Percutaneous Versus Open Approach to Intramedullary Nailing of Metacarpal Shaft Fractures: A Comparison of 12 Week Functional Outcomes

Purpose

The optimal surgical approach for retrograde intramedullary fixation (rIMF) of metacarpal fractures remains unclear. We hypothesized that a percutaneous approach for rIMF of metacarpal shaft fractures would exhibit improved functional outcomes compared to an open approach without increased incidence of extensor lag.