Open Reduction and Internal Fixation Using Plate and Screws versus Percutaneous Kirschner Wires Fixation for Second and Third Metacarpal Bones Fractures: A Meta-analysis

Abstract

Hand fractures are one of the most common fractures presenting at accident and emergency units. Because of the complexity of the hand; management of hand fractures can be very challenging. Fixation of hand fractures can be done by multiple methods including percutaneous K-wires fixation and open reduction and internal fixation with either interosseous wiring or mini plate and screws. Throughout this meta-analysis we revealed that ORIF and K wire techniques both have complications but our study support using ORIF technique over K wire technique and Further researches are wanted and should focus on the comparison between ORIF and K-wire fixation for different metacarpal fractures, preferably in a randomized clinical trial.