chapter  8
8 Pages

Intramedullary Rodding of Metacarpal and Phalangeal Fractures

Fractures of the long bones of the hand are of special interest

because of their frequency and their propensity to result in

functional loss. Closed treatment has been the mainstay of

management for these injuries but the failure of nonoperative

treatment on the more unstable fractures has prompted the

utilization of surgical methods. Internal fixation provides

improved final reductions but involves a trade off with

iatrogenic soft tissue injury. Flexible intramedullary (IM)

nailing of extra-articular metacarpal (MC) and proximal

phalangeal fractures provides ample fixation while avoiding

the soft tissue injury associated with plate and screw

application.