Ahmed Naeem Atiyya, Moheeb Gadullah, Hamdy E Alnaggar, Khaled Nabil Youssef, Ahmed Gamal Nouh, Ahmed Morsi
{"title":"Palmar plating for displaced metacarpal neck fractures: A new technique.","authors":"Ahmed Naeem Atiyya, Moheeb Gadullah, Hamdy E Alnaggar, Khaled Nabil Youssef, Ahmed Gamal Nouh, Ahmed Morsi","doi":"10.1051/sicotj/2026037","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate fixation of metacarpal neck fractures using miniplates applied via a palmar approach as an alternative to conventional dorsal plating, which carries a higher complication rate.</p><p><strong>Methods: </strong>A prospective case series of 34 patients with acute unstable metacarpal neck fractures treated with palmar miniplating from 2018 to 2022.</p><p><strong>Results: </strong>The mean follow-up was 25.79 months (range, 22-36 months). All fractures united in a mean of 5.4 weeks. Grip strength averaged 96% ± 4.01%, and ROM averaged 93% ± 4.25% compared to the contralateral hand. Minor complications occurred in 11.76% of cases.</p><p><strong>Conclusion: </strong>In the short term, palmar miniplates for unstable metacarpal neck fractures result in excellent radiological and functional outcomes with minimal complications.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"75"},"PeriodicalIF":2.4000,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13670930/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"SICOT-J","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1051/sicotj/2026037","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/10/15 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To evaluate fixation of metacarpal neck fractures using miniplates applied via a palmar approach as an alternative to conventional dorsal plating, which carries a higher complication rate.
Methods: A prospective case series of 34 patients with acute unstable metacarpal neck fractures treated with palmar miniplating from 2018 to 2022.
Results: The mean follow-up was 25.79 months (range, 22-36 months). All fractures united in a mean of 5.4 weeks. Grip strength averaged 96% ± 4.01%, and ROM averaged 93% ± 4.25% compared to the contralateral hand. Minor complications occurred in 11.76% of cases.
Conclusion: In the short term, palmar miniplates for unstable metacarpal neck fractures result in excellent radiological and functional outcomes with minimal complications.
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