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Flexible intramedullary nails for the treatment of metacarpal fractures: A systematic review.


ABSTRACT:

Purpose

Flexible intramedullary nails (FIN) enable minimally invasive and immediate fracture stabilisation, while facilitating early active movement in metacarpal fractures. This systematic review aims to compare locked, non-locked, single, and double FIN and their post-operative outcomes in metacarpal fractures.

Methods

A primary literature search was performed on July 15, 2024. English-language studies investigating acute metacarpal fractures, treated with FIN were included. Analyses included: the 5th metacarpal neck fractures locked vs. non-locked FIN; 5th metacarpal neck fractures non-locked single vs. dual FIN; and the 2nd-5th metacarpal fractures locked vs. non-locked FIN. The National Institute for Health tool and the JBI tool were used to assess study quality for con

SUBMITTER: Brown OS 

PROVIDER: S-EPMC12746285 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature