الفهرس 
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Abstract
Fractures of the metacarpal bone can alter optimal hand function. Surgical fixation is indicated when rotation is impaired ± head shortening over 2mm ± displacement of the head in flexion exceeds 60° for the fifth, 50° for the fourth and 15° for both the second and third. Many techniques were described for this fracture with no robust evidence for the best treatment.Recently developed low profile plates may, however, challenge the preference for K-wires. Low profile plates were found to have lower complications than conventional plates in addition to early range of motion and early return to workIn the present study, we compared results between closed reduction, fixation by antegrade Intramedullary nailing and open reduction, fixation low profile plate A series of 87 metacarpal fractures indicated for surgical fixation: 43 were managed by antegrade Intramedullary nailing (group I) and 44 by low profile plate (group II). All patients were followed up for 3 months and results were analyzed on subjective and objective criteria (PVAS, Q-DASH, grip strength, TAM, radiology (union and residual deformity), complications, operative time, time to union) No significant differences were found for PVAS, Q-DASH, TAM, and grip strength time to radiological union or residual deformities at last follow-up. however Operative time was significantly shorter in the k-wire group.