ArticlePlastic and reconstructive surgery. Global open2021
Intramedullary Screw Fixation Comprehensive Technique Guide for Metacarpal and Phalanx Fractures: Pearls and Pitfalls.
Article in Plastic and reconstructive surgery. Global open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06372067 (Intramedullary Screw Versus Kirschner Wire Fixation of Extraarticular Proximal and Middle Phalanx Fractures), which is not on this map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Intramedullary Screw Versus Kirschner Wire Fixation of Extraarticular Proximal and Middle Phalanx Fractures: Pilot Study for a Randomized Controlled Trial
Who cites it
17 citing papers in PubMed.
- The Effect of Retrograde Intramedullary Nail Entry at the Metacarpal Head on Metacarpophalangeal Joint Contact Mechanics.Journal of hand surgery global online · 2026Article
- Article
- Biomechanical Evaluation of Various Screw Constructs for Proximal Phalanx Base Fracture Fixation.Journal of hand surgery global online · 2026Article
- Minimally Invasive Antegrade Fixation of Proximal Phalangeal Fractures with Intramedullary Cannulated Compressive Screws.Journal of clinical medicine · 2026Article
- Cartilage Defect Articulation With the Proximal Phalanx After Retrograde Intramedullary Screw Fixation of Metacarpal Fractures: A Cadaveric Study.Journal of hand surgery global online · 2026Article
- Outcomes of Metacarpal Shaft Fractures Treated by Open Reduction Internal Fixation With Plates and Screws Versus Intramedullary Screws.Hand (New York, N.Y.) · 2025Article
- Article
- Double X Configuration Screw Fixation for Middle Phalanx Fracture - A Case Report.Journal of orthopaedic case reports · 2025Article
- Article
- Identifying High-Risk Patients for Postoperative Renal Complications Following Femoral Intramedullary Fixation: A NSQIP Study.Orthopedic reviews · 2025Article
- Intramedullary Fixation for Metacarpal Fractures: A Multi-Institutional Prospective Outcomes Study.Journal of hand surgery global online · 2025Article
- Second Toe-to-thumb Transfer Using Intramedullary Screw Fixation after Traumatic Thumb Amputation.Plastic and reconstructive surgery. Global open · 2024Article
- Outcomes Following Fully Threaded Intramedullary Nailing of Metacarpal Fractures.Journal of hand surgery global online · 2024Article
- Antegrade Intramedullary Screws in Metacarpal Fractures of Pediatric Patients.Journal of hand surgery global online · 2023Article
- Fixation of Hand Fractures with Intramedullary Headless Compression Screws.The archives of bone and joint surgery · 2022Review
- Article
- Treatment of Metacarpal and Phalangeal Fractures: Intramedullary Screw Technique.JBJS essential surgical techniquesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhalangeal and metacarpal fractures are the second and third most common upper extremity fractures after distal radius fractures with varying methods of fixation techniques. Intramedullary screw fixation is an increasingly preferred method of fixation. Benefits include early range of motion, faster recovery, limited dissection, and reduced complications. Improper technique, which is readily avoidable, can lead to suboptimal results.
methodsA review of recent literature on current techniques aims to summarize the biomechanics of intramedullary screw fixation and outline appropriate technique of placing headless compression screws for metacarpal and phalangeal fractures.
resultsWe discuss through images and videos the indications, preoperative workup, and technical pearls and pitfalls to encourage surgeons to add this technique to their armamentarium and improve outcomes.
conclusionsintrameduallry screw fixation is a powerful option for metacarpal and phalanx fixation that allows rigid stability, enabling early return of function with excellent rates of union and total active motion. With knowledge of technical pearls presented in this article, common mistakes can be avoided to improve efficiency of screw placement and optimize patient outcomes.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.