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 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 (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 four to six 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.
Our world-class orthopedic surgeons have years of experience treating hand conditions. We believe that even the simplest problems should be evaluated by a specialist.
As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free.