Screw and Suspension Fixation for Bennett Fractures

David J Graham; Anna Watson; Fraser Taylor; Brahman Sivakumar

doi:10.1016/j.jhsg.2022.10.007

Screw and Suspension Fixation for Bennett Fractures

J Hand Surg Glob Online. 2022 Dec 7;5(2):206-210. doi: 10.1016/j.jhsg.2022.10.007. eCollection 2023 Mar.

Authors

David J Graham^{1

2

3}, Anna Watson^{1

4}, Fraser Taylor², Brahman Sivakumar^{1

5

6}

Affiliations

¹ Australian Research Collaboration on Hands, Mudgeeraba, Queensland, Australia.
² Department of Musculoskeletal Services, Gold Coast University Hospital, Southport Queensland, Australia.
³ Griffith University School of Medicine and Dentistry, Southport Queensland, Australia.
⁴ Department of Orthopaedic Surgery, Northern Beaches Hospital, Frenchs Forrest, New South Wales, Australia.
⁵ Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, New South Wales, Australia.
⁶ Department of Surgery, Faculty of Medicine, The University of Sydney, Camperdown, New South Wales, Australia.

Abstract

Bennett fractures are inherently unstable partial articular fractures of the base of the first metacarpal, often resulting from an axial load applied to a partially flexed metacarpal. Multiple options are available for the surgical stabilization of Bennett fractures; each option has associated drawbacks. We present a technique of fixation with headless compression screw(s), combined with suspension fixation, to overcome some of these limitations, with good results.

Keywords: Bennett; First carpometacarpal; Fracture; Suspension; TightRope.