Intramedullary Pinning for Displaced Fifth Metacarpal Neck Fractures: Closed Reduction and... скачать в хорошем качестве

Intramedullary Pinning for Displaced Fifth Metacarpal Neck Fractures: Closed Reduction and...

Full video articles: https://jbjs.org/reader.php?source=JB... Intramedullary Pinning for Displaced Fifth Metacarpal Neck Fractures: Closed Reduction and Fixation Using Either an Open Antegrade or Percutaneous Retrograde Technique Although the majority of fifth metacarpal neck fractures can be treated nonoperatively, surgery may be indicated when there is severe shortening or angulation of the metacarpal bone. Several surgical techniques have been used to treat displaced fifth metacarpal neck fractures. The most commonly used are the open antegrade intramedullary pinning technique and the retrograde percutaneous intramedullary pinning technique. Both techniques provide satisfactory outcomes with minimal complications. Antegrade intramedullary pinning involves a small skin incision and drilling of the fifth metacarpal base followed by antegrade intramedullary insertion of Kirschner wires. By comparison, percutaneous retrograde intramedullary pinning consists of retrograde percutaneous insertion of intramedullary Kirschner wires through the metacarpal head, extraction of the wire ends proximally, and bending of the wires dorsally.