الفهرس 
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Abstract
Open reduction and internal fixation with K. wires or mini-set plates and screws are reasonable options for treating unstable metacarpal fractures as they provide anatomical reduction and rigid fixation, which is sufficient to allow early mobilization of the adjacent joints, thus helping to achieve satisfactory functional results.
Although K. wires showed higher satisfactory results than plates and
(85% and 70% respectively), there were no significant stastical
fferences in the clinical outcomes using either technique.
Prolonged postoperative immobilization should be avoided and
patients must start active movement as early as possible to avoid stiffness.
The occurrence of postoperative complications directly affects the
nal outcome of the hand.
Fracture of a single metacarpal bone showed higher satisfactory
esults than multiple metacarpal bones fractures.
The patient should avoid any aggressive movements or trauma to the
1 in the early postoperative period.