Case ReportNo Access

Intra-medullary Cannulated Headless Compression Screw for Bone Graft Fixation in Metacarpal Fractures

Valdone KOLAITYTE

Department of Plastic, Reconstructive and Hand Surgery, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

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Logendra MURUGESAN

Department of Plastic, Reconstructive and Hand Surgery, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

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Jeffrey C. Y. CHAN

Department of Plastic, Reconstructive and Hand Surgery, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

Department of Plastic, Reconstructive and Hand Surgery, King’s College Hospital NHS Foundation Trust, Brixton, London, UK

E-mail Address: drjeffreychan@yahoo.com

Correspondence to: Jeffrey C. Y. Chan, Department of Plastic, Reconstructive and Hand Surgery, Guy’s and St Thomas’ NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, UK. Tel: +44-20-7188-7188

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https://doi.org/10.1142/S2424835522720468Cited by:0 (Source: Crossref)

Abstract

High energy metacarpal fracture presenting with critical bone loss requires bone graft and hardware stabilisation. Early bone grafting and rigid internal fixation allow expedited patient recovery. Plate fixation is the most described technique when an autologous bone graft is being used. In this report, we present an alternative technique to secure bone grafts to metacarpal shafts with intra-medullary headless compression screws (HCS). In the presented patient, significant bone defects of the fourth and fifth metacarpals were bridged using iliac crest cortico-cancellous bone grafts and fixed with HCS. This method of fixation allowed controlled early active mobilisation. Bone graft incorporation and excellent active range of motion were demonstrated.

Level of Evidence: Level V (Therapeutic)

Keywords:

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