Metacarpal CRPP or PRIF

Metacarpal fractures may need stabilization with wires placed through the fracture site in the operating room, or with internal hardware as plates and screws.

Metacarpal CRPP (Closed Reduction and Percutaneous Pinning)

Metacarpal fractures that cannot be treated with closed reduction and splinting may need stabilization with wires placed through the fracture site in the operating room. Percutaneous pinning generally does not require an incision of any kind and the pins are removed once the bone is healed. The bone will need to be immobilized while the pins are in place and the area needs to be kept clean and dry to avoid infection. Once the bone is healed and the pins are removed the patient will need to regain their motion either on their own or with the help of formal physical therapy.

Metacarpal CRPP (Closed Reduction and Percutaneous Pinning), Phalanx CRPP​

Metacarpal (ORIF) Open Reduction Internal Fixation

Some metacarpal fractures are best treated with open reduction and internal fixation (ORIF). This requires an incision and application of internal hardware in the form of plate and screws or an intramedullary screw to stabilize the bones. This hardware generally stays in place and is not removed. It still takes 4-6 weeks for the fracture to heal but often range of motion can be started sooner because the fracture is stabilized from the inside. X-rays will be taken during your follow up appointments to ensure maintained alignment and healing of the fracture.

Phalanx ORIF​, Metacarpal (ORIF) Open Reduction Internal Fixation​
Metacarpal (ORIF) Open Reduction Internal Fixation​
DRUJ Instability/Arthritis, Ulnocarpal Impaction, DIP Pinning for Mallet Finger


The orthopedic surgeons here are also specially trained in the field of hand and wrist surgery and treat all conditions, from very straightforward to the most complex. Furthermore, we believe that even the simplest problems of the hand and wrist deserve evaluation from a hand specialist who has an expertise in understanding of the intricate anatomy of the hand.

Every Patient Matters

Every patient receives an in-depth consultation to devise a treatment plan that is right for their problem. Our specialists prefer non-operative and non-invasive treatments whenever possible, including physical therapy, medications, and/or injections. When we require surgery, we will then use minimally invasive surgical techniques to fix your problem, whether it is fixing a broken bone or repairing a tendon. Our goal is always to get you back to living your life normally as soon as possible.

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Please call us at (973) 898-5999.