Hand fracture- Metacarpal

Option 1. K wire fixation

Pros:
a. Early movement can be given
b. Quicker recovery and return to normal activities
c. Implant can be easily removed in clinic

Cons:
a. May not be possible to do in badly comminuted fractures.

Option 2. Below elbow cast

Pros:
a. No need for implant removal
b.

Cons:
a. Prolonged immobilisation may lead to stiffness of wrist
b. May result in a bony bump or finger deformity

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