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 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57



Dr. Ashok Vidyarthi, Dr. Brajesh Dadarya and Dr. Ajay Dhanopeya*


Aim: The aim was to study the functional outcome of metacarpal shaft fracture treated with intramedullary fixation of pins. Methods: A nonrandomized, uncontrolled prospective study was performed on 38 patients with 58 metacarpal fractures were treated with intramedullary pinning. All patient were screened using inclusion and exclusion criteria and those, willing to participate in the study was included and were followed up prospectively at the time of discharge, at 4 weeks, at 6 weeks, at 8 weeks, and 12 weeks and assess the Hand x ray-AP/Oblique, Total active movement, Grip strength, VAS score Final results were noted according to the % TAM score for 2nd to 5th metacarpals Results:Male patients had a significantly higher frequency (84.2%) in comparision to female patients (15.8%)Most common ray affected was 4th and 5th ray followed by 2nd ray and then third ray.45% of fractures were oblique type and 41% fractures were transverse with spiral and comminuted being 12% and 2% respectively.shaft of metacarpal fracture was maximum affected (50%) followed by base (18.4%) and neck (15.8%) and head (15.8%).50% patients underwent implant removal in a period of 6 weeks.Mean – 6.89 ± 1.15weeks (min. 5weeks, max. 10weeks).42.1% patients of metacarpal fracture had radiological union in 6 weeks.Mean time to union 6.21±1.094 (min. 4weeks, max. 8weeks).Mean grip strength at final follow up was 24.55 ± 8.366 (min 10 and max 50) for affected hand, whereas mean grip strength at normal hand was 36.03 ± 10.476.Mean pre-op VAS pain score 6.53 ± 1.202 (min 4 and max 8) and mean VAS pain score at 8 weeks follow up is 1.42 ± 1.681 (min 0 and max 4).

Keywords: VAS Score, Intramedullary Pinning, Metacarpal Fracture.

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia