PROSPECTIVE STUDY OF ANTEGRADE INTRAMEDULLARY PINNING VERSUS RETROGRADE INTRAMEDULLARY PINNING VERSUS TRANSVERSE K-WIRES FIXATION OF NECK OF 5TH METACARPAL FRACTURE IN A GOVERNMENT MEDICAL COLLEGE SETUP

Introduction: Fractures of the neck of the fifth metacarpal, the so-called "Boxer's Fracture," are very common injuries of the hand. The objective of the paper is to evaluate the outcome of boxers fracture clinically and radiologically and functionally by three methods i.e intramedullary nailing antegrade and retrograde and transverse K-wire fixation. Materials And Methods: Prospective clinical study of 45 cases of neck of 5th metacarpal fractures operated between February 2022 and August 2023 in Gandhi hospital with a minimum follow-up of 3 months. Results: At 0 1 and 3 months we tested clinical ,radiological and functional outcomes by measuring the ROM and VAS and DASH SCORE and used statistical analysis by anova to evaluate the results. Conclusion: Antegrade intramedullary pinning has been a reliable and safe modality for treatment of displaced fifth metacarpal neck fractures and this studies have shown that antegrade intramedullary pinning produces better outcomes than other surgical methods.