• Hand clinics · Aug 2006

    Comparative Study

    The treatment of unstable metacarpal and phalangeal shaft fractures with flexible nonlocking and locking intramedullary nails.

    • Jorge L Orbay and Amel Touhami.
    • Miami Hand Center, 8905 SW 87th Avenue, Suite 100, Miami, FL 33176, USA. jlorbay@aol.com
    • Hand Clin. 2006 Aug 1;22(3):279-86.

    AbstractMetacarpal and phalangeal shaft fracture fixation can be achieved by closed IM nailing. This technique provides sufficient stability to commence early unsupported joint motion and minimize soft-tissue irritation and scar formation. Stability is enhanced by proximal nail locking; a measure that extends the indications to spiral and comminuted fractures. The surgical technique is simple but requires attention to detail.

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