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Abstract
Objective: To evaluate the results of using composite wiring sutures technique in treatment of phalangeal and metacarpal fractures regarding union, functional outcome and complications.Background: Fractures of the hand constitute 10% of all fractures. The majority of these fractures are amenable to conservative treatment with good outcomes. The management of unstable digital fractures is difficult and the results are not always satisfactory. Methods: Twenty four patients with 27 metacarpals and phalangeal fractures were managed by open reduction and internal fixation using composite wiring sutures technique from October 2014 to December 2015. Results: The mean radiological union time was 8.88 weeks. The mean final total active flexion was 245.92 degrees. Total active motion was excellent in 16 digits, good in 10 digits and fair in 1 digit. Secondary procedures were done in 6 patients. Complications were encountered in 7 patients. All patients returned to their pre-injurious jobs and activities