title: Outcome of closed ipsilateral metacarpal fractures treated with mini fragment plates and screws: a prospective study.
abstract: BACKGROUND
  Closed multiple metacarpal fractures are considered highly unstable and are more prone to poor functional outcome. The authors assess the functional outcome of mini fragment plate fixation in closed ipsilateral multiple metacarpal fractures.
  
  
  METHODS
  In 21 patients with closed ipsilateral multiple metacarpal fractures treated with open reduction and internal fixation using mini fragment plate, functional outcome was assessed using the American Society for Surgery of the Hand (ASSH) Total Active Flexion (TAF) score and the Disabilities of the Arm, Shoulder, and Hand (DASH) scoring system.
  
  
  RESULTS
  Union rate of 100% was achieved. Functional outcome was excellent in 85.71% (18 of 21) and good in 9% (2 of 21) of patients. Average DASH score was 8.47 (range 1-26). Five cases of infection (two deep, three superficial) were reported, which subsided with dressings and antibiotics.
  
  
  CONCLUSIONS
  Plate fixation is a good option for treating closed ipsilateral multiple metacarpal fractures, providing rigid fixation for early mobilization and good functional outcome.
authors.affiliation: Department of Orthopedics, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. asoniortho@gmail.com
authors.forename: Ashwani
authors.initials: A
authors.lastname: Soni
authors.forename: Anmol
authors.initials: A
authors.lastname: Gulati
authors.forename: J L
authors.initials: JL
authors.lastname: Bassi
authors.forename: Daljit
authors.initials: D
authors.lastname: Singh
authors.forename: Uttam Chand
authors.initials: UC
authors.lastname: Saini
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D017102:Fracture Healing; D005596:Fractures, Closed / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D050279:Metacarpal Bones / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D008904:Miniaturization; D011446:Prospective Studies; D011474:Prosthesis Design; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
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