Intramedullary Fixation of Metacarpal Fractures Utilizing Retrograde Screws versus Antegrade Steinmann Pins: A Retrospective Review.

Holbrook, Hayden S; Wideman, Matthew; Hunter, Mary Chase; Watkins, Andrew; Hoyer, Reed W; Thompson, Norfleet B; Calandruccio, James H; Kaplan, F Thomas D et al. · Orthop Clin North Am · 2025

retrospective_cohort · Level III

Where this comes from

Abstract

While the antegrade intramedullary pin remains a simple, inexpensive, and accessible technique with consistently favorable outcomes, retrograde headless compression screws offer a faster operative solution, with excellent radiographic alignment and low complication rates. The decision between these two implants should be individualized based on fracture pattern, implant availability, patient needs, and surgeon experience.

Medical subject headings

Anatomy