Anterograde Intramedullary Headless Compression Screw for Managing Extra-articular Thumb Metacarpal Base Fracture: Technique and Report.

Autor: Rosifini Alves Rezende LG; Hospital of Clinics of Ribeirao Preto Medical School, University of São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Techniques in hand & upper extremity surgery [Tech Hand Up Extrem Surg] 2023 Mar 01; Vol. 27 (1), pp. 17-21. Date of Electronic Publication: 2023 Mar 01.
DOI: 10.1097/BTH.0000000000000403
Abstrakt: Extra-articular base fractures of the thumb are typical in hand surgeon practice. Nonoperative methods (spica) and operative methods are available for its management. There are operative methods described, such as plate and screws, Kirschner wires, and intramedullary screws. However, there is only a retrograde technique described. This study aims to present a new technique of an anterograde intramedullary headless compression screw to manage the extra-articular thumb metacarpal base fracture. This minimally invasive method allows an early range of motion and does not cross the articular surface of the thumb. This alternative fixation method has the advantage of low damage to soft tissues and good functional outcomes.
Competing Interests: Conflicts of Interest and Source of Funding: The author report no conflicts of interest and no source of funding.
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Databáze: MEDLINE