DISCUSSION Selective use of MSF in the metacarpal shaft fracture is more effective than KWF in cases of comminuted fracture which can not be achieved firm fixation by KWF.

• [讨论]掌骨干骨折手术中对粉碎性骨折及利用克氏针不能充分固定的骨折患者可选择性地应用微型钢板及螺丝钉内固定术，可达到解剖复位及固定稳定的目的。