Unstable fractures of the metacarpals A method of treatment by transverse wire fixation to intact metacarpals

Abstract

Abstract Sixty-six cases of unstable metacarpal fractures treated by percutaneous insertion of transverse K-wires to adjacent intact metacarpals have been reviewed. The technique is simple and effective and worthy of a wider appreciation of its merits. It is recommended that where possible at least one K-wire should be introduced into each side of the fracture and that the power drill should be used. No serious complication of the technique has occurred in the cases reviewed. In particular there has been no case of delayed or non-union. The functional results were excellent. There appeared to be a much higher incidence of persistent pain and weakness where there had been incomplete correction of deformity at the fracture site.