Functional Hand-Based Splint in the Treatment of Metacarpal Fractures

Area of Science:

• Orthopedics
• Hand Surgery
• Traumatology

Background:

• Post-treatment stiffness is a common complication of metacarpal fractures.
• Achieving stable reduction, minimizing morbidity, and preserving mobility are key treatment goals.

Purpose of the Study:

• To evaluate the efficacy of a hand-based functional splint for non-operative metacarpal fractures.
• To assess radiologic and clinical stability, patient morbidity, and return to work.

Main Methods:

• Retrospective review of 33 patients with 39 non-operative metacarpal fractures treated with a functional splint.
• Splint allowed metacarpophalangeal, interphalangeal, and radiocarpal joint motion.
• Radiologic and clinical outcomes, including return to work, were analyzed.

Main Results:

• 30 patients completed follow-up; 27 maintained fracture alignment throughout treatment.
• 20 of 24 employed patients returned to work without missing days.
• Average splint duration was 24 days, with minimal changes in alignment.

Conclusions:

• Hand-based functional splints provide excellent fracture reduction maintenance for metacarpal fractures.
• This treatment facilitates early return to activities and low patient morbidity.
• The splint is suitable for non-operative fractures of the second through fifth metacarpals.