Experience with six consecutive patients who were treated with antegrade intramedullary K wire fixation for fifth metacarpal fractures is presented. Differences between the original Foucher's technique and other modified techniques are discussed. Modified Fouch-er's technique is simple and has a low complication rate. However, secondary wire removal (elective or otherwise) should be discussed with all patients preoperatively.
FoucherG. “Bouquet” osteosynthesis in metacarpal neck fractures: A series of 66 patients. J Hand Surg1995; 20A(Suppl):S86–S90.
2.
SafadiS. Traitment des fractures du col du 5e metacapien par enclouage selon la methode de Foucher (A propos de 25 cas).Paris: University of Paris, 1986. (Thesis)
3.
GonzalezMH, IgramCM, HallRF. Flexible intramedullary nailing for metacarpal fractures. J Hand Surg1995; 20A: 382–7.
4.
GonzalezMH, IgramCM, HallRF. Intramedullary nailing of proximal phalangeal fractures. J Hand Surg1995; 20A: 808–12.
5.
FordDJ, AliM S, SteelWM. Fractures of the fifth metacarpal neck: Is reduction or immobilisation necessary?J Hand Surg1989; 14B: 165–7.
