Blocking Screw Technique for Maintaining Reduction during Intramedullary Screw Fixation of Oblique Metacarpal Fractures

Document Type : TECHNICAL NOTE

Authors

1 Department of Orthopaedic Surgery, Rowan University SOM, Stratford, NJ, USA

2 Department of Orthopaedic Surgery, Thomas Jefferson University and the Rothman Institute, Philadelphia, Pennsylvania, Rothman Institute, Philadelphia, PA, USA

3 Rothman Orthopaedic Insitute, AdventHealth, Orlando, FL, USA

Abstract

Intramedullary screw fixation provides a less-invasive means of surgically managing metacarpal fractures. While there
are advantages to using this technique compared to CRPP and ORIF, disadvantages of intramedullary screw fixation
include loss of reduction intraoperatively due to sagittal and coronal plane translation. The blocking screw technique
has been previously described as a solution for this problem in intramedullary fixation of long bone fractures. We
describe the blocking screw technique as applied to aid intramedullary screw fixation of metacarpals.
Level of evidence: V

Keywords

Main Subjects


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Volume 10, Issue 12
December 2022
Pages 1056-1059
  • Receive Date: 07 February 2022
  • Revise Date: 10 October 2022
  • Accept Date: 17 October 2022
  • First Publish Date: 14 November 2022