AN “ON-THE-TABLE” RECONSTRUCTION TECHNIQUE TO TREAT A COMMINUTED ARTICULAR METACARPAL BONE FRACTURE. A CASE REPORT

M. Saracco¹ , V. Circiello², E. Jannelli³

¹ Department of Public Health, Division of Orthopaedic Surgery, University of Naples “Federico II”, Naples, Italy
² Orthopedics and Traumatology 1, Maria Vittoria Hospital, NHS City of Turin, Turin, Italy
³ Department of Orthopaedics, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy

Correspondence to:

Journal of Orthopedics 2025 January-April; 17(1): Ahead of Print
https://doi.org/10.69149/orthopedics/2025v17iss1_2

Received: 15 November 2024 Accepted: 13 January 2025

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Abstract

Metacarpal bone fractures are the most common hand injuries. An “On-the-table” reconstruction is a reliable technique to treat comminuted articular fractures in non-weight-bearing bones. We report the case of a young polytraumatized patient with a complex fracture of the distal part of the second metacarpal bone treated with an “on-the-table” reconstruction since the general clinical conditions did not allow more complex or multistep conventional reconstructive techniques. This surgical procedure allowed us to obtain good clinical and radiographical results without bone resorption or complications. Case series could confirm the reliability of the proposed method.

Keywords: comminuted articular fractures, hand injuries, metacarpal bone fractures, on-the-table reconstruction