New method of fixation in above-wrist replantation in patient with traumatic total carpal loss--a case report.

The incidence of above-wrist replantations is decreasing, mainly due to better working conditions and increased safety precautions. Osteosynthesis with a plate or external fixator is usually regarded as the gold standard of fixation. We present an unusual case of intramedulary fixation of both forearm bones to the 2nd and the 5th metacarpal bone in the case of a patient with total carpal loss. This kind of fixation gives a satisfactory result with virtually no limitation of pronation and supination movements of the wrist.