Intramedullary Fixation with Headless Screws versus Bouquet in Unstable Metacarpal Neck Fractures in Active Patients: A Randomized Study.

The potential downsides include higher implant costs, the production of an injury to the articular cartilage, and the retention of metallic hardware. 13 There is a strong trend toward the use of headless cannulated screws in the treatment of boxer's fractures; although the results found were similar, new comparative studies are needed for electing the best method.

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