Technical NoteNo Access

Intramedullary Headless Screw Fixation for Metacarpal Fractures – Technical Tips

Hand & Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA

Correspondence to: Abhiram R. Bhashyam, Hand & Arm Center, Department of Orthopaedics, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA. Tel: +1-412-759-3423.

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and

Chaitanya MUDGAL

Hand & Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA

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https://doi.org/10.1142/S2424835523710017Cited by:0 (Source: Crossref)

Abstract

Metacarpal fractures are a common injury in the hand. When surgical intervention is indicated, there are multiple approaches and techniques of fixation. Intramedullary fixation has become an increasingly versatile method of fixation. The limited dissection needed for its insertion, rotational stability provided by the isthmic fit and lack of requisite hardware removal are improvements over conventional K-wire or plate fixation techniques. Multiple outcome studies have confirmed its safety and effectiveness. In this technical note, we provide some tips that can help surgeons considering intramedullary headless screw fixation of metacarpal fractures.

Level of Evidence: Level V (Therapeutic)

Keywords:

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