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ANTEROGRADE PERCUTANEOUS TREATMENT OF LESSER METATARSAL FRACTURES: TECHNICAL DESCRIPTION AND CLINICAL RESULTS
Daniel Baumfeld1, Benjamim Dutra Macedo1, Caio Nery2
1Specialist in Foot and Ankle Medicine and Surgery, Unifesp - Paulista School of Medicine - São Paulo, SP; Member, Foot and Ankle Group, Hospital Felício Rocho - Belo Horizonte, MG, Brasil.
Objective:
The aim of this study was to evaluate the results obtained using the anterograde percutaneous fixation technique for treating shaft and neck fractures of the lesser metatarsals.
Methods:
We prospectively evaluated 14 patients between 2003 and 2008, taking into consideration the topography of the fracture, trauma mechanism, associated comorbidities and AOFAS score for the forefoot.
Results:
The anatomical region most affected was the metatarsal neck (79%). Involvement of multiple metatarsals (53%) was more common than isolated fractures (47%). Low-energy trauma (79%) was more frequent than high-energy trauma (21%). Female patients with diabetes had the worst postoperative functional results. There were no postoperative complications relating to the type of treatment instituted.
Conclusion:
The surgical technique presented was efficient for treating fractures of the lesser metatarsals, with a lower complication rate than shown by other established techniques in the literature.
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