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Updated: Oct 17, 2026
Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Palmar plating for displaced metacarpal neck fractures: A new technique
Ahmed Naeem Atiyya1, Moheeb Gadullah1, Hamdy E Alnaggar1
1Department of Orthopaedic Surgery, Ain Shams University Hospitals, Cairo, Egypt.
Purpose:
To evaluate fixation of metacarpal neck fractures using miniplates applied via a palmar approach as an alternative to conventional dorsal plating, which carries a higher complication rate.
Methods:
A prospective case series of 34 patients with acute unstable metacarpal neck fractures treated with palmar miniplating from 2018 to 2022.
Results:
The mean follow-up was 25.79 months (range, 22-36 months). All fractures united in a mean of 5.4 weeks. Grip strength averaged 96% ± 4.01%, and ROM averaged 93% ± 4.25% compared to the contralateral hand. Minor complications occurred in 11.76% of cases.
Conclusion:
In the short term, palmar miniplates for unstable metacarpal neck fractures result in excellent radiological and functional outcomes with minimal complications.
