chapter  7
10 Pages

Percutaneous Mini Screw Fixation of Phalangeal and Metacarpal Fractures

The principles of unstable hand fracture management include

anatomic restoration, sufficient stability to prevent displace-

ment until callus seals the fracture and allows early

progressive functional recovery, and the avoidance of unnecess-

ary additional operative trauma (1). A fracture is considered

unstable when reduction cannot be achieved and maintained

without fixation or whenmotion cannot be initiated without the

loss of reduction. Large (involving O25% of the articular

surface) articular and oblique diaphyseal hand fractures are

typically inherently unstable.