Fixation of metacarpal and phalangeal fractures with miniature plates and screws.

Fifty-two unstable metacarpal and phalangeal fractures were treated with miniature plates and screws as internal fixation devices with excellent results based on the criteria of the American Society for Surgery of the Hand (total active range of motion greater than 220 degrees). This technique stabilizes the skeleton, preserves the gliding tissues, and thus allows immediate active range of motion exercises. Transverse, spiral, oblique, and condylar fractures of the metacarpals and phalanges are best suited for this method.