Comparison of Outcome of K-Wires Versus Plates & Screw Fixation for Management of Hand Fractures

Abstract

Objective: To compare the outcomes of K-wires versus plate and screw fixation in managing hand fractures.

Methodology: This study was conducted at the Department of Plastic Surgery, PIMS, Islamabad, from April 2021 to April 2022. A total of 160 patients (aged 16–65 years) with hand fractures meeting inclusion criteria were included. Patients were followed up for three months, and success was defined as achieving >70% of the normal range of motion. Data analysis was done using SPSS, applying the Chi-square test to compare success rates, with p < 0.05 considered significant.

Results: The mean age was 29.1±5.8 years for the K-wires group and 28.2±5.6 years for the plate and screw group. Males comprised 60% of the K-wire group and 65% of the plate and screw group. Success rates were 76.2% in the K-wire group and 90% in the plate and screw group (p < 0.05).

Conclusion: Plate and screw fixation showed significantly better outcomes than K-wires for hand fracture management. Larger randomized clinical trials are needed to validate these findings.