대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제20권3호
  • /
  • Pages.131-134
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  • 2016
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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제 5중족골 기저부 골절의 무두유관압박나사를 사용한 수술적 치료의 단기 추시 결과

The Short Term Outcome of Surgical Treatment for the Fifth Metatarsal Base Fracture Using a Headless Cannulated Compression Screw

  • 전재균 (대전선병원 정형외과) ;
  • 최현 (대전선병원 정형외과) ;
  • 김준범 (대전선병원 정형외과) ;
  • 선두훈 (대전선병원 정형외과) ;
  • 신상엽 (대전선병원 정형외과)
  • Chon, Je-Gyun (Department of Orthopaedic Surgery, Daejeon Sun Hospital) ;
  • Choi, Hyun (Department of Orthopaedic Surgery, Daejeon Sun Hospital) ;
  • Kim, Jun-Beom (Department of Orthopaedic Surgery, Daejeon Sun Hospital) ;
  • Sun, Doo-Hun (Department of Orthopaedic Surgery, Daejeon Sun Hospital) ;
  • Shin, Sang-Yeop (Department of Orthopaedic Surgery, Daejeon Sun Hospital)
  • 투고 : 2016.05.30
  • 심사 : 2016.07.27
  • 발행 : 2016.09.15
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초록

Purpose: This study aimed to evaluate the outcomes, including the complications, of open reduction and internal fixation using a headless cannulated compression screw for a fifth metatarsal base fracture. Materials and Methods: We retrospectively investigated 11 patients with 5th metatarsal base fracture who were treated with a headless cannulated compression screw. The mean follow-up period was 13 months (8~15 months), and the mean age was 46.5 years (21~70 years). We analyzed the patients' sex, age, time to union, amount of fracture displacement, and complications. The American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score was used for clinical assessment. Results: The average amount of displacement decreased significantly from 3.4 mm (2.1~5.2 mm), preoperatively, to 0.4 mm (0~1.3 mm), postoperatively (p<0.001). The average bone union time was 54.1 days (41~68 days). There were no complications, such as a metal failure, irritation, and loss of a reduction. The mean AOFAS midfoot score was 97.7 (90~100) at 6 months, postoperatively. Conclusion: We suggest that a headless cannulated compression screw for 5th metatarsal base fracture is a useful and alternative method for a firm fixation without complications.

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참고문헌

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