Dorfman G R
J Foot Surg. 1976 Fall;15(3):99-103.
The comminuted fracture of a metatarsal shaft provides a greater challenge to clinicians in relationship to stabilization and and fixation then does the simple noncomminuted type of fracture. Comminuted fractures may result in gross displacement or fragmentation of the bony segments calling for more dramatic methods of fixation to insure proper union with optimal bone healing and minimal postfrature complications. Adequate approximation of fractured bone segments is essential to insure proper restoration of function and stability to fractured bones. Open reduction with circular wire fixation is one method by which proper approximation of comminuted fracture bone segments can be accomplished.
与单纯的非粉碎性骨折相比，跖骨干粉碎性骨折给临床医生在骨折固定方面带来了更大的挑战。粉碎性骨折可能导致骨段明显移位或碎裂，这就需要更有效的固定方法，以确保骨折能顺利愈合，并将骨折后并发症降至最低。准确复位骨折骨段对于确保骨折部位功能和稳定性的恢复至关重要。环形钢丝内固定切开复位术是一种可以实现粉碎性骨折骨段准确复位的方法。
