Please read Dr. Shah’s article HAND titled, “Comparison of Intramedullary Screw Fixation, Plating, and K-Wires for Metacarpal Fracture Fixation: A Meta-Analysis.“
Metacarpal fractures constitute one of the most common upper extremity injuries seen in emergency departments.A 5-year epidemiological study from 2012 that analyzed the National Electronic Injury Surveillance System database found the incidence of metacarpal fractures in the United States to be 13.6 per 100 000 persons, with fractures of the second through fifth metacarpals being the most common, predominantly amongst men ages 18 to 40 years. Management of metacarpal fractures is guided by the degree of angular deformity, shortening, and functional status of the patient. Surgical management is reserved for those who present with unstable fractures, fractures with associated soft tissue compromise or bone loss, metacarpal length shortening, rotational deformity, and multiple fractures.To read the full article.
Comparison of Intramedullary Screw Fixation, Plating, and K-Wires for Metacarpal Fracture Fixation: A Meta-Analysis. DelPrete CR, Chao J, Varghese BB, Greenberg P, Iyer H, Shah A. Hand (N Y). 2024 Feb 27:15589447241232094. PMID:38411136 DOI: 1177/15589447241232094