ORIF 4th MC Fracture
Metacarpal fractures can be treated non-operatively but if they are displaced or unstable it is preferable to repair them operatively with an open reduction internal fixation (ORIF). This allows the bone to be rigidly fixated so range of motion exercises can be started almost immediately post-operatively allowing earlier recovery.
ORIF 4th MC Fracture Case #2
Some spiral oblique fractures can be repaired with a lag screw technique when the length of the fracture exceeds twice the width of the bone.
Lag screws were placed to repair this fracture. Generally two screws are placed, one perpendicular to the fracture and the other perpendicular to the long axis of the bone.