BRIDGE PLATING OF THE ISOLATED MEDIAL CUNEIFORM FRACTURE (CASE REPORT AND TECHNICAL TRICK)

Öz

Abstract Objective: Isolated medial cuneiform fractures are extremely rare. In the literature, cases treated with conservative methods or screw fixation are reported. However, comminuted fractures, especially those involving multiple joint surfaces, have a poor prognosis in terms of post-traumatic arthritis and pain. In this case report, the outcomes of bridge plating for the treatment of a comminuted medial cuneiform fracture are presented. Case: A 19-year-old male patient presented with a comminuted displaced medial cuneiform fracture and a non-displaced second metatarsal base fracture following a motor vehicle accident. He was treated with open reduction and bridge plating. After 1 year of follow-up, the patient had minimal symptoms, and there were no signs of post-traumatic arthritis. Conclusion: Bridge plating can be an effective surgical technique for comminuted medial cuneiform fractures. However, implant failure in weight-bearing areas must be anticipated, and early removal may be necessary.

Anahtar Kelimeler

• Isolated medial cuneiform fracture
• Comminuted fracture
• Bridge plating
• Orthopedic trauma
• Medial cuneiform surgical treatment

İZOLE MEDİAL KÜNEİFORM KIRIĞINDA KÖPRÜ PLAKLAMA (OLGU SUNUMU VE TEKNİK NOT)

Öz

Özet Amaç: İzole medial küneiform kırığı oldukça nadir görülen bir olgudur. Literatürde konservatif veya vida tespiti ile tedavi edilen olgular mevcuttur. Ancak parçalı kırıklar, özellikle çoklu eklem yüzü içerdikleri için, posttravmatik artroz ve ağrı açısından kötü prognoza sahiptirler. Bu olgu sunumunda, parçalı medial küneiform kırığı tedavisinde köprü plaklama tekniği kullanılarak elde edilen sonuçlar sunulmaktadır. Olgu: 19 yaşında erkek hasta, araç dışı trafik kazası sonrası sağ ayakta medial küneiform çok parçalı kırık ve 2. metatars bazisinde nondeplase kırıkla başvurdu. Açık redüksiyon ve köprü plaklama ile tedavi edildi. 1 yıllık takipte hastada minimal semptomlar mevcuttu ve posttravmatik artroz bulgusu izlenmedi. Sonuç: Parçalı medial küneiform kırıklarının cerrahi tedavisinde geçici köprü plaklama etkili bir yöntem olabilir. Ancak yük taşıyan bölgelerde implant yetmezliği göz önünde bulundurulmalı ve erken çıkarılması planlanmalıdır.

Anahtar Kelimeler

• İzole medial küneiform kırığı
• Parçalı kırık
• Köprü plaklama
• Ortopedik travma
• Medial küneiform cerrahi tedavi

Kaynakça

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