BENNETT'S FRACTURE: A NARRATIVE REVIEW OF CURRENT LITERATURE

Area of Science:

• Orthopedic surgery
• Hand surgery
• Traumatology

Background:

• Bennett's fracture involves the thumb's carpometacarpal (CMC) joint, presenting complex management challenges.
• Effective treatment is crucial to restore thumb function and prevent arthritis and instability.

Purpose of the Study:

• Provide a comprehensive overview of Bennett's fracture.
• Detail injury mechanisms, diagnostic methods, and management strategies.
• Focus on conservative and surgical treatment options.

Main Methods:

• Literature review of current management principles and techniques.
• Evaluation of closed reduction with percutaneous pinning (CRPP).
• Analysis of open reduction and internal fixation (ORIF) and arthroscopic-assisted fixation.

Main Results:

• Conservative treatment suits minimally displaced fractures; displaced injuries often require intervention.
• CRPP is suitable for moderate displacement; ORIF offers stability for complex cases.
• Arthroscopy and bioabsorbable implants show potential for improved outcomes and fewer complications.

Conclusions:

• Tailored management of Bennett's fractures is essential, considering displacement, patient factors, and surgeon expertise.
• Timely diagnosis, appropriate treatment, and rehabilitation are key for optimal recovery.
• Advancements in imaging, surgical techniques, and materials promise refined strategies and better long-term results.