{"id":1498,"date":"2023-07-07T22:24:34","date_gmt":"2023-07-07T22:24:34","guid":{"rendered":"https:\/\/drbadia.com\/es\/?p=1498"},"modified":"2025-11-10T20:31:31","modified_gmt":"2025-11-11T00:31:31","slug":"percutaneous-fixation-of-metacarpal-fracture","status":"publish","type":"post","link":"https:\/\/drbadia.com\/es\/percutaneous-fixation-of-metacarpal-fracture\/","title":{"rendered":"Percutaneous fixation of metacarpal fracture"},"content":{"rendered":"
\n
\"pinning<\/figure><\/div>\n\n\n

Article in Operative Techniques in Plastic and Reconstructive Surgery \u00b7 November 2002<\/p>\n\n\n\n

Abstract:<\/strong><\/h4>\n\n\n\n

Metacarpal shaft fractures are common but consensus on the best mode of treatment has not been established. Open reduction and internal \ufb01xation with plates or screws has been performed for severely displaced fractures. Unfortunately, extensor tendon adhesions and\/or unsightly scars frequently follow this form of treatment. Percutaneous \ufb02exible intramedulary nailing of metacarpal fractures provides an alternative method that minimizes these problems. The technique is simple and provides the ability to lock the nails to control length and rotation. The nails are inserted using a manually operated slotted awl and usually in an anterograde direction to prevent soft tissue irritation around the metacarpophalangeal joints. This method utilizes \ufb02exible nails (1.5 and 1.0 mm.) and closed \ufb02uoroscopically assisted reduction. Rotationally unstable or fractures with a tendency to shorten can be locked proximally using a captured transverse pin which effectively controls length and rotation. Metacarpophalangeal \ufb02exion block splinting<\/a> can be used postoperatively and the nails are routinely removed after fracture healing. Experience with this technique has been favorable as it avoids exposure of the fracture, dissection around the extensor mechanism, and scar problems. It has provided excellent functional results and has presented a low complication rate.<\/p>\n\n\n\n

Download PDF here<\/a><\/p>\n\n\n

\n
\"Badia<\/figure><\/div>\n\n\n

Cite this article<\/strong>:\u00a0\u00a0Orbay, Jorge & Badia, Alejandro & Indriago, Igor & Infante, Anthony & Khouri, Roger & Gonzalez, Eduardo & Fernandez, Diego. (2002). The Extended Flexor Carpi Radialis Approach: A New Perspective for the Distal Radius Fracture<\/a>. Techniques in hand & upper extremity surgery. 5. 204-11. 10.1097\/00130911-200112000-00004.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

Article in Operative Techniques in Plastic and Reconstructive Surgery \u00b7 November 2002 Abstract: Metacarpal shaft fractures are common but consensus on the best mode of treatment has not been established. Open reduction and internal \ufb01xation with plates or screws has been performed for severely displaced fractures. Unfortunately, extensor tendon adhesions and\/or unsightly scars frequently follow… [Read More]<\/a><\/p>\n","protected":false},"author":3,"featured_media":1499,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[168,93],"tags":[145,249,250,234,254],"class_list":{"0":"post-1498","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-publicaciones-dedo","8":"category-publicaciones-cientificas","9":"tag-eng","10":"tag-finger","11":"tag-finger-common-conditions","12":"tag-finger-fracture","13":"tag-metacarpal","14":"entry"},"acf":[],"yoast_head":"\nPercutaneous fixation of metacarpal fracture - 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Open reduction and internal \ufb01xation with plates or screws has been performed for severely displaced fractures. Unfortunately, extensor tendon adhesions and\/or unsightly scars frequently follow...…","_links":{"self":[{"href":"https:\/\/drbadia.com\/es\/wp-json\/wp\/v2\/posts\/1498","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drbadia.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drbadia.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drbadia.com\/es\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/drbadia.com\/es\/wp-json\/wp\/v2\/comments?post=1498"}],"version-history":[{"count":0,"href":"https:\/\/drbadia.com\/es\/wp-json\/wp\/v2\/posts\/1498\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drbadia.com\/es\/wp-json\/wp\/v2\/media\/1499"}],"wp:attachment":[{"href":"https:\/\/drbadia.com\/es\/wp-json\/wp\/v2\/media?parent=1498"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drbadia.com\/es\/wp-json\/wp\/v2\/categories?post=1498"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drbadia.com\/es\/wp-json\/wp\/v2\/tags?post=1498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}