Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Treatment of Fifth Metatarsal Base Fracture Using Tension Band Wiring

인장대 강선 고정술을 이용한 제5 중족골 기저부 골절의 수술적 치료

  • Ahn, Jong-Kuk (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Chung, Hyung-Jin (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Bae, Su-Young (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Park, Ji-Yong (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
  • 안종국 (인제대학교 의과대학 상계백병원 정형외과) ;
  • 정형진 (인제대학교 의과대학 상계백병원 정형외과) ;
  • 배서영 (인제대학교 의과대학 상계백병원 정형외과) ;
  • 박지용 (인제대학교 의과대학 상계백병원 정형외과)
  • Received : 2011.01.25
  • Accepted : 2011.02.22
  • Published : 2011.03.15
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Abstract

Purpose: To evaluate the clinical and radiological results of internal fixation with tension band wiring for the fracture at the base of fifth metatarsal bone. Materials and Methods: From January 2008 to December 2009, 15 cases with displaced fracture at the base of fifth metatarsal were analyzed and average follow up period was 13.8 months. Lawrence classification was used to classify fracture type. We evaluated clinical results by American Orthopedic Foot Ankle Society (AOFAS) midfoot score and radiological results by union time. Complications was also checked. Results: According to classification, zone I fracture were 11 cases and zone II fracture were 4 cases. Bony union was achieved in all cases after 7 weeks. In the final follow-up, average AOFAS score was 94. There were no complications except hardware irritation. Conclusion: Satisfactory results were obtained after tension band wiring for the fifth Metatarsal base fracture in zone I fracture or comminuted zone II fracture for which it is not easy to be fixed with screw.

Keywords

References

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