Premeasured Intramedullary Nails for the Treatment of Metacarpal Fractures: Novel Instrumentation and Technique
With nearly 36% of hand fractures occurring at the metacarpal, a variety of treatment interventions have been developed. Although many nondisplaced metacarpal fractures can be treated with conservative management, displaced, unstable, open, and extra-articular fractures require surgical attention. C...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-07-01
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| Series: | Journal of Hand Surgery Global Online |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514120300426 |
| _version_ | 1818863219127615488 |
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| author | Ather Mirza, MD Justin B. Mirza, DO Terence L. Thomas, Jr, BS |
| author_facet | Ather Mirza, MD Justin B. Mirza, DO Terence L. Thomas, Jr, BS |
| author_sort | Ather Mirza, MD |
| collection | DOAJ |
| description | With nearly 36% of hand fractures occurring at the metacarpal, a variety of treatment interventions have been developed. Although many nondisplaced metacarpal fractures can be treated with conservative management, displaced, unstable, open, and extra-articular fractures require surgical attention. Compared with open reduction with plate fixation, closed reduction with intramedullary fixation has shown advantages of a simplified technique, minimal soft tissue dissection, and reduced tendon irritation and scar formation. The current study reports on the improved surgical technique associated with the use of novel instrumentation for the closed reduction and intramedullary fixation of extra-articular metacarpal fractures. The design and surgical technique of the premeasured Secure Intramedullary Nail improves fracture fixation, minimizing rotation and backing out, while reducing concerns for soft tissue irritation complications at the base of the metacarpal. Our reported case series suggests procedural efficiency, a low complication rate, and fast recovery for those with indicated extra-articular fractures. |
| first_indexed | 2024-12-19T10:12:17Z |
| format | Article |
| id | doaj.art-93e369534b524a32b59acc1d88e06ecc |
| institution | Directory Open Access Journal |
| issn | 2589-5141 |
| language | English |
| last_indexed | 2024-12-19T10:12:17Z |
| publishDate | 2020-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj.art-93e369534b524a32b59acc1d88e06ecc2022-12-21T20:26:20ZengElsevierJournal of Hand Surgery Global Online2589-51412020-07-0124250255Premeasured Intramedullary Nails for the Treatment of Metacarpal Fractures: Novel Instrumentation and TechniqueAther Mirza, MD0Justin B. Mirza, DO1Terence L. Thomas, Jr, BS2Mirza Orthopedics, Smithtown, NY; North Shore Surgi-Center, Smithtown, NY; Corresponding author: Ather Mirza, MD, Mirza Orthopedics, 290 E. Main Street, Suite 200, Smithtown, NY 11787.Mirza Orthopedics, Smithtown, NY; North Shore Surgi-Center, Smithtown, NYMirza Orthopedics, Smithtown, NYWith nearly 36% of hand fractures occurring at the metacarpal, a variety of treatment interventions have been developed. Although many nondisplaced metacarpal fractures can be treated with conservative management, displaced, unstable, open, and extra-articular fractures require surgical attention. Compared with open reduction with plate fixation, closed reduction with intramedullary fixation has shown advantages of a simplified technique, minimal soft tissue dissection, and reduced tendon irritation and scar formation. The current study reports on the improved surgical technique associated with the use of novel instrumentation for the closed reduction and intramedullary fixation of extra-articular metacarpal fractures. The design and surgical technique of the premeasured Secure Intramedullary Nail improves fracture fixation, minimizing rotation and backing out, while reducing concerns for soft tissue irritation complications at the base of the metacarpal. Our reported case series suggests procedural efficiency, a low complication rate, and fast recovery for those with indicated extra-articular fractures.http://www.sciencedirect.com/science/article/pii/S2589514120300426FractureIntramedullaryMetacarpalTrauma |
| spellingShingle | Ather Mirza, MD Justin B. Mirza, DO Terence L. Thomas, Jr, BS Premeasured Intramedullary Nails for the Treatment of Metacarpal Fractures: Novel Instrumentation and Technique Journal of Hand Surgery Global Online Fracture Intramedullary Metacarpal Trauma |
| title | Premeasured Intramedullary Nails for the Treatment of Metacarpal Fractures: Novel Instrumentation and Technique |
| title_full | Premeasured Intramedullary Nails for the Treatment of Metacarpal Fractures: Novel Instrumentation and Technique |
| title_fullStr | Premeasured Intramedullary Nails for the Treatment of Metacarpal Fractures: Novel Instrumentation and Technique |
| title_full_unstemmed | Premeasured Intramedullary Nails for the Treatment of Metacarpal Fractures: Novel Instrumentation and Technique |
| title_short | Premeasured Intramedullary Nails for the Treatment of Metacarpal Fractures: Novel Instrumentation and Technique |
| title_sort | premeasured intramedullary nails for the treatment of metacarpal fractures novel instrumentation and technique |
| topic | Fracture Intramedullary Metacarpal Trauma |
| url | http://www.sciencedirect.com/science/article/pii/S2589514120300426 |
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