Closed Reduction and Fixation of Metatarsal Head and Neck Fractures Using Antegrade Intramedullary K-wire (6 Cases Report).
- Author:
Hyong Nyun KIM
1
;
Hee Joon LIM
;
Yong Wook PARK
Author Information
1. Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. aofas@chollian.net
- Publication Type:Case Report
- Keywords:
Metatarsal head and neck;
Fracture;
Closed antegrade intramedullary pinning
- MeSH:
Bony Callus;
Head;
Joints;
Metatarsal Bones;
Neck;
Shoes;
Weight-Bearing
- From:Journal of Korean Foot and Ankle Society
2009;13(1):91-94
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Metatarsal head and neck fractures are injuries that often result from a direct blow of a heavy objects to the metatarsal head. The head is often impacted or displaced to the plantar aspect that if not treated may cause malunion which later induces painful plantar calluses. If the fracture fragment is large enough, closed reduction may be successfully performed, but when the fragment is small or closed reduction is unsuccessful, open reduction is needed. We present our reduction and fixation technique for the metatarsal head and neck fractures using antegrade intramedullary Kirschner wire (K-wire) without opening the fracture site or infringing the metatarsophalangeal (MTP) joint which allows immediate motion of the joint and partial weight bearing in a stiff soled shoe.
