Abstract

Aims and objective: To evaluate the functional and radiological outcome of antegrade Kwire
fixation in fracture metacarpal.
Material and method: Study includes 25 patients with fracture shaft metacarpal of hand.
These patients were treated with antegrade intramedullary K wire fixation between age group
(20yr to 60yr). Patients were evaluated as per visual analogue scale (VAS) and disabilities of
arm shoulder and hand (DASH) scoring system at 1month, 3 months and 6 months postoperative.
Results: All patients treated in this study had clinical and radiological union by the 10th
week. Patients had good range of movement at MCP joint following K-wire removal, better
DASH score with no joint stiffness and earlier return to work with less complications.
Conclusion: Closed K-wire fixation is a good option for treatment of fracture shaft
metacarpal. Functional outcome in antegrade intramedullary fixation was attributed to entry
from base of metacarpal compared to the conventional retrograde fixation.