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Orthogonal dual plating for fracture of base of 1st metacarpal- original study

Himanshu D Shah, Amit Gupta

Abstract


Background: Treatment of fractures of the base of 1st metacarpal is controversial with multimodality of implant choice available like k wire and miniplates. Secondary displacement rates are higher if fracture is not fixed rigidly. In this study, dual miniplates were used in orthogonal manner to fix the 1st metacarpal base fractures. Method: all patients were treated using dual miniplates in orthogonal manner by dorso volar approach to evaluate functional outcome. Results: On follow up, all the patients reported excellent functional outcome with regard to DASH score, Kapandji score and pinch comparison as compared to opposite side. Conclusion: orthogonal dual miniplates used for fixation of base of thumb metacarpal provides excellent method to rigidly fix the inherently unstable fracture and favouring early mobilization.

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References


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