Functional outcomes in patients with metacarpal, proximal, and middle phalangeal fractures treated with osteosynthesis

Abstract

Fractures of the metacarpals and phalanges of the hand are common in the working-age population and can significantly affect hand function. Surgical treatment with open reduction and internal fixation using plates is a commonly used technique; however, there is limited consensus in the literature regarding its functional outcomes. The objective of this study was to determine the functional outcomes in patients with fractures of the metacarpals, proximal phalanges, and middle phalanges, treated with open reduction and internal fixation using a dynamic compression plate (DCP) at Gustavo A. Rovirosa Regional High Specialty Hospital during the period 2022–2024. A prospective, observational, cross-sectional study was conducted. Forty-seven patients were included, and their medical records and postoperative consultations were analyzed. Functional outcomes were assessed using the Quick DASH questionnaire. Data analysis was performed using Microsoft Excel and SPSS. The study found that 87% of patients experienced no or mild disability, 91% achieved a full range of motion, and 100% regained normal sensation. These results support the effectiveness and safety of using DCP in the functional recovery of hand fractures.