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FRACTURE OF THE BASE OF THE THUMB:  A NEW METHOD OF FIXATION

Eric C. Johnson, M.D.
JAMA. 1944;126(1):27-28. doi:10.1001/jama.1944.82850360002008a.
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Waugh and Ferrazzano1 and Berkman and Miles2 recently reported a new method of treatment of fractures of the metacarpals, exclusive of the thumb. This method consists in reducing the fracture, pushing a Kirschner wire through the fragment and then running the wire on through into the adjacent metacarpal, thus fixing the loose fragment. There is no reason why this same principle cannot be used for metacarpal fractures of the thumb, particularly the Bennett type of fracture involving the base of the thumb. As textbooks and medical journals as far as is known have not described this technic, it is considered worth recording.

Fractures involving the base of the thumb usually give sufficient deformity, discomfort and loss of mobility to warrant the use of a method that will result in a complete anatomic reduction. If the hand is anesthetized and the assistant pulls on the thumb, the fracture can

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