HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS.

Autor:	Godoy-Santos AL; Lab. Prof Mario Manlio Marco Napoli, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR., Giordano V; Hospital Municipal Miguel Couto, Prof. Nova Monteiro Service of Orthopedics and Traumatology, Rio de Janeiro, RJ, Brazil., Cesar C; University of Iowa, Department of Orthopedics and Rehabilitation, Iowa City, IA, USA., Sposeto RB; Lab. Prof Mario Manlio Marco Napoli, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR., Bitar RC; Hospital das Clínicas, Ribeirão Preto Medical School, Department of Orthopedics and Anesthesiology, Ribeirão Preto, SP, Brazil., Wajnsztejn A; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Sakaki MH; Lab. Prof Mario Manlio Marco Napoli, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR., Fernandes TD; Lab. Prof Mario Manlio Marco Napoli, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
Jazyk:	angličtina
Zdroj:	Acta ortopedica brasileira [Acta Ortop Bras] 2020 Nov-Dec; Vol. 28 (6), pp. 318-322.
DOI:	10.1590/1413-785220202806236612
Abstrakt:	Objectives: To describe the surgical treatment of fractures that involves the hallux interphalangeal joint, current indications and management options. Methods: we performed a literature review of relevant clinical studies in multiple databases, including PubMed, MedLine and Scopus, from January 1989 to October 2020. Results: There is consensus for surgical treatment of intra-articular fractures with a deviation greater than 2 mm, metadiaphyseal fractures with malrotation and/or malangulation, open fractures and unstable fractures. Conclusion: The use of more rigid implants allow alignment maintenance during healing process and lower risk of reduction loss. Valgus deformity and interphalangeal joint osteoarthritis are possible complications that must be avoided. Level of Evidence III, Systematic review of Level III studies. Competing Interests: All authors declare no potential conflict of interest related to this article.
Databáze:	MEDLINE
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