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ACE Report #11736
Ace Report Cover Hand & Wrist

No difference in outcome between mini-plate and K-wire fixation for small bone fractures in the hand

Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:1

Hand function outcome in closed small bone fractures treated by open reduction and internal fixation by mini plate or closed crossed pinning: a randomized controlled trail

Musculoskelet Surg. 2019 Apr;103(1):99-105. doi: 10.1007/s12306-018-0542-z

Contributing Authors: R Malhotra A Pankaj R Pandey N Soni H Bhayana SS Arora

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32 patients with closed metacarpal and phalangeal fractures were randomized to operative treatment through either open reduction and internal fixation with a mini-plate or closed reduction and percutaneous fixation with Kirschner wires. Patients were assessed over 2 year follow-up for range of motion, patient-reported disability, and grip strength. Results demonstrated a significant difference at ...

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