Closed Reduction and Fixation of Metatarsal Head and Neck Fractures Using Antegrade Intramedullary K-wire (6 Cases Report)

전향성 골수내 K-강선을 이용한 중족골 두 및 경부 골절의 비관혈적 정복 및 고정술(6예 보고)

  • Kim, Hyong-Nyun (Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lim, Hee-Joon (Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Yong-Wook (Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
  • 김형년 (한림대학교 강남성심병원 정형외과학교실) ;
  • 임희준 (한림대학교 강남성심병원 정형외과학교실) ;
  • 박용욱 (한림대학교 강남성심병원 정형외과학교실)
  • Published : 2009.06.15

Abstract

Metatarsal head and neck fractures are injuries that often result from a direct blow of a heavy objects to the metatarsal head. The head is often impacted or displaced to the plantar aspect that if not treated may cause malunion which later induces painful plantar calluses. If the fracture fragment is large enough, closed reduction may be successfully performed, but when the fragment is small or closed reduction is unsuccessful, open reduction is needed. We present our reduction and fixation technique for the metatarsal head and neck fractures using antegrade intramedullary Kirschner wire (K-wire) without opening the fracture site or infringing the metatarsophalangeal (MTP) joint which allows immediate motion of the joint and partial weight bearing in a stiff soled shoe.

Keywords

References

  1. Anderson LD: Injuried of the foot. Clin Orthop Relat Res, 122: 18-27, 1977.
  2. Donahu MP and Manoli A 2nd: Technical tip: transverse percutaneous pinning of metatarsal neck fractures. Foot Ankle Int, 25: 438-439, 2004.
  3. Dutkowsky J and Freeman BL 3rd: Fracture-dislocation of the articular surface of the third metatarsal head. Foot Ankle, 10: 43-44, 1989. https://doi.org/10.1177/107110078901000109
  4. Early JS: Fractures and dislocations of the midfoot and forefoot. In: Buckholz RW and Heckman JD, ed. Fractures in adults. 6th ed. Philadelphia, Lippincott Williams and Wilkins: 2370-2383, 2006.
  5. Figura MA: Metatarsal fracture. An overview. Clin Podiatry, 2: 247-257, 1985.
  6. Morrissey EJ: Metatarsal fractures. J Bone Joint Surg, 28-A: 594-602, 1946.
  7. Rammelt S, Heineck J and Zwipp H: Metatarsal fractures. Injury, 35: 77-86, 2004. https://doi.org/10.1016/j.injury.2004.07.016
  8. Sanders RW and Papp S: Fractures of the midfoot and forefoot. In: Coughlin MJ, Mann RA and Saltzman CL, ed. Surgery of the foot and ankle. 8th ed. Philadelphia, Mosby: 2216-2235, 2006.
  9. Shereff MJ: Fractures of the forefoot. Instr Course Lect, 39: 133-140, 1990.