Mohammad Zarei1, Nima Bagheri2, Ali Nili3, Ali Vafaei4, Ehsan Ghadimi5. 1. Orthopedic surgery department, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: Zarei_mohammad78@yahoo.com. 2. Orthopedic surgery department, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: nimab1360@gmail.com. 3. Tehran University of Medical Sciences, Tehran, Iran. Electronic address: Ali.nili@live.com. 4. Tehran University of Medical Sciences, Tehran, Iran. Electronic address: Ali.vafaei@outlook.com. 5. Orthopedic surgery department, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: Ehsan.ghadimie@gmail.com.
Abstract
BACKGROUND: Intramedullary fixation with k-wires is a surgical option in the management of fractures of the shaft and neck of central metatarsals. The current study aimed at investigating the clinical outcomes of closed antegrade/retrograde intramedullary pinning technique. PATIENTS AND METHODS: A total of 34 patients (26 males and eight females) with 58 metatarsal neck and shaft fractures (28 shaft and 26 neck fractures) were operated using the antegrade/retrograde intramedullary fixation technique. At the final follow-up visit, pain intensity was assessed using the visual analog scale (VAS) and foot function was evaluated by the American Orthopedic Foot and Ankle Society (AOFAS) forefoot scoring system. RESULTS: Mean follow-up period was 18 months, ranged 12 to 34. Mean time to clinical fracture healing was 6.5 weeks, ranged 5 to 9. Bony union was occurred in all the cases. No surgical site infection was noted. Mean VAS score at the final follow-up visit was 0.28, ranged 0 to 3. At the final follow-up, the mean AOFAS score was 95.2, ranged 81 to 100. CONCLUSION: Closed antegrade/retrograde intramedullary pinning is a minimally invasive technique to manage central metatarsal fractures. Using this technique, metatarsal alignment can be restored and good clinical outcome is achieved.
BACKGROUND: Intramedullary fixation with k-wires is a surgical option in the management of fractures of the shaft and neck of central metatarsals. The current study aimed at investigating the clinical outcomes of closed antegrade/retrograde intramedullary pinning technique. PATIENTS AND METHODS: A total of 34 patients (26 males and eight females) with 58 metatarsal neck and shaft fractures (28 shaft and 26 neck fractures) were operated using the antegrade/retrograde intramedullary fixation technique. At the final follow-up visit, pain intensity was assessed using the visual analog scale (VAS) and foot function was evaluated by the American Orthopedic Foot and Ankle Society (AOFAS) forefoot scoring system. RESULTS: Mean follow-up period was 18 months, ranged 12 to 34. Mean time to clinical fracture healing was 6.5 weeks, ranged 5 to 9. Bony union was occurred in all the cases. No surgical site infection was noted. Mean VAS score at the final follow-up visit was 0.28, ranged 0 to 3. At the final follow-up, the mean AOFAS score was 95.2, ranged 81 to 100. CONCLUSION: Closed antegrade/retrograde intramedullary pinning is a minimally invasive technique to manage central metatarsal fractures. Using this technique, metatarsal alignment can be restored and good clinical outcome is achieved.
Authors: Ioannis M Stavrakakis; Evangelos A Tourvas; George E Magarakis; Ioannis V Sperelakis; Anze Kristan; Theodoros H Tosounidis Journal: Eur J Orthop Surg Traumatol Date: 2021-01-23
Authors: Patrick Pflüger; Michael Zyskowski; Christopher Völk; Chlodwig Kirchhoff; Peter Biberthaler; Moritz Crönlein Journal: Unfallchirurg Date: 2021-05-22 Impact factor: 1.000