Comparison of Frequency of Union with Percutaneous Intramedullary Kirschner Wire versus Interfragmentary Screw Fixation in Displaced Extra-articular Metacarpal Fractures

Objective: To compare the frequency of union in cases treated with percutaneous intramedullary kirschner wire versus interfragmentary screw fixation displaced extra-articular metacarpal fractures. Study Design: Randomized controlled trial. Place and Duration: The Department Othropedic surgery, Ghurki Trust Teaching Hospital Lahore, Pakistan from May 2021 to November 2021. Methodology: A total 70 (35 each group) both genders aged 18-60 years fracture were included. Surgery was performed patient under peripheral anesthesia adopting pneumatic tourniquet image intensification. Patients randomly divided into 2 groups, undergoing either K-wire or Screw Fixation. followed up till 16th week see union. Results: mean age patients group 37.89±9.34 40.17±12.82 years. In group, there 24 (68.57%) male 11(31.4%) female while 17 (48.6%) 18 (51.4%) cases. 20 (57.1%) reported 33 (94.3%) at final follow (p<0.001). Practical Implications: Interfragmentary displace fractures yielded better outcomes. Conclusion: Significantly more comparison wire. Keywords: Metacarpal fractures, internal fixation, K-wire,