Foot and Ankle Service, KT Lee's Orthopedic Hospital, 111-13, Nonhyun 2-dong Gangnam-Gu, Seoul, 135-820, South Korea.
Knee Surg Sports Traumatol Arthrosc. 2011 May;19(5):853-7. doi: 10.1007/s00167-011-1406-3. Epub 2011 Feb 3.
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.
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.
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.
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.
Case series with no comparison group, retrospective case series, Level IV.
本研究旨在评估改良张力带钢丝固定术联合两枚皮质骨螺钉治疗第 5 跖骨应力性骨折的手术效果。
回顾性分析 2005 年至 2008 年采用改良张力带钢丝固定术治疗 Torg Ⅰ型和Ⅱ型第 5 跖骨应力性骨折的 42 例患者。所有患者均为精英运动员。
平均随访时间为 26 ± 16 个月（12-62 个月）。所有患者均能恢复到受伤前的运动水平。根据 CT 检查，平均愈合时间为 75 ± 25 天（40-150 天）。然而，在随访过程中，有 4 例出现延迟愈合，1 例出现骨不连，4 例出现再骨折。
改良张力带钢丝固定术是治疗 Torg Ⅰ型和Ⅱ型第 5 跖骨应力性骨折的一种较好的手术方法。
无对照的病例系列研究，回顾性病例系列研究，IV 级。
