Minimally invasive intramedullary fixation with flexible nails in the treatment of metatarsal neck fractures

Autor: Inácio Diogo Asaumi, Victor Chammas, Donato Lo Turco, Rafael da Rocha Macedo, Luciano Miller Reis Rodrigues, Alfonso Apostólico Netto
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Scientific Journal of the Foot & Ankle, Vol 13, Iss 2, Pp 97-103 (2019)
ISSN: 2595-1459
2595-1467
Popis: Objective: This study was designed to retrospectively assess patients with deviated central metatarsal neck fractures subjected to reduction and fixation with flexible intramedullary nails. Methods: Thirty-six patients (36 feet) diagnosed with acute fractures of one or more metatarsals and whose therapeutic indication was exclusively surgical were evaluated between June 2010 and August 2011. Considering the metatarsophalangeal joint, such injuries should be located up to two centimeters in the proximal direction of this segment, with plantar deviation greater than 10 degrees and translation greater than three millimeters in any plane. Minimally invasive intramedullary fixation with two flexible titanium nails was used when adequate stability was not obtained with the use of one nail. The visual analog scale (VAS), American Orthopedic Foot & Ankle Society (AOFAS) forefoot score and specific statistical tests were used. Results: There was a significant (p0.05) in the results between 6 and 12 months of follow-up. The average time of consolidation was 8 weeks, and there were no complications during the period evaluated. Conclusion: This technique provided a significant (p
Databáze: OpenAIRE