Objectives : The objective of this study was to evaluate the clinical outcome of percutaneous fixation of unstable fracture of medial four metacarpls by kirschner wires. Materials and Methods: In our prospective study we documented twenty cases of unstable fracture medial four metacarpals which we fixed percutaneously by k-wires and evaluated radiographic and functional outcome, with follow up for minimum 4 to 6 months in Elsahil teaching hospital during a 2 year period from january 2011 to january 2013, all patients were men with age from 16 to 58 years old. Results: Fracture union was achieved in19 cases (95%) at a mean of 7 weeks (6 to 8 weeks). One case was malunited and that case required revision through open reduction and internal fixation and united in 6 weeks after revision.
Conclusion: This study suggests that fixation of medial unstable four metacarpal fractures result in predictable satisfactory radiographic and functional outcome. Also, it suggests that percutaneous fixation carries no risk of damage to soft tissues.