Biomechanical study of a modified application of Ilizarov external mini-fixator for metacarpal neck fractures: a comparative analysis

The modified Ilizarov external mini-fixator provided significantly greater biomechanical stability for metacarpal neck fractures than retrograde crossed K-wires and antegrade intramedullary K-wires, achieving comparable performance to the locking plate system. This modified design combines the simplicity and minimally invasive advantages of K-wire fixation with enhanced stability, potentially facilitating early joint mobilization and minimizing the risk of complication.