Case Study: Use of the INnate Intramedullary Threaded Nail for Osteotomy of Fourth and Fifth Metacarpals for Angular Malunion – Chad R. Manke, MD, FAAOS

Case Presentation: Patient was a 28-year-old male police officer who suffered an impact injury to his metacarpals after punching a wall. He did not feel the injury was severe enough to receive immediate attention but approximately eight weeks after the injury, he noted the deformity of the hand and the loss of terminal extension to the digits. He did not want to take too much time off from work to have his hand repaired but was having difficulty holding his weapon. Patient had midshaft spiral oblique fractures to his fourth and fifth metacarpals. He needed stable fixation, rotational alignment, and immediate range of motion to get back to work as soon as possible. He also needed to be pain-free in order to execute his duties as a police officer.