Use of a Percutaneous Pointed Reduction Clamp Before Screw Fixation to Prevent Gapping of a Fifth Metatarsal Base Fracture: A Technique Tip.
J Foot Ankle Surg
; 55(1): 151-6, 2016.
Article
en En
| MEDLINE
| ID: mdl-26188626
ABSTRACT
Intramedullary screw fixation has become widely accepted as the standard of care for operative treatment of Jones fractures, allowing not only accelerated rehabilitation but also reduction of the risk of repeat fracture. The unique anatomy of the fifth metatarsal--mainly its inherent lateral curvature--makes fixation technically challenging. In general, surgical fixation should be performed with the largest screw possible, in both diameter and length, which will provide the strongest possible construct. However, an increased screw length and width have been associated with complications, including lateral gapping and distraction of the fracture site and malreduction of the fracture. The use of a pointed reduction clamp is a simple, yet effective, method of preventing iatrogenic displacement and gapping at the fracture site during placement of an intramedullary screw. Percutaneous reduction and stabilization of the fracture using this technique could help limit the complications associated with large screw fixation of Jones fractures.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Tornillos Óseos
/
Huesos Metatarsianos
/
Técnicas de Sutura
/
Anclas para Sutura
/
Fracturas de Tobillo
/
Fijación Intramedular de Fracturas
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
En
Revista:
J Foot Ankle Surg
Año:
2016
Tipo del documento:
Article
País de afiliación:
Moldova