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Journals / Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi / 2026 / Volume: 13 Issue: 1

Comparison of K-Wire and Plate Applications in Multiple Metacarpal Fractures

Multipl Metakarp Kırıklarında K-Teli ve Plak Uygulamalarının Karşılaştırılması

Fatih Emre Topsakal(ERZURUM ŞEHİR HASTANESİ)0000-0002-6033-0795
Ekrem Özdemir(Erzurum City Hospital)0000-0002-3709-558X
Nasuhi Altay(Erzurum City Hospital)0000-0002-5518-3938
Yavuz Şahbat(Erzurum City Hospital)0000-0002-9963-5334
Esra Demirel(Erzurum City Hospital)0000-0002-8468-6286
Pages
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Publication Date
2026-04-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Level II – Single-center randomized controlled trial.

📌 3 Key Takeaways

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Objective & Hypothesis:The aim of this study was to compare the mid-term clinical and radiological outcomes of intramedullary K-wire and plate-screw fixation in multiple extra-articular metacarpal fractures, and to evaluate the impact of fracture localization on functional outcomes.
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Key Findings & Data:This retrospective study included 46 patients with at least two metacarpal shaft fractures between January 2018 and December 2023.
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Conclusion & Impact:Level II – Single-center randomized controlled trial.
🔬Design:Survey & Empirical Study
📍Scope:2018 Verileri
⚙️Variables:Functional outcome · Grip strength · Intramedullary K-wire fixation

Abstract

The aim of this study was to compare the mid-term clinical and radiological outcomes of intramedullary K-wire and plate-screw fixation in multiple extra-articular metacarpal fractures, and to evaluate the impact of fracture localization on functional outcomes. This retrospective study included 46 patients with at least two metacarpal shaft fractures between January 2018 and December 2023. Twenty patients underwent plate-screw fixation, while twenty-six patients received intramedullary K-wire osteosynthesis. Grip strength was measured using a digital dynamometer. Pain intensity was assessed with the Visual Analog Scale (VAS), and functional status was evaluated using the Michigan Hand Outcomes Questionnaire (MHQ). All patients were followed for a minimum of 15 months. Clinical scores were compared according to surgical method and fracture localization. Grip strength was significantly higher in the K-wire group (p=0.013). No statistically significant difference was observed between the groups in MHQ or VAS scores. Analysis based on fracture localization revealed that grip strength was significantly lower in 2nd and 3rd metacarpal fractures (p=0.036), whereas higher grip strength and lower pain scores were recorded in 4th and 5th metacarpal fractures (p=0.044). K-wire fixation is less invasive and provides better mid-term grip strength outcomes. However, functional scores were comparable between both techniques. Regardless of the surgical method, fractures involving the 2nd and 3rd metacarpals were associated with poorer prognosis. Fracture patterns and localization should be considered in treatment planning. Level II – Single-center randomized controlled trial.

Özet

Bu çalışmanın amacı, çoklu ekstraartiküler metakarp kırıklarında intramedüller K-teli ile plak–vida tespitinin orta dönem klinik ve radyolojik sonuçlarını karşılaştırmak ve kırık lokalizasyonunun fonksiyonel sonuçlar üzerindeki etkisini değerlendirmektir. Bu retrospektif çalışmaya Ocak 2018 ile Aralık 2023 arasında en az iki metakarp diafiz kırığı bulunan 46 hasta dâhil edilmiştir. Yirmi hastaya plak–vida tespiti uygulanırken, yirmi altı hastaya intramedüller K-teli osteosentezi yapılmıştır. Kavrama gücü dijital dinamometre ile ölçülmüştür. Ağrı şiddeti Görsel Analog Skala (VAS) ile, fonksiyonel durum ise Michigan El Sonuçları Anketi (MHQ) ile değerlendirilmiştir. Tüm hastalar en az 15 ay boyunca takip edilmiştir. Klinik skorlar cerrahi yönteme ve kırık lokalizasyonuna göre karşılaştırılmıştır. K-teli grubunda kavrama gücü anlamlı derecede daha yüksekti (p=0,013). MHQ veya VAS skorları açısından gruplar arasında istatistiksel olarak anlamlı bir fark gözlenmedi. Kırık lokalizasyonuna göre yapılan analizde, 2. ve 3. metakarp kırıklarında kavrama gücünün anlamlı derecede düşük olduğu (p=0,036), buna karşılık 4. ve 5. metakarp kırıklarında kavrama gücünün daha yüksek ve ağrı skorlarının daha düşük olduğu kaydedildi (p=0,044). K-teli tespiti daha az invazivdir ve orta dönemde daha iyi kavrama gücü sonuçları sağlar. Bununla birlikte, fonksiyonel skorlar her iki teknik arasında benzer bulunmuştur. Cerrahi yöntemden bağımsız olarak, 2. ve 3. metakarpı içeren kırıklar daha kötü prognozla ilişkilidir. Tedavi planlamasında kırık paterni ve lokalizasyonu dikkate alınmalıdır. Düzey II – Tek merkezli randomize kontrollü çalışma.

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Cite This Article

Topsakal, F. E., Özdemir, E., Altay, N., Şahbat, Y., Demirel, E. (2026). Comparison of K-Wire and Plate Applications in Multiple Metacarpal Fractures. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, Volume: 13 Issue: 1. https://doi.org/10.47572/muskutd.1790656

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