Itamoto Akihiro, Okamoto Takeshi
Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Department of Orthopedic Surgery, Otsu Red Cross Hospital, 1-1-35, Nagara, Otsu, 520-0046, Japan.
J Orthop Case Rep. 2024 Mar;14(3):83-86. doi: 10.13107/jocr.2024.v14.i03.4296.
The prognosis for toe fractures with coalition is generally good, but in some cases, bone union may not be achieved. This is the report in which good results are obtained by surgery for a painful delayed union of biphalangeal toe fractures.
Case 1: A 64-year-old Japanese woman had left toe pain for 7 months. Plain radiography showed fourth toe fracture with coalition. Surgical fixation was performed. Case 2: A 63-year-old Japanese woman had left toe pain for a month. Plain radiography showed third toe fracture with coalition. No improvement was achieved with conservative treatment, and surgical treatment was performed.
Surgical treatment should be performed for the nonunion of symphalangistic distal phalanx fractures with long-term pain.
伴有联合畸形的趾骨骨折预后通常良好，但在某些情况下，可能无法实现骨愈合。本文报告了通过手术治疗双趾骨趾骨骨折疼痛性延迟愈合取得良好效果的病例。
病例1：一名64岁的日本女性左趾疼痛7个月。X线平片显示第四趾骨折伴联合畸形。进行了手术固定。病例2：一名63岁的日本女性左趾疼痛1个月。X线平片显示第三趾骨折伴联合畸形。保守治疗无效，进行了手术治疗。
对于伴有长期疼痛的近节趾骨远端骨折不愈合，应进行手术治疗。
