{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T16:40:04Z","timestamp":1747759204822,"version":"3.41.0"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Transfixation or open reduction are conventional methods for treating Bennett fractures, with no current gold standard. Transfixation only allows for insufficient reduction, while the open approach by Wagner is relatively invasive. We present a minimally invasive surgical approach that allows anatomical reduction and short operation time. We report previous experiences in a case series of five patients. The disabilities of arm, shoulder, and hand score, visual analog scale, range of motion of the thumb, grip, and pinch strength were used for assessing the outcomes. Closed reduction employs an additional K-wire drilled through the ulnar base of metacarpal 2 into the Bennett fragment or into the oblique posteromedial ligament, followed by fixation with 2 cannulated compression screws. By the new technique, anatomical reduction and fixation of the Bennett fragment can be achieved minimally invasive. Previous interventions demonstrated good clinical, radiographic, and patient-reported outcomes after 6 months. In conclusion, minimally invasive screw fixation in Bennett fractures, coupled with repositioning using an additional guide wire, combines the advantages of allowing anatomical reduction and a less invasive approach seen in established methods.<\/jats:p>","DOI":"10.1097\/bth.0000000000000515","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T08:00:11Z","timestamp":1744704011000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Minimally Invasive Screw Fixation in Bennett Fractures: A New Reposition Technique in a Case Series"],"prefix":"10.1097","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5598-5599","authenticated-orcid":false,"given":"Ramon","family":"Buechel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joerg","family":"Hainich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2025,6]]},"reference":[{"key":"R1-20250520","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1136\/bmj.2.1331.12","article-title":"On Fracture of the Metacarpal Bone of the Thumb","volume":"2","author":"Bennett","year":"1886","journal-title":"Br Med J"},{"key":"R2-20250520","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1177\/1753193414554357","article-title":"Fractures and dislocation of the base of the thumb metacarpal","volume":"40","author":"Liverneaux","year":"2015","journal-title":"J Hand Surg Eur Vol"},{"key":"R3-20250520","first-page":"270","article-title":"Green\u2019s Operative Hand Surgery E-Book","author":"Wolfe","year":"2016","journal-title":"Seventh Edition ed Elsevier Health Sciences"},{"key":"R4-20250520","first-page":"426","article-title":"A long-term study following Bennett\u2019s fracture","volume":"11","author":"Cannon","year":"1986","journal-title":"J Hand Surg Br"},{"key":"R5-20250520","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s00113-005-0988-y","article-title":"Surgically treated intraarticular fractures of the trapeziometacarpal joint -- a clinical and radiological outcome study","volume":"109","author":"Demir","year":"2006","journal-title":"Unfallchirurg"},{"key":"R6-20250520","doi-asserted-by":"crossref","first-page":"103","DOI":"10.3928\/01477447-20221031-06","article-title":"Outcomes of Percutaneous Pinning for Interfragmentary Fixation in Treating Bennett Fractures With Tiny Avulsion Fragments","volume":"46","author":"Huang","year":"2023","journal-title":"Orthopedics"},{"key":"R7-20250520","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.jhsg.2022.10.007","article-title":"Screw and Suspension Fixation for Bennett Fractures","volume":"5","author":"Graham","year":"2023","journal-title":"J Hand Surg Glob Online"},{"key":"R8-20250520","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/j.hcl.2017.07.006","article-title":"Arthroscopic Management of Bennett Fracture","volume":"33","author":"Solomon","year":"2017","journal-title":"Hand Clin"},{"key":"R9-20250520","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/0266-7681(94)90093-0","article-title":"Long-term evaluation of Bennett\u2019s fracture. A comparison between open and closed reduction","volume":"19","author":"Timmenga","year":"1994","journal-title":"J Hand Surg Br"},{"key":"R10-20250520","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/S0266-7681(02)00307-8","article-title":"Closed reduction transarticular Kirschner wire fixation versus open reduction internal fixation in the treatment of Bennett\u2019s fracture dislocation","volume":"28","author":"Lutz","year":"2003","journal-title":"J Hand Surg Br"},{"key":"R11-20250520","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/j.jhsa.2008.12.023","article-title":"Accuracy of fluoroscopy in closed reduction and percutaneous fixation of simulated Bennett\u2019s fracture","volume":"34","author":"Capo","year":"2009","journal-title":"J Hand Surg Am"},{"key":"R12-20250520","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/s00776-004-0856-6","article-title":"Percutaneous leverage pinning in the treatment of Bennett\u2019s fracture","volume":"10","author":"Sawaizumi","year":"2005","journal-title":"J Orthop Sci"},{"key":"R13-20250520","first-page":"368","article-title":"The results of operative treatment of fractures of the thumb metacarpal base","volume":"67","author":"Bruske","year":"2001","journal-title":"Acta Orthop Belg"},{"key":"R14-20250520","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/0002-9610(50)90537-X","article-title":"Method of treatment of Bennett\u2019s fracture dislocation","volume":"80","author":"Wagner","year":"1950","journal-title":"Am J Surg"},{"key":"R15-20250520","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1177\/1753193407087571","article-title":"A comparison of trapeziectomy via anterior and posterior approaches","volume":"33","author":"Ritchie","year":"2008","journal-title":"J Hand Surg Eur Vol"},{"key":"R16-20250520","first-page":"CD004631","article-title":"Surgery for thumb (trapeziometacarpal joint) osteoarthritis","volume":"2015","author":"Wajon","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"R17-20250520","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1055\/s-0040-1716607","article-title":"Lessons Learned: Trapeziectomy and Suture Suspension Arthroplasty for Thumb Carpometacarpal Osteoarthritis","volume":"14","author":"Pistorio","year":"2022","journal-title":"J Hand Microsurg"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000515","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T16:00:13Z","timestamp":1747756813000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000515"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,15]]},"references-count":17,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000515","relation":{},"ISSN":["1531-6572"],"issn-type":[{"type":"electronic","value":"1531-6572"}],"subject":[],"published":{"date-parts":[[2025,4,15]]}}}