The treatment of unstable metacarpal and phalangeal shaft fractures with flexible nonlocking and locking intramedullary nails.
Metacarpal and phalangeal shaft fracture fixation can be achieved by closed IM nailing. This technique provides sufficient stability to commence early unsupported joint motion and minimize soft-tissue irritation and scar formation. Stability is enhanced by proximal nail locking; a measure that extends the indications to spiral and comminuted fractures. The surgical technique is simple but requires attention to detail.
Orbay
Jorge L
JL
Miami Hand Center, 8905 SW 87th Avenue, Suite 100, Miami, FL 33176, USA. jlorbay@aol.com
Touhami
Amel
A
D000328:Adult; D005260:Female; D050278:Finger Phalanges / Q000293:injuries / Q000601:surgery*; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing; D050723:Fractures, Bone / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D050279:Metacarpal Bones / Q000293:injuries / Q000601:surgery*; D010147:Pain Measurement; D016059:Range of Motion, Articular; D013997:Time Factors; D016896:Treatment Outcome