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    J Hand Surg Am. 2010 Aug;35(8):1260-3. Epub 2010 Jul 8.

    Intramedullary cannulated headless screw fixation of a comminuted subcapital metacarpal fracture: case report.

    Boulton CL, Salzler M, Mudgal CS.

    Source

    Harvard Combined Orthopaedic Residency Program and Department of Orthopaedic Surgery, Harvard Medical School, Orthopaedic Hand Service, Massachusetts General Hospital, Boston, MA, USA.

    Abstract

    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.

    Copyright 2010. Published by Elsevier Inc.

    PMID:
    20619555
    [PubMed - indexed for MEDLINE]

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