Journal of Korean Foot and Ankle Society (대한족부족관절학회지)
- Volume 1 Issue 2
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- Pages.112-118
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- 1997
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
Treatment for Tarsometatarsal Fracture-Dislocation
족근-중족 관절 골절 탈구의 치료경험
- Chung, Yung-Khee (Department of Orthopaedic Surgery, Dongsan Sacred Heart Hospital, College of Medicine, Hallym University) ;
- Yoo, Jung-Han (Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
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Park, Yong-Wook
(Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
- Noh, Dong-Geun (Department of Orthopaedic Surgery, Dongsan Sacred Heart Hospital, College of Medicine, Hallym University) ;
- Ha, Sung-Han (Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
- 정영기 (한림대학교 의과대학 동산성심병원 정형외과) ;
- 유정한 (한림대학교 의과대학 강남성심병원 정형외과) ;
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박용욱
(한림대학교 의과대학 강남성심병원 정형외과) ;
- 노동근 (한림대학교 의과대학 동산성심병원 정형외과) ;
- 하성한 (한림대학교 의과대학 강남성심병원 정형외과)
- Published : 1997.12.01
Abstract
Tarsometatarsal fracture-dislocation is uncommon but severe lesion. Since this lesion is sometimes difficult to recognize by roentgenography, it is easily overlooked. Three patients were treated with open reduction and internal fixation with 3.5 mm cannulated screw and K-wire, two had treatment with open reduction and internal fixation with 3.5 mm cannulated screw only and two had treatment with dosed reduction and short leg cast only between January 1994 and May 1996. The duration of follow-up ranged from twelve to twenty-nine months after the diagnosis. Results were assessed by a subjective questiormaire, physical examination, and radiographic analysis. Multiple fixation techniques for maintaining the reduction of tarsometatarsl joint have been introduced. We recent]y used the 3.5 mm cannulated screw for internal fixation of the tarso-first and second metatarsal fracture-dislocation. We think cannulated screw fixation has several advantages; 1. The cannulated screw fixation is more rigid than the K-wire fixation. 2. There is an decreased risk of screw breakage with early weight bearing. 3. It is possible to compress the involved joints, if necessary. There were no disability in all patients. One patient who was treated with delayed open reduction and internal fixation with 3.5 mm cannulated screw and K-wire had a radiographic mild degenerative arthritis. And one patient who was treated with dosed reduction and short leg cast had a mild metatarsus adductus. But. these two patients were symptom free. There was no correlation between the severity of the diastasis and the patient s functional result.