Is casting superior to plate fixation in metacarpal shaft fractures?

Nonoperative splint treatment for metacarpal shaft fractures shows better radiological and clinical outcomes than surgery, except for angulation and shortening, which have limited impact on function. Due to higher costs in surgical cases, nonoperative treatment is more cost-effective. Larger, randomized trials are needed to confirm these findings.

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Publication Details

Journal
Joint Diseases and Related Surgery
Published
2024-12-18
DOI
https://doi.org/10.52312/jdrs.2025.1983
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
Field-Weighted Citation Impact
0.00
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article

Is casting superior to plate fixation in metacarpal shaft fractures?

Erdinç Acar, Ebru Dumlupınar, Orhun Eray Bozkurt, Uğur Bezirgan et al.
Joint Diseases and Related Surgery
Orthopedic Surgery and Rehabilitation
article

Is casting superior to plate fixation in metacarpal shaft fractures?

Erdinç Acar, Ebru Dumlupınar, Orhun Eray Bozkurt, Uğur Bezirgan, Mehmet Armangil, Osman Talha Nergizal
article en

Abstract

Nonoperative splint treatment for metacarpal shaft fractures shows better radiological and clinical outcomes than surgery, except for angulation and shortening, which have limited impact on function. Due to higher costs in surgical cases, nonoperative treatment is more cost-effective. Larger, randomized trials are needed to confirm these findings.

Joint Diseases and Related SurgeryVol. 36(1)
Ankara University (TR), State Hospital (GB), Ergani Devlet Hastanesi (TR)
Openalex Percentile: Top 56%
Orthopedic Surgery and Rehabilitation
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