From: Pin vs plate fixation for metacarpal fractures: a meta-analysis
Studies | Time to union | Complications with the number of patients | Residual angulation at the fracture site (degrees) | |||
---|---|---|---|---|---|---|
Pin group | Plate group | Pin group | Plate group | Pin group | Plate group | |
Cha et al. [15] | NR | NR | Superficial infection, 1 | Extensor lag, 4 | 0.8 ± 1 | 0.6 ± 0.1 |
Dreyfuss et al. [16] | 50 (28–286)a days | 59 (37–105)a days | Work-related fracture, 1 | Nil | AP, 1 (0–11) Lateral, 1 (0–9) | AP, 0 Lateral, 0 |
Vasilakis et al. [17] | NR | NR | Stiffness requiring extensor tenolysis, 1 | Non-union, 1 Hardware removal, extensor tenolysis, 1 | NR | NR |
Pandey et al. [18] | 3 months | 3 months | Infection. 1 Malunion, 1 Transient numbness, 1 | Transient numbness, 4 Prominent implant and impingement at terminal motion, 4 | NR | NR |
Fujitani et al. [19] | NR | NR | Transient neuritis of the dorsal ulnar nerve, 1 Extensor tendon rupture, 1 | Transient neuritis of dorsal ulnar nerve, 1 | Palmar tilt, 16 (NR) Lateral tilt, 16 (NR) | Palmar tilt, 10 (NR) Lateral tilt, 10 (NR) |
Ozer et al. [20] | 5.4 (4–8) weeks | 5.2 (4–7) weeks | Loss of reduction, 5 Hardware removal, 15 | Hardware removal, 2 | AP, 2(0–10) Lateral, 8 (0–25) | AP, 0 Lateral, 0 |
Facca et al. [21] | NR | NR | Wire migration. 3 Neurological lesions. 3 Aesthetic blemish due to callus. 1 | Hardware removal. 3 Delayed consolidation. 2 Instability of site. 1 | NR | NR |
Gupta et al. [22] | NR | NR | NR | NR | NR | NR |
Takigami et al. [23] | 1.6 ± 0.6a months | 2.6 ± 1.6a months | Superficial infection, 1 Soreness of pin site, 4 | Screw breakage, 3 Screw loosening, 2 | NR | NR |