NDLI: Closed antegrade intramedullary pinning for reduction and fixation of metatarsal fractures.

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Closed antegrade intramedullary pinning for reduction and fixation of metatarsal fractures.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kim, Hyong-Nyun Park, Yoo-Jung Kim, Gab-Lae Park, Yong-Wook
Description	Author Affiliation: Kim HN ( Department of Orthopedic Surgery, Yangju Military Hospital, Yangju, Korea.)
Abstract	The purpose of this study was to present the results of the metatarsal fractures treated with a closed antegrade intramedullary pinning technique. The records of 35 consecutive patients with metatarsal fractures operated on from August 2005 to June 2010 by the authors were retrospectively reviewed. Four patients were not contactable and 1 patient refused to participate. Accordingly, the study cohort was composed of 30 patients (24 male, 6 female) with 46 metatarsal head, neck, or shaft fractures. Inclusion criteria were metatarsal head, neck, or shaft fractures with a displacement of more than 3 to 4 mm or an angulation of more than 10° in the sagittal plane. Fractures combined with Lisfranc injury or metatarsal base fractures were excluded, as were bicortical comminuted fractures or long oblique fractures. Times to bone union, limitations of motion at affected metatarsophalangeal joints, and residual pain were evaluated at 6 weeks after surgery and at final follow-up. American Orthropedic Foot and Ankle Society scale was evaluated at final follow-up. Fracture union was obtained at an average of 7.1 (range 6 to 10) weeks. Two patients had moderate limitation of metatarsophalangeal joint at 6 weeks but recovered to full range at final follow-up. Average American Orthropedic Foot and Ankle Society score at final follow-up was 96.7 (range 83 to 100) points. Closed antegrade intramedullary pinning was found to be a useful method for treating displaced metatarsal fractures and to allow immediate joint motion and partial weightbearing in a stiff-soled shoe.
File Format	HTM / HTML
ISSN	10672516
Issue Number	4
Volume Number	51
e-ISSN	15422224
Journal	The Journal of Foot and Ankle Surgery
Language	English
Publisher	Elsevier
Publisher Date	2012-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Discipline General Surgery Fracture Fixation, Intramedullary Methods Fractures, Bone Surgery Metatarsal Bones Injuries Adolescent Adult Bone Wires Child Female Fracture Healing Humans Male Middle Aged Postoperative Care Radiography Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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