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Intramedullary K-wire osteosynthesis of a subcapital fracture of the fifth metacarpal

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  1. Planning/Incision

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    Planning/Incision
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    The entry point is dorsoulnar at the base of the metacarpus, without damaging the carpometacarpal joint and the insertion of the ECU tendon. Position control with the image intensifier. Then a stab incision is made and the cortex is exposed.

Preparing the K-wire

A K-wire with a diameter of 2 mm is used. To reduce the risk of perforation of the thin cortical bo

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