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Journal of Hand Surgery (European Volume)
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Articles

Plate Fixation in Closed Ipsilateral Multiple Metacarpal Fractures

J. S. SOUER
C. S. MUDGAL

From the Massachusetts General Hospital, Orthopaedic Hand and Upper Extremity Service, Boston, MA, USA

Correspondence: Chaitanya Mudgal, MD, Massachusetts General Hospital, Orthopaedic Hand and Upper Extremity Service, Yawkey Center, Suite 2100, 55 Fruit Street, Boston, MA 02114, USA. Tel.: +1 617 643 3945; fax: +1 617 724 8532. E-mail: cmudgal{at}partners.org.

Closed multiple metacarpal fractures are uncommon. They are usually associated with significant soft tissue swelling. Early stable fixation and functional rehabilitation optimises outcome. We present a review of 19 patients with 43 metacarpal fractures treated by early open reduction and internal fixation with 2 mm plates. Eighteen patients recovered a full range of motion, while one patient was lost to follow-up. Implant removal on account of extensor irritation was required in only two metacarpals in two patients. Plating of multiple closed metacarpal fractures is a safe, reliable and consistently reproducible treatment method.

Key Words: closed • multiple • metacarpal fractures • plating

This version was published on December 1, 2008

Journal of Hand Surgery (European Volume), Vol. 33, No. 6, 740-744 (2008)
DOI: 10.1177/1753193408090101
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