Intramedullary Cannulated Headless Screw Fixation of a Comminuted Subcapital Metacarpal Fracture: Case Report

被引：51
|
作者：
Boulton, Christina L.
Salzler, Matthew
Mudgal, Chaitanya S. [1 ]
机构：
[1] Harvard Univ, Orthopaed Hand Serv, Massachusetts Gen Hosp,Yawkey Ctr,Med Sch, Harvard Combined Orthopaed Residency Program, Boston, MA 02114 USA
来源：
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2010年 / 35A卷 / 08期
关键词：
Fixation; fracture; intramedullary; metacarpal; subcapital; PHALANGEAL FRACTURES; PLATE FIXATION; DISTAL RADIUS; HAND;
D O I：
10.1016/j.jhsa.2010.04.032
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
This case report describes an alternative technique for the fixation of displaced comminuted subcapital fractures of the metacarpal with limited distal bone stock. Using a cannulated headless screw as an intramedullary device placed through the articular surface, we were able to secure proximal and distal bone purchase without excessive soft tissue stripping or disruption of the fracture hematoma. This technique allows early rehabilitation, and our patient went on to uneventful healing with excellent functional results. (J Hand Surg 2010; 35A:1260-1263. (C) 2010 Published by Elsevier Inc. on behalf of the American Society for Surgery of the Hand.)
引用
收藏
页码：1260 / 1263
页数：4
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