Background: Metacarpal fractures comprise between 18–44 % of all hand fractures. Non-thumb metacarpals account for around 88 % of all metacarpal fractures. The present study was conducted to compare outcome of K- wires and JESS in treatment of metacarpal fractures. Materials & Methods: 128 cases of metacarpal fractures were divided into 2 groups of 64 each. Group I underwent standard internal fixation and group II underwent JESS. Parameters such as side, causative agent, associated injuries and complications were compared. Results: Group I had 34 males and 30 females and group II had 36 males and 28 females. Left side was involved in 20 in group I and 30 in group II, right side 44 in group I and 34 in group II, etiology found to be RTA seen 40 in group I and 34 in group II, assault 14 in group I and 16 in group II and domestic violence 10 in group I and 14 in group II. Associated injuries was skin loss 5 in group I and 7 in group II, tendon injury 10 in group I and 3 in group II, colie’s fracture 12 in group I and 8 in group II and head injury 20 in group I and 12 in group II. Post- operative complication was skin necrosis 3 in group I and 1 in group II, wound infection 6 in group I and 3 in group II, osteodystrophy 1in group I and malunion 5 in group I and 2 in group II. The difference was significant (P< 0.05). Conclusion: JESS method found to be better as compared to K- wires in treatment of Metacarpal fractures.
Key words: Head injury, Metacarpal fractures, Road traffic accident.