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. 2022 Dec 7;5(2):206-210.
doi: 10.1016/j.jhsg.2022.10.007. eCollection 2023 Mar.

Screw and Suspension Fixation for Bennett Fractures

David J Graham  1   2   3 , Anna Watson  1   4 , Fraser Taylor  2 , Brahman Sivakumar  1   5   6
Affiliations

Screw and Suspension Fixation for Bennett Fractures

David J Graham et al. J Hand Surg Glob Online. .

Abstract

Bennett fractures are inherently unstable partial articular fractures of the base of the first metacarpal, often resulting from an axial load applied to a partially flexed metacarpal. Multiple options are available for the surgical stabilization of Bennett fractures; each option has associated drawbacks. We present a technique of fixation with headless compression screw(s), combined with suspension fixation, to overcome some of these limitations, with good results.

Keywords: Bennett; First carpometacarpal; Fracture; Suspension; TightRope.

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Figures

Figure 1
Figure 1
Bennett fracture treated with the reduction method. Red arrow indicate longitudinal traction. Black arrow indicate pressure over the base of the first metacarpal.
Figure 2
Figure 2
Fixation with 1 headless compression screw and TightRope suspension.
Figure 3
Figure 3
Intraoperative fluoroscopy – anteroposterior/lateral/Robert view.
Figure 4
Figure 4
Preoperative radiograph showing Bennett fracture.
Figure 5
Figure 5
Postoperative radiographs.
Figure 6
Figure 6
Clinical photographs 3 months after surgery.
See this image and copyright information in PMC

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