Fixation metacarpal fractures using bioabsorbable implants. Review

The aim: To describe the epidemiology and classification of metacarpal fractures. To Identify indications for surgical treatment. Describe standard types of metacarpal osteosynthesis and new ones using biodegradable implants.Materials and methods:were analyzed all available domestic and foreign publications on this topic.Results: Because of the important function of the hand in self-discussion, social communication and work, high demands are placed on the results of the treatment of fractures of the metacarpal bones. The invasiveness of the operation, the accuracy of the reposition, the timing of immobilization, the stability of osteosynthesis, the damage to adjacent articular surfaces during osteosynthesis, the functional results of treatment, and the need for reoperation are important. Surgical treatment methods and types of fixatives are still being improved.Conclusions: in the foreign literature there are publications on this topic, however, observation groups in them are not numerous. The authors point to such advantages of biodegradable fixators of the osteosynthesis of the metacarpals, such as stability of osteosynthesis and early rehabilitation, inertness of the material, minimally invasive surgery, despite their high cost. In the domestic literature on this topic, publications were not found.