title: Longitudinal pinning of fractures of the base of the first metacarpal.
abstract: From an experience of 120 fractures of the base of the first metacarpal bone, the authors evaluated the functional results of in 40 patients followed-up. Most of these patients had been treated by Bunden's method of longitudinal pinning. If one eliminates the comminuted fractures and the Bennett's fractures with a single large fragment treated by screw fixation the method of longitudinal pinning restores normal function to the first interdigitalspace Furthermore, the development of secondary arthrosis of the trapezo-metacarpal joint is rare.
authors.affiliation: Service d'Orthopédie-Traumatologie, Centre Hospitalier et Universitaire, Besançon.
authors.forename: P
authors.initials: P
authors.lastname: Vichard
authors.forename: Y
authors.initials: Y
authors.lastname: Tropet
authors.forename: F
authors.initials: F
authors.lastname: Nicolet
mesh_terms: D000328:Adult; D001858:Bone Nails; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000293:injuries*; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome