Cannulated percutaneous fixation of intra-articular hand fractures

Percutaneous fixation techniques minimize edema, scar formation, and stiffness from operative trauma when restoring position and stability of displaced and unstable hand fractures. Percutaneous Kirschner wires merely splint fractures and may migrate, disengage, or irritate soft tissues; may be assoc...

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Bibliographic Details
Published inHand clinics Vol. 22; no. 3; p. 297
Main Author Geissler, William B
Format Journal Article
LanguageEnglish
Published United States 01.08.2006
Subjects
Bone Screws
Bone Wires
Finger Phalanges - injuries
Finger Phalanges - surgery
Fracture Fixation - methods
Fractures, Bone - surgery
Humans
Metacarpal Bones - injuries
Metacarpal Bones - surgery
Rotation
Traction
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Summary:Percutaneous fixation techniques minimize edema, scar formation, and stiffness from operative trauma when restoring position and stability of displaced and unstable hand fractures. Percutaneous Kirschner wires merely splint fractures and may migrate, disengage, or irritate soft tissues; may be associated with pin tract suppuration; and may require removal at 4 to 6 weeks after insertion. Percutaneous miniscrews may provide more secure fixation for larger articular and oblique diaphyseal fractures of the thumb and finger phalanges by means of bicortical fixation and compression, are less intrusive to adjacent tissues, retain the fracture throughout the healing process, and seldom require removal. Miniscrew canulation substantially simplifies the insertion process, and headless miniscrews are entirely unobtrusive to the adjacent tissues.
ISSN:0749-0712
DOI:10.1016/j.hcl.2006.03.004