Case Study: Use of the INnate Intramedullary Threaded Nail for Comminuted Fractures of the Third and Fourth Metacarpals – Derek Masden, MD, FACS

Case Presentation: Patient was a 59-year-old female who suffered a gunshot wound to her right hand during protests in Washington, DC. For her bones to heal properly, she required a rigid framework to prevent collapse and significant shortening of her metacarpals. Patient had highly comminuted midshaft and neck fractures to her third and fourth metacarpals. Due to concerns of shortening, compression screws or K-wire fixation were eliminated as options. To achieve stable fixation, an intramedullary nail that spanned through the entire metacarpal was chosen.