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Retrograde fixation of metacarpal fractures with intramedullary cannulated headless compression screws


Jann, D; Calcagni, M; Giovanoli, P; Giesen, T (2018). Retrograde fixation of metacarpal fractures with intramedullary cannulated headless compression screws. Hand Surgery and Rehabilitation, 37(2):99-103.

Abstract

We analyzed the results of 20 unstable metacarpal fractures in 15 patients treated with a cannulated compression screw and no immobilization. All fractures healed within 6 weeks. One patient with multiple fractures and a flexion deficit required arthrolysis of two metacarpophalangeal joints. Another patient had an extension lag. There were no other complications. This fast and easy technique results in good outcomes for unstable metacarpal fractures. The advantages are early active motion without immobilization and stable fixation. Surgical removal of the screw is rarely needed.

Abstract

We analyzed the results of 20 unstable metacarpal fractures in 15 patients treated with a cannulated compression screw and no immobilization. All fractures healed within 6 weeks. One patient with multiple fractures and a flexion deficit required arthrolysis of two metacarpophalangeal joints. Another patient had an extension lag. There were no other complications. This fast and easy technique results in good outcomes for unstable metacarpal fractures. The advantages are early active motion without immobilization and stable fixation. Surgical removal of the screw is rarely needed.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Reconstructive Surgery
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Surgery
Health Sciences > Orthopedics and Sports Medicine
Health Sciences > Rehabilitation
Language:English
Date:April 2018
Deposited On:11 Sep 2018 13:33
Last Modified:29 Jul 2020 07:39
Publisher:Elsevier
ISSN:2468-1229
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.hansur.2017.12.005
PubMed ID:29503183

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