The Short Term Outcome of Surgical Treatment for the Fifth Metatarsal Base Fracture Using a Headless Cannulated Compression Screw.
10.14193/jkfas.2016.20.3.131
- Author:
Je Gyun CHON
1
;
Hyun CHOI
;
Jun Beom KIM
;
Doo Hun SUN
;
Sang Yeop SHIN
Author Information
1. Department of Orthopaedic Surgery, Daejeon Sun Hospital, Daejeon, Korea. kjb9290@hanmail.net
- Publication Type:Original Article
- Keywords:
Fifth metatarsal;
Fracture;
Headless cannulated compression screw
- MeSH:
Ankle;
Follow-Up Studies;
Foot;
Humans;
Metatarsal Bones*;
Methods;
Retrospective Studies
- From:Journal of Korean Foot and Ankle Society
2016;20(3):131-134
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study aimed to evaluate the outcomes, including the complications, of open reduction and internal fixation using a headless cannulated compression screw for a fifth metatarsal base fracture. MATERIALS AND METHODS: We retrospectively investigated 11 patients with 5th metatarsal base fracture who were treated with a headless cannulated compression screw. The mean follow-up period was 13 months (8~15 months), and the mean age was 46.5 years (21~70 years). We analyzed the patients' sex, age, time to union, amount of fracture displacement, and complications. The American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score was used for clinical assessment. RESULTS: The average amount of displacement decreased significantly from 3.4 mm (2.1~5.2 mm), preoperatively, to 0.4 mm (0~1.3 mm), postoperatively (p<0.001). The average bone union time was 54.1 days (41~68 days). There were no complications, such as a metal failure, irritation, and loss of a reduction. The mean AOFAS midfoot score was 97.7 (90~100) at 6 months, postoperatively. CONCLUSION: We suggest that a headless cannulated compression screw for 5th metatarsal base fracture is a useful and alternative method for a firm fixation without complications.
