The main objective of this study was to examine the clinical efficacy of using miniplate screw internal fixation with Kirschner Wire (KW) in the management of metacarpal fractures. This retrospective study was carried out at East West Medical College in Ashulia, Dhaka, Bangladesh, spanning from February 2020 to January 2022. The study enrolled sixty patients of both genders diagnosed with metacarpal shaft fractures, with ages ranging from 15 to 65 years. Radiographic examinations were conducted for all participants, who were then divided into two comparable categories. The study evaluated and compared clinical and radiological outcomes, surgical timing, and the incidence of complications between the two groups. The total participant pool consisted of 60 patients, with 30 assigned to receive micro plate treatment (Group A) and the remaining 30 assigned to undergo K-wire fixation (Group B). The assessment of functional results utilized the Disabilities of the Arm, Shoulder and Hand (DASH) scoring system. In Group A, the average age was 36.52 years, slightly higher than the average age of 36.43 years in Group B. The majority of patients in both groups were male, comprising 65.25% in Group A and 60.58% in Group B while females accounted for 34.75% in Group A and 39.42% in Group B. Regarding fracture location, 40.30% of patients in Group A and 44.18% in Group B had fractures on the left side, while 59.70% in Group A and 55.82% in Group B displayed fractures on the right side. Using mini-plate and screw fixation for metacarpal fractures has better results than KW fixation because it shortens the surgery and makes the patient less stressed. The utilization of this device can enhance patients' stability and facilitate early palm movement, thereby facilitating fracture healing and promoting the recovery of joint function. Additionally, it has the potential to decrease the occurrence of postoperative problems, thereby ensuring a certain level of safety. Furthermore, it has been shown that the implementation of certain measures can significantly decrease the likelihood of inadequate finger rotation. Additionally, both K-wire fixation and other methods have demonstrated effectiveness in the treatment of metacarpal shaft fractures.

Mohammad Awlad Hossain completed his medical graduation from Sir Salimullah Medical College, Dhaka, Bangladesh, in 1998. He began his career as a resident general surgeon and pursued a diploma in orthopedics from Bangabandhu Sheikh Mujib Medical University in 2004, followed by an MS in orthopedics in 2015. He has served in various remote hospitals in Bangladesh under the Ministry of Health and Social Welfare, focusing on emergency trauma cases. He also worked as an orthopedic specialist at Queen Elizabeth II Hospital in Maseru, Lesotho, in 2005. Currently, he is a senior consultant at the National Institute of Traumatology Orthopaedic and Rehabilitation (NITOR), the largest orthopedic hospital in Southeast Asia, known for its advanced facilities. He is passionate about attending workshops and seminars worldwide. He has published approximately 20 articles and actively writes about orthopedic issues on social media and in print media. Additionally, he runs two charity orthopedic clinics in his local community