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: |
Fractures
bone medicine.medical_specialty Centimeter lcsh:Diseases of the musculoskeletal system Visual analogue scale business.industry Forefoot Surgery law.invention Intramedullary rod Fixation (surgical) lcsh:RD701-811 medicine.anatomical_structure lcsh:Orthopedic surgery law Flexible nails Orthopedic surgery medicine Ankle lcsh:RC925-935 business Metatarsal bones/surgery Fracture fixation internal |
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 |
Externí odkaz: |