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Intramedullary Nailing

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Abstract

Intramedullary splinting of metacarpal shaft and neck fractures has become increasingly established. The procedure enables minimal impairment of soft tissues and fragment vascularity. Single antegrade wiring is sufficient in the third and fourth metacarpal, double wiring is used in the first, second and fifth metacarpal to control length and rotation. Despite higher mechanical strength in plate osteosynthesis, authors describe better clinical outcome after intramedullary fixation.

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Authors and Affiliations

  1. Center of Orthopedics and Traumatology, University Medical Center, Johannes Gutenberg-University, Langenbeckstrasse 1, Mainz, 55131, Germany

    Daniela Klitscher MD, PhD & Pol M. Rommens MD, PhD

Authors
  1. Daniela Klitscher MD, PhD
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  2. Pol M. Rommens MD, PhD
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Corresponding author

Correspondence to Daniela Klitscher MD, PhD .

Editor information

Editors and Affiliations

  1. Center for Orthopedics &Traumatology, University Medical Center Johannes Gutenberg University, Mainz, Germany

    Pol M. Rommens

  2. Academic Teaching Hospital Fulda, Fulda, Germany

    Martin H. Hessmann

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© 2015 Springer-Verlag London

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Klitscher, D., Rommens, P.M. (2015). Hand. In: Rommens, P., Hessmann, M. (eds) Intramedullary Nailing. Springer, London. https://doi.org/10.1007/978-1-4471-6612-2_15

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  • DOI: https://doi.org/10.1007/978-1-4471-6612-2_15

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6611-5

  • Online ISBN: 978-1-4471-6612-2

  • eBook Packages: MedicineMedicine (R0)

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