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Journal of Hand Surgery (British and European Volume)
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Articles

Fasciculated Intramedullary Pinning of Metacarpal Fractures

CA MANUEDDU
D. DELLA SANTA

From the Hand Surgery Unit, Department of Surgery, Hôpital Cantonal Universitaire, Geneva, Switzerland

Correspondence: Dr C. Manueddu, Clinique d’Orthopédie, Hôpital Cantonal Universitaire, 1211 Genève 14, Switzerland.

We reviewed 20 patients with 23 displaced extraarticular fractures of the distal end of the long metacarpals, treated by fasciculated pinning. At a mean follow-up of 5 years, all the patients were subjectively satisfied with the result. All the patients but one, who fractured four metacarpals, had a normal range of motion. The average grip strength was 43.4 kg for the operated side compared to 43.4 kg for the uninjured hand. Radiologically, the fractured fifth metacarpal had a shortening of 2.2 mm compared to a control group, whereas the volar angulation was 16.6° (13.2° for the control group).

The technique of intramedullary fasciculated pinning is a reliable alternative when conservative treatment of fractures of the metacarpal neck has failed or is inappropriate. The procedure provides sufficient stability to allow early mobilization and a good functional result.

Journal of Hand Surgery (British and European Volume), Vol. 21, No. 2, 230-236 (1996)
DOI: 10.1016/S0266-7681(96)80104-5
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