Objective: To evaluate the effects of surgical and conservative treatment on quality of life in patients with multiple metacarpal fractures.Patients and Methods: A retrospective review of patients with multiple metacarpal fractures was conducted, with a focus on theirdemographic characteristics, injury mechanisms, associated upper extremity fractures, and fracture patterns.

The Quick Disabilities ofthe Arm, Shoulder and Hand (QDASH) score, along with the Physical Component Score (PCS-12) and the Mental Component Score(MCS-12) of the Short Form-12 (SF-12) Health Survey, were utilized to analyze functional outcomes.Results: Among the 31 multiple metacarpal fracture patients, the surgery/conservative ratio was 24/7.

No disparities were foundbetween groups in terms of demographic variables. A significant difference was observed in terms of concomitant upper extremityfractures between patients who underwent conservative and surgical treatment (p=0.038). Conservative treatment was not applied toany patient with concomitant upper extremity fractures.

QDASH scores were significantly lower in the surgical intervention group(p