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Review
. 2014 Jul;41(3):463-80.
doi: 10.1016/j.cps.2014.03.005.

Surgical treatment, hardware removal, and the wide-awake approach for metacarpal fractures

Shu Guo Xing  1 , Jin Bo Tang  2
Affiliations
Review

Surgical treatment, hardware removal, and the wide-awake approach for metacarpal fractures

Shu Guo Xing et al. Clin Plast Surg. 2014 Jul.

Abstract

Most fractures are managed nonoperatively. Those displaced unstable fractures require percutaneous fixation of single (or double) intramedullary Kirschner wires. Only large, oblique fractures must be fixed with screws or a plate. Indications for plating metacarpal fractures are limited in multiple unstable shaft or oblique fractures. After internal fixation, the patient actively moves the digits over a limited range under protection. This article reviews indications and techniques of surgical treatment, hardware removal, and the wide-awake approaches for surgery of these fractures.

Keywords: Hardware removal; Internal fixation; Metacarpal fracture; Wide-awake surgery.

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