Journal article
Flexible intramedullary nailing for metacarpal fractures
The Journal of hand surgery (American ed.), Vol.20(3), pp.382-387
1995
DOI: 10.1016/S0363-5023(05)80091-7
PMID: 7642912
Abstract
A 5-year retrospective review of 83 patients with 98 metacarpal fractures was performed. Fractures of the thumb metacarpal were excluded. Ninety-six closed metacarpal fractures were reduced closed and fixed with flexible intramedullary fixation, using multiple 0.8-mm prebent rods. Two open metacarpal fractures were also fixed with this technique. Fractures amenable to flexible intramedullary fixation include short oblique and transerse fractures. Contraindications include long oblique and bicortical comminuted fractures. The average follow-up time was 9 months (range, 2 to 34 months) with 15 patients lost to follow-up examination. All fractures went on to heal. Three complications occurred: backing out of a rod in one case and bending of the rods after repeat trauma in two. There were no infections. Flexible intramedullary nailing of specific metacarpal fractures affords excellent results with a low complication rate. Proper selection of fractures and good surgical technique are necessary to avoid complications.
Details
- Title: Subtitle
- Flexible intramedullary nailing for metacarpal fractures
- Creators
- Mark H GonzalezCassim M IgramRobert F Hall
- Resource Type
- Journal article
- Publication Details
- The Journal of hand surgery (American ed.), Vol.20(3), pp.382-387
- Publisher
- Elsevier Inc
- DOI
- 10.1016/S0363-5023(05)80091-7
- PMID
- 7642912
- ISSN
- 0363-5023
- eISSN
- 1531-6564
- Language
- English
- Date published
- 1995
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040453802771
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