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Surgical results of 5th metatarsal stress fracture using modified tension band wiring
Kyung Tai Lee1, Young Uk Park, Ki Won Young
1Foot and Ankle Service, KT Lee's Orthopedic Hospital, 111-13, Nonhyun 2-dong Gangnam-Gu, Seoul, 135-820, South Korea.
Purpose:
The purpose of this study was to evaluate the surgical results of modified tension band wiring using two cortical screws for the treatment of fifth metatarsal stress fractures.
Methods:
Forty-two patients with Torg's type I and II fifth metatarsal stress fractures treated using the modified tension band wiring technique from 2005 to 2008 were evaluated retrospectively. All of the patients were elite athletes.
Results:
The mean length of follow-up was 26 ± 16 months (12-62 months). All patients were able to return to their previous levels of sporting activity. The mean time to union as determined by CT was 75 ± 25 days (40-150 days). However, during follow-up, there were 4 delayed unions, 1 nonunion, and 4 refractures.
Conclusion:
The described modified tension band wiring technique is a good alternative method for the surgical treatment of Torg's type I and II fifth metatarsal stress fractures.
Level Of Evidence:
Case series with no comparison group, retrospective case series, Level IV.
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