The vast majority of hand fractures can be adequately treated with techniques such as closed reduction and external splinting or with a variety of internal fixation devices. Choice of stabilization methods depends on individual surgical preference, fracture location, and the geometry of the bony injury. Fracture stabilization that allows early mobilization is advantageous in achieving rapid bone healing and restoration of function by minimizing joint and tendon complications. Rigid internal fixation with miniplates and screws permits stabilization and compression of fracture segments, thereby permitting early bone loading and motion. Although the role of rigid internal fixation with miniplates and screws in hand fractures is well documented in the literature, in this article we present our preliminary experience with Howmedica's (Rutherfordd, NJ) Luhr vitallium miniplate and screw system in treating hand injuries.
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