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Techniques in Foot & Ankle Surgery:
doi: 10.1097/BTF.0000000000000031
Techniques

Anterograde Percutaneous Treatment for Lesser Metatarsal Fractures: Technique Description and Clinical Results

Nery, Caio MD*; Baumfeld, Daniel MD; Raduan, Fernando MD*; Macedo, Benjamim MD; Filho, Marco A. B. MD; Esper, Leonardo MD; Baumfeld, Tiago; de Abreu-e-Silva, Guilherme Moreira MD

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Abstract

Metatarsal (MTT) fractures are common injuries in the outpatient orthopedic setting. Lesser MTT fractures, although often technically simple, can lead to an inordinate number of unsatisfied patients. The objective of our study was to evaluate the results obtained using an anterograde percutaneous technique for lesser MTT fractures. To our knowledge, there are no previous publications about this technique. We performed a prospective study with 14 patients from 2003 to 2008, in which we evaluated the fracture location, mechanism of trauma, associated comorbidities, and American Orthopaedic Foot and Ankle Society’s functional score for postoperative clinical assessments. The most common fracture location was the MTT neck (79%). Involvement of multiple MTTs (53%) was more common than isolated fractures (47%), and low-energy trauma (79%) was more frequent than high-energy trauma (21%). Female patients with diabetes had the worst functional postoperative results. There were no postoperative complications related to our chosen technique. The surgical technique proposed was effective for treating lesser MTT fractures and had lower complication rates compared with other established techniques.

© 2014 by Lippincott Williams & Wilkins

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