TechniquesIntramedullary Headless Screw Fixation for Phalanx Fractures: Technique and Review of Current LiteratureHerekar, Rajeev N. DO*; John, Mitchell P. II MD†; Doarn, Michael C. MD†; Nydick, Jason A. DO† Author Information *Florida Orthopaedic Institute/Foundation for Orthopaedic Research and Education †Florida Orthopaedic Institute/Department of Orthopaedic Surgery, University of South Florida, Tampa, FL Conflicts of Interest and Source of Funding: J.A.N. is a paid consultant and paid presenter or speaker for Axogen and for Depuy (A Johnson & Johnson Company); paid presenter or speaker for Checkpoint Surgical; editorial or governing board for Journal of Hand Surgery American and Techniques in Hand & Upper Extremity Surgery; paid consultant for Mission Surgical, Trimed, and Conmed. For the remaining authors none were declared. Address correspondence and reprint requests to Rajeev N. Herekar, DO, Foundation for Orthopaedic Research and Education (FORE), 13020 Telecom Parkway North, Tampa, FL 33637. E-mail: [email protected]. Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's website, www.techhandsurg.com. Techniques in Hand & Upper Extremity Surgery: December 2022 - Volume 26 - Issue 4 - p 218-228 doi: 10.1097/BTH.0000000000000388 Buy SDC Metrics Abstract Fractures of the phalanges can often be managed nonoperatively, but displaced phalangeal fracture patterns, including malrotation, are more amenable to operative treatment. There are several described methods for surgical management of phalanx fractures, but there remains no consensus on a clearly superior method of fixation. Percutaneous Kirschner wires, interfragmentary screws, plate and screw constructs, intramedullary nails, and cannulated intramedullary headless screws are all utilized in the treatment of these fractures. Intramedullary headless screws for phalanx fractures may provide suitable fixation allowing early motion and recovery. Here, we describe a technique for antegrade and retrograde intramedullary headless screw fixation for phalanx fractures. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.