Retrospective analysis of Intramedullary K-Wire fixation of Metacarpal Fractures

  • Dr. Sunil Kumar Kirar Senior Resident, Department of Orthopaedics, ABV Government Medical College, Vidisha, Madhya Pradesh, India
  • Dr. Sanjay Upadhyay Assistant Professor, Department of Orthopaedics, ABV govt medical college, Vidisha, Madhya Pradesh, India
  • Dr. Sanat Singh Associate Professor, Department of Orthopaedics, ABV Government Medical College, Vidisha, Madhya Pradesh, India
  • Dr. Atul Varshney Professor & HOD, Department of Orthopaedics, ABV Government Medical College, Vidisha, Madhya Pradesh, India
Keywords: Metacarpal, Flexion, Extension, Rotation, K-wire


Introduction: The majority of fractures of the metacarpal bones occur at a young age. Most of the times these metacarpal fractures can be treated conservatively in a POP slab (cock up slab) producing good functional results. Surgery was indicated in patients with palmar dislocation of >30° and shortening of >5 mm. Our study aimed to evaluate the clinical results of all metacarpal fractures treated surgically by intramedullary Kirschner-wire fixation presented in our hospital.

Materials and Methods: It was a retrospective study in which we included 50 patients with metacarpal fractures(both open andclosed) that came in our hospital, treated surgically by closed reduction and were fixed with two intramedullary k-wires.

Result: K-wires were removed after 4 weeks postoperatively,under local anaesthesia in the OPD. Metacarpal joint functions (flexion, extension, rotation) were clinically followed up in all patients, on the median periodof6 months (3 months to 9 months). In our study, we found in all patients,flexion and extension were normal on both sides.

Conclusion: Closed reduction and intramedullary k-wire fixation of metacarpal bone fractures produce good functional results in the longterm. We found a very low rate of complication and thus recommendthis surgical method for the stabilization of all these types of fractures.


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Author Biographies

Dr. Sanat Singh, Associate Professor, Department of Orthopaedics, ABV Government Medical College, Vidisha, Madhya Pradesh, India

Associate Professor (Orthopaedics) ,  ABV GMC Vidisha

Dr. Atul Varshney, Professor & HOD, Department of Orthopaedics, ABV Government Medical College, Vidisha, Madhya Pradesh, India

Professor & HOD (Orthopaedics) , ABV GMC Vidisha


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DOI: 10.17511/ijoso.2021.i02.05
Published: 2021-04-30
How to Cite
Dr. Sunil Kumar Kirar, Dr. Sanjay Upadhyay, Dr. Sanat Singh, & Dr. Atul Varshney. (2021). Retrospective analysis of Intramedullary K-Wire fixation of Metacarpal Fractures. Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 7(2), 22-27.
Original Article