Is Retrograde Pinning Reliable for Multiple Metatarsal Fractures?
Öz
ABSTRACT
Background: Fixation with K-wires is a commonly used method in the surgical treatment of metatarsal fractures. The application of K-wires can be antegrade and retrograde. There is a limited number of studies about the fixation of metatarsal fractures with retrograde K-wires in the literature. The present study aims to investigate the long-term results of retrograde pinning.
Methods: 14 patients with at least a four-year follow-up were included in the study. The patients' union status, demographic data, duration of surgery, duration of fluoroscopy use, metacarpophalangeal (MP) range of motion, American Orthopedic Foot and Ankle Score (AOFAS) scores, and plantar keratosis formation were evaluated.
Results: Complete union was observed in 13 of 14 patients. MP joint restriction was not found in any patient with a union. Symptomatic plantar keratosis was not observed in any patient. Good and perfect results were obtained in AOFAS scores.
Conclusion: According to the literature, retrograde pinning in metatarsal fractures is thought to be a treatment that is difficult to apply, has high radiation exposure, and complications are observed frequently. However, in this study, we believe that retrograde pinning is a treatment method with satisfactory clinical results in long-term follow-up and fewer complications than mentioned.
Anahtar Kelimeler
Multipl Metatarsal Fractures, Metatarsal Fractures, Retrograde Pinning
Kaynakça
- Cakir H, Van Vliet-Koppert S, Van Lieshout E, De Vries M, Van Der Elst M, Schepers T. Demographics and outcome of metatarsal fractures. Archives of orthopaedic and trauma surgery. 2011;131(2):241-5.
- Zarei M, Bagheri N, Nili A, Vafaei A, Ghadimi E. Closed Antegrade/Retrograde intramedullary fixation of central metatarsal fractures: Surgical technique and clinical outcomes. Injury. 2020;51(4):1125-9.
- Moore NF. Metatarsal fracture management. Orthopaedics and Trauma. 2018;32(6):428-36.
- Boutefnouchet T, Budair B, Backshayesh P, Ali SA. Metatarsal fractures: a review and current concepts. Trauma. 2014;16(3):147-63.
- Rammelt S, Heineck J, Zwipp H. Metatarsal fractures. Injury. 2004;35:SB77-86.
- Sarpong NO, Swindell HW, Trupia EP, Vosseller JT. Metatarsal fractures. Foot & Ankle Orthopaedics. 2018;3(3):2473011418775094.
- Reilly M, Rehman S. Metatarsal Fractures Fixed with Plates or Wires. Fractures of the Foot and Ankle: Springer; 2018. p. 173-81.
- Petrisor BA, Ekrol I, Court-Brown C. The epidemiology of metatarsal fractures. Foot & ankle international. 2006;27(3):172-4.
- Shuen W, Boulton C, Batt M, Moran C. Metatarsal fractures and sports. The Surgeon. 2009;7(2):86-8.
- Megan R. Wolf LEG. Metatarsal Fractures. In: Adam E. M. Eltorai CPE, Alan H. Daniels, editor. Orthopedic Surgery Clerkship Springer; 2017. p. 393-8.