Management of Malunited Metacarpal Shaft Fractures-A Narrative Review

Metacarpal fractures are one of the most common types of upper extremity fractures. During fracture, the balanced force couple of the hand flexors and extensors is disrupted, allowing shortening, angulation and rotation of the metacarpal shaft. Malunion is the most common complication, though it can largely be treated conservatively. When malunion leads to significant functional deficit surgical approaches must be explored to restore the biomechanics of the hand to allow functional return. This review article aims to explore the current concepts in surgical management of malunited metacarpal shaft fractures to ensure the latest advances are available to the hand surgeons of today.