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. 2024 Feb;49(2):264-266.
doi: 10.1177/17531934231203165. Epub 2023 Oct 26.

The stacking concept: cannulated screws for extra-articular metacarpal base fracture of the thumb

Francisco Del Piñal  1 , Daniel C Williams  1   2 , Jaime S Rúas  1 , Jin Xi Lim  1   3 , Alexis Studer  1
Affiliations

The stacking concept: cannulated screws for extra-articular metacarpal base fracture of the thumb

Francisco Del Piñal et al. J Hand Surg Eur Vol. 2024 Feb.

Abstract

An alternative technique to treat extra-articular fractures of the base of the first metacarpal with intramedullary canulated headless screws is presented. The principle is creating an internal fixator within the medullary canal by introducing multiple retrograde screws until they have jammed.

Keywords: Metacarpal fractures; canulated intramedullary screws; early range of motion; headless compression screws; thumb fractures.

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Conflict of interest statement

Declaration of conflicting interestsThe authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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