title: Trans-metacarpal Screw Fixation for Extra-articular Proximal Phalangeal Base Fractures.
abstract: We developed a new internal fixation method for extra-articular fractures at the base of the proximal phalanx using a headless compression screw to achieve rigid fracture fixation through a relatively easy technique. With the metacarpophalangeal joint of the involved finger flexed, a smooth guide-pin is inserted into the intramedullary canal of the proximal phalanx through the metacarpal head and metacarpophalangeal joint. Insertion tunnels are made over the guide-pin using a cannulated drill. Then, a headless cannulated screw is placed into the proximal phalanx. All of five fractures treated by this procedure obtained satisfactory results.
authors.affiliation: 1 Department of Orthopaedic Surgery, Japanese Red Cross Narita Hospital, Narita, Chiba Pref., Japan.
authors.forename: Eichi
authors.initials: E
authors.lastname: Itadera
authors.affiliation: 1 Department of Orthopaedic Surgery, Japanese Red Cross Narita Hospital, Narita, Chiba Pref., Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Yamazaki
mesh_terms: D000328:Adult; D000368:Aged; D001863:Bone Screws; D005260:Female; D050278:Finger Phalanges / Q000293:injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D050279:Metacarpal Bones / Q000601:surgery; D008662:Metacarpophalangeal Joint / Q000601:surgery
keywords: Fractures; Headless cannulated screw; Intramedullary screw fixation; Proximal phalangeal base; Trans-metacarpal