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Related Experiment Videos

Tarsometatarsal fractures and dislocations.

R Pérez Blanco1, C Rodríguez Merchán, R Canosa Sevillano

  • 1Department of Orthopaedic Surgery, La Paz Hospital, University Autónoma, Madrid, Spain.

Journal of Orthopaedic Trauma
|January 1, 1988
PubMed
Summary

This study reviewed 32 tarsometatarsal fracture dislocations, finding that accurate reduction is key for good outcomes. Routine Kirschner (K)-wire fixation is recommended for all cases of these foot injuries.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Podiatric Medicine

Background:

  • Tarsometatarsal fracture dislocations are complex foot injuries.
  • Accurate classification and treatment are crucial for patient outcomes.
  • Previous studies highlight varied results and treatment approaches.

Purpose of the Study:

  • To retrospectively review outcomes of tarsometatarsal fracture dislocations.
  • To evaluate the effectiveness of different treatment methods.
  • To identify factors associated with successful treatment outcomes.

Main Methods:

  • Retrospective review of 32 cases over 15 years.
  • Classification using Quénu and Küss' system.
  • Treatment included closed or open reduction, with optional Kirschner (K)-wire fixation.

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  • Outcomes assessed using Hardcastle's scoring system.

    • Main Results:

    • 29 patients evaluated with a mean follow-up of 6.3 years.
    • Most dislocations were partial (21/32).
    • 20 good, 5 fair, and 3 poor results were achieved.
    • Accurate reduction correlated with good outcomes.
    • One early amputation occurred.

    Conclusions:

    • Accurate reduction is the most critical factor for successful treatment of tarsometatarsal fracture dislocations.
    • Open reduction is advised for persistent minor displacement.
    • Routine Kirschner (K)-wire fixation is recommended for all cases to ensure stability and optimize healing.