Trans-metacarpal Screw Fixation for Extra-articular Proximal Phalangeal Base Fractures.


We developed a new internal fixation method for extra-articular fractures at the base of the proximal phalanx using a headless compression screw to achieve rigid fracture fixation through a relatively easy technique. With the metacarpophalangeal joint of the involved finger flexed, a smooth guide-pin is inserted into the intramedullary canal of the proximal phalanx through the metacarpal head and metacarpophalangeal joint. Insertion tunnels are made over the guide-pin using a cannulated drill. Then, a headless cannulated screw is placed into the proximal phalanx. All of five fractures treated by this procedure obtained satisfactory results.

DOI: 10.1142/S021881041750006X

Cite this paper

@article{Itadera2017TransmetacarpalSF, title={Trans-metacarpal Screw Fixation for Extra-articular Proximal Phalangeal Base Fractures.}, author={Eichi Itadera and Takahiro Yamazaki}, journal={The journal of hand surgery Asian-Pacific volume}, year={2017}, volume={22 1}, pages={35-38} }