Treatment of metacarpus fracture with chiasmal kirschner wires and mini-plate

ObjectiveTo compare the clinical effect of the treatment of metacarpal fractures with chiasmal Kirschner wires and mini-plate.MethodsClinical data of sixty patients with metacarpal fractures were analyzed retrospectively.There were twenty-eight patients treated with intersect Kirschner wires,and thirty-two patients treated with mini-plates.The functional rehabilitation after operation were evaluated by the standard of TAFS,and the condition of infection were observed between two groups.ResultsIn kirschner wires group,ten cases were excellent,twelve cases were good and six cases were poor,the good rate was 78.5%.In mini-plate group,nineteen cases were excellent,eight cases were good and five cases were poor,the good rate was 84.3%.There was no statistically significant between two groups(P0.05).There was no case with fracture delayed union or disunion.There was no statistically significant in the rate of wound infection between two groups(P0.05).ConclusionChiasmal kirschner wires and mini-plates fixation all have good effect in treating metacarpal fractures.Due to the high cost of mini-plates,when the two methods can be used,internal fixation with Kirschner wire should be used preferentially.