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[A simple method for repositioning metatarsal fractures].

C Braun¹, M Bauer, S Rose

¹Abteilung Unfallchirurgie, Chirurgische Universitätsklinik Homburg/Saar.

Aktuelle Traumatologie

|June 1, 1992

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This study introduces a novel technique for metatarsal fracture reduction using a K-wire and traction bow. This method enables precise closed reduction, minimizing surgeon radiation exposure during treatment.

Area of Science:

Orthopedic surgery
Traumatology
Skeletal biomechanics

Background:

Metatarsal fractures often require indirect reduction due to limited fragment contact.
Current methods may involve prolonged traction or complex manipulation.

Purpose of the Study:

To describe a simple, direct manipulation technique for distal metatarsal fracture fragments.
To evaluate the efficacy of closed reduction and percutaneous pinning using this method.

Main Methods:

A novel technique involving K-wire insertion (dorsal-plantar) through the fractured metatarsal head.
Attachment of the K-wire to a traction bow for multi-directional fragment manipulation.
Closed reduction and percutaneous pinning of multiple metatarsal fractures in 8 patients.

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Main Results:

Successful closed reduction and percutaneous pinning in all 8 patients.
Precise alignment of distal fracture fragments onto proximal fragments achieved.
Reduced operating times and decreased surgeon hand radiation exposure observed.

Conclusions:

The described K-wire and traction bow method offers a simple and accurate approach for metatarsal fracture reduction.
This technique facilitates precise manipulation outside the direct X-ray beam, enhancing safety.
It provides an effective alternative for closed reduction of complex metatarsal fractures.