Comparative Study between Results of Fixation of Metacarpal Fractures Using Bouquet Technique versus Transverse Pinning

Abstract

Background: Metacarpal fractures represent a significant portion of hand injuries, affecting predominantly the active working population. The choice of fixation technique can influence recovery outcomes, balancing the need for rapid rehabilitation with minimal complications. This study aimed to compare the functional, clinical, and radiological outcomes of metacarpal fracture fixation using the Bouquet technique versus transverse pinning. Methods: This prospective cohort study conducted on 40 patients who were candidate for operative treatment of metacarpal fractures at Benha University Hospitals during the period from November 2022 to November 2023. Patients were divided into two groups; group I: 20 patients treated using Bouquet technique and group II: 20 patients treated using transverse k wire. Results: No significant difference was observed between the two groups in terms of total active motion (TAM) with Group A (Bouquet) having a mean TAM of 215.4±13.1° versus Group B (transverse pinning) at 213.5±13.2° (p=0.166). Hand grip strength also showed no significant difference (Group A: 225.2±42 mmHg, Group B: 223.3±41.8 mmHg; p=0.457). The time to union and complication rates were similar across groups. Conclusion: Both the Bouquet technique and transverse pinning are effective methods for the fixation of metacarpal fractures. The Bouquet technique showed a slight advantage in terms of pain relief and range of motion, but overall, both techniques showed comparable outcomes in fracture healing, alignment, and complications.