Reduction of comminuted metatarsal fractures utilizing circular wire fixation

The comminuted fracture of a metatarsal shaft provides a greater challenge to clinicians in relationship to stabilization and and fixation then does the simple noncomminuted type of fracture. Comminuted fractures may result in gross displacement or fragmentation of the bony segments calling for more dramatic methods of fixation to insure proper union with optimal bone healing and minimal postfrature complications. Adequate approximation of fractured bone segments is essential to insure proper restoration of function and stability to fractured bones. Open reduction with circular wire fixation is one method by which proper approximation of comminuted fracture bone segments can be accomplished.