Results of locked flexible intramedullary nailing of metacarpal fractures: a case series.

Abstract

We present our case series on the use of flexible locked intramedullary nails in the management of metacarpal fractures. This was a prospective study over a period of 2years of all patients with metacarpal fractures with 100% displacement or rotational deformity operated by the flexible locked intramedullary nails from January 2008 to April 2010 at Queen Elizabeth Hospital, Gateshead, UK RESULTS: Twenty-six patients with fractures of metacarpal neck and shaft were included in the study. All fractures went on to union by an average of 6.3weeks with full metacarpophalangeal joint movement and grip strength. In our experience, this device helps to achieve good functional results with minimal soft tissue disruption and complications in the management of unstable metacarpal fractures.