Intramedullary Screw Fixation of Metacarpal and Phalangeal Fractures

Gabrielle Anne Bui; Jerry I Huang

doi:10.1016/j.hcl.2023.05.014

Intramedullary Screw Fixation of Metacarpal and Phalangeal Fractures

Hand Clin. 2023 Nov;39(4):475-488. doi: 10.1016/j.hcl.2023.05.014. Epub 2023 Jul 21.

Authors

Gabrielle Anne Bui¹, Jerry I Huang²

Affiliations

¹ Department of Orthopedics and Sports Medicine, University of Washington Medical Center, 908 Jefferson Street, Ninth Floor, Seattle, WA 98104, USA.
² Department of Orthopedics and Sports Medicine, University of Washington Medical Center, 4245 Roosevelt Way Northeast, Box 354740, Seattle, WA 98105, USA. Electronic address: jihuang@uw.edu.

PMID: 37827601
DOI: 10.1016/j.hcl.2023.05.014

Abstract

Metacarpal and phalangeal fractures are the second and third most common hand and wrist fractures seen in the emergency department. There are a multitude of operative fixation methods for metacarpal and phalangeal fractures, including closed reduction percutaneous pinning, open reduction internal fixation, external fixation, and intramedullary screw fixation. Although intramedullary fixation is a relatively new surgical technique, it is gaining in popularity as it allows patients to resume range of motion early in the postoperative period with excellent clinical outcomes.

Keywords: Intramedullary screw fixation; Metacarpal fracture; Operative fixation; Phalangeal fracture.

Publication types

Review

MeSH terms

Bone Screws
Fracture Fixation, Internal / methods
Fracture Fixation, Intramedullary* / methods
Fractures, Bone* / surgery
Humans
Metacarpal Bones* / surgery