尺骨钩钢板治疗第五跖骨近端骨折。
Treatment of proximal fifth metatarsal fractures with an ulna hook plate.
机构信息
Department of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen-Marburg GmbH, Campus Giessen, Rudolf-Buchheim-Str. 7, 35392 Giessen, Germany.
Department of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen-Marburg GmbH, Campus Giessen, Rudolf-Buchheim-Str. 7, 35392 Giessen, Germany.
出版信息
Foot (Edinb). 2020 Mar;42:101653. doi: 10.1016/j.foot.2019.101653. Epub 2019 Nov 4.
INTRODUCTION
Fractures of the base of the fifth metatarsal bone present one of the commonest fractures of the metatarsal bones. Conventionally intramedullary screws and tension band wiring have been used as internal fixation methods. Lately hook plates have also served as an alternative fixation method. We hereby report on our experience with the hook plate used in treating fractures of the proximal fifth metatarsal.
METHODS
21 patients treated with the hook plate for proximal fifth metatarsal fractures were assessed clinically and radiologically.
RESULTS
Average time to union in primarily treated fractures (n=18) was 7.7 weeks (range 4.5-16 weeks). Average time to return of activities of daily living (ADLs) was 10.3 weeks (range 4.5-37 weeks). The average AOFAS midfoot score was 30.4 preoperatively and 95.2 postoperatively (p<0.01).
CONCLUSION
The ulna hook plate presents a suitable and adequate method of osteosynthesis used to primarily treat proximal fifth metatarsal fractures requiring surgical intervention with satisfactory post-operative outcomes.
简介
第五跖骨基底部骨折是跖骨骨折中最常见的一种。传统上，髓内钉和张力带钢丝常用于内固定方法。最近，钩钢板也已成为一种替代固定方法。我们在此报告使用钩钢板治疗第五跖骨近端骨折的经验。
方法
对 21 例使用钩钢板治疗第五跖骨近端骨折的患者进行了临床和影像学评估。
结果
初次治疗的骨折愈合平均时间为 7.7 周（范围为 4.5-16 周）。日常生活活动（ADL）恢复的平均时间为 10.3 周（范围为 4.5-37 周）。AOFAS 中足评分术前平均为 30.4，术后为 95.2（p<0.01）。
结论
尺骨钩钢板是一种合适且足够的内固定方法，用于需要手术干预的第五跖骨近端骨折，术后结果令人满意。
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