Metacarpal Shaft Fractures - Pre-test


1. The open fracture seen in Figure 1 is associated with a clinical rotational deformity of the middle finger. Open reduction and internal fixation: 

A. Immediately is contra indicated for this injury 
B. Is associated with approximately 10% complication rate
C. With plating causes more malunion than interosseous wiring
D. Should be delayed for 2 weeks to allow wound healing
E. Increases infection rate in the presence of systemic illness