elaxir, H., Adawy, A., Essawy, O., Shoulah, S. (2022). Bouquet technique in management of unstable metacarpal fractures. Benha Medical Journal, 39(2), 680-695. doi: 10.21608/bmfj.2022.14337.1004
husam elaxir; Adel Hassan Adawy; Osama Mohamed Essawy; Saad Abd El-Rahim Shoulah. "Bouquet technique in management of unstable metacarpal fractures". Benha Medical Journal, 39, 2, 2022, 680-695. doi: 10.21608/bmfj.2022.14337.1004
elaxir, H., Adawy, A., Essawy, O., Shoulah, S. (2022). 'Bouquet technique in management of unstable metacarpal fractures', Benha Medical Journal, 39(2), pp. 680-695. doi: 10.21608/bmfj.2022.14337.1004
elaxir, H., Adawy, A., Essawy, O., Shoulah, S. Bouquet technique in management of unstable metacarpal fractures. Benha Medical Journal, 2022; 39(2): 680-695. doi: 10.21608/bmfj.2022.14337.1004
Bouquet technique in management of unstable metacarpal fractures
1Orthopedic department, Faculty of medicine, Benha University, Benha, Egypt
2professor of orthopedic surgery Faculty of Medicine Benha university Benha, Egypt
3Assistant professor of orthopedic surgery Faculty of medicine , Benha university, Benha, Egypt
4lecturer of orthopedic surgery Faculty of Medicine Benha university Benha, Egypt
Abstract
Background Several methods of fixing unstable metacarpal shaft fractures have been described; the aim of the study was to assess the clinical and radiological results of bouquet technique in management of unstable metacarpals fractures. Patients and Methods ` A prospective study held between 2017 and 2019 at Benha University Hospital on 20 patients (15 males and 5 females) had unstable metacarpal fractures affecting second to fifth metacarpals treated with bouquet technique. The patient’s mean age was 31.6 years. The dominant hand was affected in 15 patients while in 5 patients the non-dominant hand was affected. Under fluoroscopy, closed reduction and percutaneous bouquet pinning fixation was done using two or three K-wires.
Results The mean follow-up period was 11.6 weeks. Bony union achieved at an average of 7.4 weeks. At the final follow-up, all patients had almost full ROM with a mean total active range of motion 260.5° (245°- 270°). None of the patients had any clinically detectable rotational deformity, functional outcome was satisfactory with mean grip strength of the injured hand 96% in comparison to the non-injured side, average Quick Dash score was 1.45 (± 1.2) ranging from zero to 4 points. The mean VAS for pain was 0.85 (± 0.8). All patients returned to their ordinary jobs and were cosmetically and functionally satisfied with the results of their surgery.
Conclusion Bouquet technique is an effective, easy and safe method for treating unstable metacarpal fractures, without significant complications.
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