Clinical considerations in intramedullary headless screw fixation of metacarpal and proximal phalanx fractures

Figure 1 Schematic overview of intramedullary headless screw fixation approaches[33]. A: Intramedullary screw fixation of a transverse metacarpal fracture; B: Y-strutting technique with two screws for a multi-fragmentary subcapital metacarpal fracture; C: Anterograde intra-articular intramedullary headless compression screw (IMCS) fixation of the proximal phalanx; D: Trans-articular technique (through the metacarpal head) for IMCS fixation of the proximal phalanx; E: Dual anterograde proximal phalanx fixation, also known as proximal phalanx’ Y-strutting; F: Retrograde IMCS fixation of the proximal phalanx. Citation: Guidi M, Frueh FS, Besmens I, Calcagni M. Intramedullary compression screw fixation of metacarpal and phalangeal fractures. EFORT Open Rev 2020; 5: 624-629. Copyright © The Author(s) 2020. Published by Bioscientifica Ltd on behalf of EFFORT. The article is open access.