Publication Name	World Journal of Orthopedics
Manuscript ID	120372
Country	Egypt

Category	Orthopedics
Manuscript Type	Opinion Review
Article Title	Clinical considerations in intramedullary headless screw fixation of metacarpal and proximal phalanx fractures
Manuscript Source	Invited Manuscript
All Author List	Khaled M Emara, Ramy Ahmed Diab, Mohamed Hussein, Mahmoud Abuelwafa and Mohamed Osama Eissa
Funding Agency and Grant Number
Corresponding Author	Mohamed Osama Eissa, Department of Orthopedic Surgery, Ain Shams University, No. 38 Abbassia Street, Cairo 11591, Egypt. mohamed.eissa@med.asu.edu.eg
Key Words	Metacarpal fracture; Proximal phalanx fracture; Intramedullary headless screw; Hand fracture fixation; Minimally invasive surgery; Wide-awake local anesthesia
Core Tip	Intramedullary headless screw fixation represents a minimally invasive and mechanically reliable option for selected extra-articular metacarpal and proximal phalanx fractures, enabling early unrestricted mobilization with low complication rates. Evidence from recent meta-analyses confirms lower reoperation rates and superior Disabilities of the arm, shoulder and hand scores compared with Kirschner wires and plating. Success depends on meticulous patient selection, central guidewire technique, and structured rehabilitation. Long-term multicenter studies are needed to confirm durability and fully define indications.
Citation	Emara KM, Diab RA, Hussein M, Abuelwafa M, Eissa MO. Clinical considerations in intramedullary headless screw fixation of metacarpal and proximal phalanx fractures. World J Orthop 2026; In press

Received	2026-02-25 03:16
Peer-Review Started	2026-02-25 03:17
First Decision by Editorial Office Director	2026-03-05 09:37
Return for Revision	2026-03-05 09:37
Revised	2026-04-16 23:59
Publication Fee Transferred
Second Decision by Editor	2026-05-22 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-05-22 08:03
Articles in Press	2026-05-22 08:03
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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