Metacarpal Fractures: Anatomy, Injuries and Treatment-AM13: Surgical Treatment of Finger Metacarpal Fractures

Video Transcription

Video Summary

In this video, the speaker discusses the surgical treatment of non-thumb or finger metacarpal fractures. They emphasize the importance of evidence-based medicine in making clinical decisions. They mention that reimbursement may be tied to outcomes, and there are best practice guidelines set forth by the American Academy of Orthopedic Surgeons that can affect hand surgeons. The speaker goes on to discuss the types of fractures and treatment options for each. They mention that most isolated metacarpal fractures can be treated nonoperatively, but there are certain indications for surgical intervention such as malrotation, multiple fractures, open fractures, displaced articular fractures, and residual angulation. The speaker also discusses different fixation techniques, including cross-K wires, transverse wires, interosseous wires, lag screws, and plates and screws. They review the evidence for each treatment option and conclude that there is no clear superior method. Overall, the speaker emphasizes the need for clinical judgement and experience in treating non-thumb metacarpal fractures. The video is part of a larger series, with the following segment featuring Dr. Wang from Seattle. No credits are mentioned in the provided transcript.

Keywords

surgical treatment

non-thumb metacarpal fractures

evidence-based medicine

clinical decisions

reimbursement