Factors affecting healing following percutaneous intramedullary fixation of metacarpal fractures

Experience with six consecutive patients who were treated with antegrade intramedullary K wire fixation for fifth metacarpal fractures is presented. Differences between the original Foucher's technique and other modified techniques are discussed. Modified Fouch-er's technique is simple and has a low complication rate. However, secondary wire removal (elective or otherwise) should be discussed with all patients preoperatively.

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Systematic Review of the Best Evidence in Intramedullary Fixation for Metacarpal Fractures

Hand ◽

10.1007/s11552-013-9531-8 ◽

2013 ◽

Vol 8 (3) ◽

pp. 253-260 ◽

Cited By ~ 11

Author(s):

Joseph P. Corkum ◽

Peter G. Davison ◽

Donald H. Lalonde

Keyword(s):

Systematic Review ◽

Intramedullary Fixation ◽

Metacarpal Fractures

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Antegrade intramedullary fixation of displaced fifth metacarpal fractures

Injury ◽

10.1016/s0020-1383(99)00201-6 ◽

2000 ◽

Vol 31 (1) ◽

pp. 47-50 ◽

Cited By ~ 20

Author(s):

J.D.F Calder ◽

S O’Leary ◽

S.C Evans

Keyword(s):

Intramedullary Fixation ◽

Metacarpal Fractures

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Intramedullary Fixation Of Unstable Metacarpal Fractures

Hand Clinics ◽

10.1016/j.hcl.2006.02.016 ◽

2006 ◽

Vol 22 (3) ◽

pp. 269-277 ◽

Cited By ~ 14

Author(s):

N.D. Downing ◽

T.R.C. Davis

Keyword(s):

Intramedullary Fixation ◽

Metacarpal Fractures

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CLOSED INTRAMEDULLARY FIXATION FOR METACARPAL FRACTURES USING J-SHAPED NAIL

Hand Surgery ◽

10.1142/s0218810408003980 ◽

2008 ◽

Vol 13 (03) ◽

pp. 139-145 ◽

Cited By ~ 12

Author(s):

Eichi Itadera ◽

Ryou Hiwatari ◽

Hideshige Moriya ◽

Yutaka Ono

Keyword(s):

Soft Tissue ◽

Kirschner Wire ◽

Intramedullary Fixation ◽

Fixation Technique ◽

Concomitant Injuries ◽

Metacarpal Fractures ◽

Dorsal Aspect ◽

Shaft Fractures ◽

Severe Soft Tissue ◽

Mechanical Irritation

The purpose of this study is to present the results of a new intramedullary fixation technique for metacarpal fractures. A J-shaped nail, which is a curved 2.0 mm diameter Kirschner wire sharply bent at the proximal end, was inserted from the dorsal aspect of the metacarpal base. Twenty-one metacarpal fractures (five transverse shaft fractures and 16 neck fractures) in 19 hands of 18 patients with were operated by this technique. All fractures had successful unions. Clinical and radiographic results were excellent in all ten hands that had excluded concomitant injuries. There was no mechanical irritation of the skin or extensor tendons in any patient. This intramedullary fixation technique is very useful for neck or transverse shaft fractures of the metacarpals without concomitant injuries such as severe soft tissue damage.

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