of open reduction and internal fixation in fractures of metacarpal and proximal phalanx with Kirschner's wire and miniplate.Arch Int Surg 2014;4:136-140


How to cite this URL:
Khatri K, Goyal D, Bansal D, Sohal HS. Comparative study of open reduction and internal fixation in fractures of metacarpal and proximal phalanx with Kirschner's wire and miniplate. Arch Int Surg [serial online] 2014 [cited 2024 Mar 29 ];4:136-140
Available from: https://www.archintsurg.org/article.asp?issn=2278-9596;year=2014;volume=4;issue=3;spage=136;epage=140;aulast=Khatri;type=0