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Treatment dilemma in multiple metatarsal fractures: when to operate?
Susan T Mahan1, Anneliese M Lierhaus, Samantha A Spencer
1Department of Orthopaedics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Unlabelled:
Fractures of multiple metatarsals in the pediatric population are uncommon; however, indications for surgical treatment have not been delineated. The aim of this study was to review multiple metatarsal fractures to help refine surgical indications. A total of 98 patients had multiple metatarsal fractures; displacement greater than 10% shaft width (displaced) was encountered in 33 (34.0%) patients. Fifteen patients had displacement of more than 75% shaft width of one metatarsal. Patients older than 14 years of age were more likely to have surgery for their injury (52.6%) than those younger than 14 years of age (3.7%) (P<0.0001). Younger patients and those with less than 75% displacement should be considered for nonoperative care.
Levels Of Evidence:
Level IV.
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