TechniquesCorrective Fifth Metacarpal Neck Osteotomy and Intramedullary Screw Fixation Technique: Technique and Case ReportRosifini Alves Rezende, Luis G. MD; Shimaoka, Filipe J. MD; Mandarano-Filho, Luiz G. MD, PhD; Mazzer, Nilton MD, PhD Author Information Division of Hand Surgery, Department of Orthopaedics, Trauma, and Anesthesiology, Hospital of Clinics of Ribeirao Preto Medical School of the University of São Paulo, Ribeirao Preto, Sao Paulo, Brazil This study was approved by our institutional review board. This report has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. The patient and his family were informed that data from the case would be submitted for publication and gave their consent. Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. Address correspondence and reprint requests to Luis G. Rosifini Alves Rezende, MD, Department of Orthopaedics, Trauma, and Anesthesiology, Hospital of Clinics of Ribeirao Preto Medical School of the University of São Paulo, Av. Bandeirantes, 3900, 11th Floor, Ribeirao Preto 14900-090, Sao Paulo, Brazil. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: June 2022 - Volume 26 - Issue 2 - p 84-88 doi: 10.1097/BTH.0000000000000363 Buy SDC Metrics Abstract Malunion of metacarpal fractures can result in severe functional and esthetic impairment to the patient, thus requiring surgical correction. Traditionally, the fixation methods most commonly used for these fractures are the Kirschner wires or the plates and screws. However, one of the options for the fixation of metacarpal fractures is intramedullary fixation with a headless screw. This minimally invasive method can also be used for corrective metacarpal osteotomies. It has the advantages of being a minimally invasive technique and allowing the early range of motion. This minimally invasive method can also be used to stabilize the corrective metacarpal osteotomies for malunion. This case report presents a minimally invasive technique for corrective dorsal metacarpal osteotomy and fixation with a headless intramedullary screw. This alternative fixation method has the advantage of low damage to soft tissues and good functional outcomes. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.