Background: Metacarpal Fractures of the and phalanges are typical hand injuries that often
need for surgical intervention. Kirschner wires (K-wires) and the tension band wiring technique are
often employed for open reduction and internal fixing. However, its use in clinical practise must be
informed by a careful assessment of its benefits, drawbacks, and consequences. The purpose of this
research was to compare the outcomes of open reduction and internal fixation (ORIF) using Kirschner
wires (K-wires) and a tension band wiring approach for the treatment of phalangeal and metacarpal
fractures. Methods: Twenty patients at Benha University Hospitals had metacarpal or phalangeal
fractures in this prospective investigation. K-wire tension band wiring was used for open reduction and
internal fixing. Patient characteristics, fracture characteristics, injury causes, time to surgery, and comorbidities were all evaluated clinically. In radiological evaluations, the conventional perspectives
were used. Six months of postoperative monitoring included checks on range of motion, grip strength,
and alignment. The Belsky scale was employed to measure functional results, and both patient
happiness and complications were recorded. Results: There was a statistically significant increase in
mean TAM from 6 weeks post-op to 3 months post-op, as measured by TAM (p=0.008). Six months
after surgery, TAM was significantly higher than it had been six weeks after surgery (p0.001). There
were three patients who scored well (17.6 percent), eight patients who scored favourably (47.1
percent), and six patients who scored poorly (35.3 percent) after six weeks. The Belsky score was
significantly higher three months after surgery compared to six weeks after surgery (p=0.023). Twelve
patients (70.6%), or slightly more than half, had an excellent score at 6 months, while four patients
(23.5%) had a good score, and only one patient (5.9%), or slightly less than half, had a bad score with
substantial improvement from 6 weeks post-operation (p=0.04). Conclusions: When treating
metacarpal and phalangeal fractures, open reduction and internal fixation with Kirschner wires (Kwires) utilising the tension band wiring approach has been shown to be a safe and successful treatment
option. |
