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The treatment of fractures of the metacarpals and the fingers presents difficulties. Fixation, requiring immobilization of the joints, is the most important because it contributes to stiffening of the joints and tendons, with inevitable loss of function. A seven-year study was conducted in which a comparison of results was done. Various methods of fracture treatment were used: Kirshner wire fixation, Rush pinning, intramedullary pinning, joint bolting, wire circling. These were compared with the method of small-fragment compression fixation using special instrumentation developed by the Swiss Association of Osteosynthesis Institute and permitting immediate active function of the joints. Personal research contributed to the development of the technique. An extensive review of the literature was also done. The compression method was used in 200 cases. The results obtained are reported and were much better with compression because of better restoration of function.
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Kaplan EB. Osteosynthese in der Handchirurgie.. Arch Surg. 1973;107(4):627. doi:10.1001/archsurg.1973.01350220103030