{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:13:36Z","timestamp":1777673616665,"version":"3.51.4"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Hand fractures of the metacarpals and phalanges account for up to 10% of all skeletal injuries and can lead to significant functional impairment if not managed appropriately. Retrograde intramedullary headless screw (IMHS) fixation is a minimally invasive technique that promises stable fixation and early mobilization, but its clinical efficacy in a prospective setting warrants evaluation.\n\nMaterials and Methods: A prospective interventional study was conducted at tertiary care center from May 2023 to October 2024. Forty adult patients with simple, extra-articular metacarpal or phalanx fractures were enrolled; six were lost to follow-up, leaving 34 for analysis. Fractures were stabilized using retrograde IMHS fixation. Functional recovery was assessed at 3 weeks, 3 months, and 6 months postoperatively using the disabilities of the arm, shoulder and hand (DASH) score, hand grip strength, and total active motion (TAM) per American Society for Surgery of the Hand criteria.\n\nResults: The mean patient age was 29.29 \u00b1 8.52 years; 82.4% were male, and 52.9% had injuries in the dominant hand. Shaft fractures predominated (83.8%). (1) DASH score improved from 47.07 \u00b1 7.29 at 3 weeks to 27.30 \u00b1 2.59 at 3 months and 1.32 \u00b1 1.51 at 6 months (all P &lt; 0.001). (2) Grip strength increased from 11.09 \u00b1 1.75 kg at 3 weeks to 24.38 \u00b1 3.46 kg at 3 months and 39.74 \u00b1 4.69 kg at 6 months (all P &lt; 0.001). (3) TAM rose from 116.18 \u00b1 11.81\u00b0 at 3 weeks to 154.71 \u00b1 14.61\u00b0 at 3 months and 268.53 \u00b1 17.78\u00b0 at 6 months (all P &lt; 0.001).\n\nConclusion: Retrograde IMHS fixation offers stable fracture stabilization with minimal soft-tissue disruption, enabling early mobilization and resulting in excellent functional recovery for metacarpal and phalangeal fractures.\n\nKeywords: Intramedullary headless screw fixation, metacarpal fracture, phalangeal fracture, disabilities of the arm, shoulder and hand score, grip strength, total active motion.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i03.6972","type":"journal-article","created":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T13:31:41Z","timestamp":1772890301000},"page":"284-290","source":"Crossref","is-referenced-by-count":1,"title":["Clinical outcome of Intramedullary Screw Fixation in Metacarpal and Phalangeal Fractures"],"prefix":"10.13107","volume":"16","author":[{"given":"Vishal Singh","family":"Champawat","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranjeet Singh","family":"Sidar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suresh","family":"Uikey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaibhav","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manish","family":"Rajpoot","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T13:31:42Z","timestamp":1772890302000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/03\/clinical-outcome-of-intramedullary-screw-fixation-in-metacarpal-and-phalangeal-fractures\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i03.6972","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}