Intramedullary Fixation of Hand Fractures and Arthrodeses.
Cannulated screws
headless compression screws
intramedullary fixation
metacarpal fracture
phalanx fracture
Journal
The Journal of hand surgery
ISSN: 1531-6564
Titre abrégé: J Hand Surg Am
Pays: United States
ID NLM: 7609631
Informations de publication
Date de publication:
29 Sep 2023
29 Sep 2023
Historique:
received:
09
10
2022
revised:
25
05
2023
accepted:
26
08
2023
medline:
1
10
2023
pubmed:
1
10
2023
entrez:
1
10
2023
Statut:
aheadofprint
Résumé
Intramedullary fixation has long been popular for fracture fixation in the upper extremity from the shoulder through the carpus. Recently, intramedullary fixation in the hand has gained increasing interest, specifically in the metacarpals and phalanges, corresponding with the development of improved cannulated headless screw technology. Along with the advantages of increased operative speed and less surgical dissection, which can promote rapid healing, many benefits exist, supporting their use despite some drawbacks. This article reviews the background and biomechanics of intramedullary fixation with a specific focus on cannulated headless screws, describes the application and techniques of intramedullary screw fixation in the hand, and details the associated outcomes and costs for metacarpal fractures, phalangeal fractures, and interphalangeal joint arthrodesis.
Identifiants
pubmed: 37777934
pii: S0363-5023(23)00473-2
doi: 10.1016/j.jhsa.2023.08.011
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.