Management of Metacarpal Shaft Fracture With Cerclage Wiring and Its Outcome

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(B), Issue. (2)
First page: (179) Last page: (189)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Management of Metacarpal Shaft Fracture With Cerclage Wiring and Its Outcome Sankit Shah1, Nilesh Ghelani2*,  Arvind Kaushal3,  Hardik Ponkiya4, Darshil Rajgor5, Shukan Kapadia6
1Assistant professor, 2Associate professor,  33rd year resident, 42nd year resident  Department of Burns and plastic surgery, Smt. SCL hospital, Smt. NHL Medical College, Saraspur, Ahmedabad, Gujarat -380018
Corresponding author email id: drnileshghelani@yahoo.co.in

Online Published on 02-July-2020

ABSTRACT

Introduction: Hand is specialized organ of the body performing complex functions, and it enables a person to earn his livelihood. Various options are there for treatment of metacarpal shaft fractures, in this study we treated patients with cerclage wiring and noted its outcomes. Material and methods: patients who were presented with oblique/spiral fracture of shaft of metacarpal during the study period were treated with cerclage wiring and followed until they were able to return to work. Results: seven patients with eight fractures were treated during the study period. Reduction achieved was good in all patients. We had one late complication of wire breakage and no malunion or non-union occurred. Conclusion: we conclude that cerclage wiring treatment is effective method for treatment of oblique/spiral fracture of metacarpals and a viable and cheap alternative to plate and screw method in low socio-economic patients.

Keywords

metacarpal shaft fracture, spiral/oblique fracture, cerclage, ss wire

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