Intramedullary cannulated screw fixation for hand fractures: patient-reported, clinical and radiological outcomes at 5 year follow-up

Eliane Wacker; Myrna Gunning; Olga Politikou; Sophie Knipper; Inga S Besmens; Maurizio Calcagni

doi:10.1177/17531934261416764

April 20, 2026Journal of Hand Surgery (European Volume)

Intramedullary cannulated screw fixation for hand fractures: patient-reported, clinical and radiological outcomes at 5 year follow-up

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Key Points

To evaluate the long-term clinical, radiological, and patient-reported outcomes of cannulated screw fixation for hand fractures.
Analyzed functional outcomes and patient satisfaction at 5-year follow-up
Reported on radiological outcomes and revision rates
Medium-term functional outcomes were good with high patient satisfaction
Observed a 13.4% revision rate, lower than traditional plate fixation rates

Implication

A level III study demonstrates favorable outcomes in metacarpal and phalangeal fractures, indicating effective treatment.

Abstract

Cannulated screw fixation provided good medium-term functional outcomes and high patient satisfaction in metacarpal and phalangeal fractures. A 13.4% revision rate was observed, which is lower compared with historical data on fracture fixation with plates.Level of evidence: III.

Discussion

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Cite This Study

Wacker et al. (2026) studied this question.

synapsesocial.com/papers/69e865b56e0dea528ddea1f5 https://doi.org/10.1177/17531934261416764

View Full Paper

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Intramedullary cannulated screw fixation for hand fractures: patient-reported, clinical and radiological outcomes at 5 year follow-up

Key Points

Implication

Abstract

Discussion

Cite This Study

Intramedullary cannulated screw fixation for hand fractures: patient-reported, clinical and radiological outcomes at 5 year follow-up

Key Points

Implication

Abstract

Discussion

Cite This Study

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