Treatment of Fifth Metatarsal Base Fracture Using Tension Band Wiring.
- Author:
Jong Kuk AHN
1
;
Hyung Jin CHUNG
;
Su Young BAE
;
Ji Yong PARK
Author Information
1. Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. chunghj@dreamwiz.com
- Publication Type:Original Article
- Keywords:
5th Metatarsal base;
Fracture;
Tension band wiring
- MeSH:
Animals;
Ankle;
Follow-Up Studies;
Foot;
Metatarsal Bones;
Orthopedics
- From:Journal of Korean Foot and Ankle Society
2011;15(1):18-21
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the clinical and radiological results of internal fixation with tension band wiring for the fracture at the base of fifth metatarsal bone. MATERIALS AND METHODS: From January 2008 to December 2009, 15 cases with displaced fracture at the base of fifth metatarsal were analyzed and average follow up period was 13.8 months. Lawrence classification was used to classify fracture type. We evaluated clinical results by American Orthopedic Foot Ankle Society (AOFAS) midfoot score and radiological results by union time. Complications was also checked. RESULTS: According to classification, zone I fracture were 11 cases and zone II fracture were 4 cases. Bony union was achieved in all cases after 7 weeks. In the final follow-up, average AOFAS score was 94. There were no complications except hardware irritation. CONCLUSION: Satisfactory results were obtained after tension band wiring for the fifth Metatarsal base fracture in zone I fracture or comminuted zone II fracture for which it is not easy to be fixed with screw.
