K-Wires Fixation Versus Plating In Metacarpal And Phalangeal Fractures: A Randomized Control Trial To Compare The Range of Motion After These Modes Of Treatment
Journal Title: Isra Medical Journal - Year 2018, Vol 10, Issue 2
Abstract
OBJECTIVE: To compare the mean range of motion after internal fixation of metacarpal and phalangeal fractures with k-wire fixation versus plating. STUDY DESIGN: A Randomized Controlled Trial. PLACE AND DURATION: At Department of Orthopaedic, Benazir Bhutto Hospital, Rawalpindi, Pakistan for a duration of one year from 16th January 2015 to 15th January 2016. METHODOLOGY: One hundred and ninety-two patients were included in the study. All Patients with metacarpal and phalangeal fractures were divided into two groups; A (K- wiring) and B (Plating). Group A patients were treated by k-wires and plating was done in Group B. Patients were assessed by range of motion using goniometer at follow-up visits; initially weekly and then fortnightly until the final evaluation at 03 months. RESULTS: Range of motion was excellent in 46.8% cases, good in 44.7% cases, fair in 4.1% cases and poor in 4.1% cases in plate and screw fixation group, and was excellent in 35.4% cases, good in 39.5% cases, fair in 20.8% and poor in 4.1 % cases of k-wiring (p=o.12). CONCLUSION: K-wire fixation and plating are equally effective in the management of metacarpal and phalangeal fractures. KEY WORDS: Fracture, Metacarpals, Hand Injuries, k-wiring, plating, range of motion. HOW TO CITE THIS: Ahmad T, Khan J, Ahmed R, Sheraz M, Rehman OU. K-Wires Fixation Versus Plating in Metacarpal and Phalangeal Fractures: A Randomized Control Trial to Compare the Range of Motion After These Modes of Treatment. Isra Med J. 2018; 10(2): 70-73.
Authors and Affiliations
Tayyab Ahmad
Keywords
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