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ANTEROGRADE PERCUTANEOUS TREATMENT OF LESSER METATARSAL FRACTURES: TECHNICAL DESCRIPTION AND CLINICAL RESULTS

Objective: The aim of this study was to evaluate the results obtained using the anterograde percutaneous fixation technique for treating shaft and neck fractures of the lesser metatarsals. Methods: We prospectively evaluated 14 patients between 2003 and 2008, taking into consideration the topography...

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Autores principales: Baumfeld, Daniel, Macedo, Benjamim Dutra, Nery, Caio, Esper, Leonardo Elias, Filho, Marco Aurelio Baldo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799479/
https://www.ncbi.nlm.nih.gov/pubmed/27047897
http://dx.doi.org/10.1016/S2255-4971(15)30035-5
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author Baumfeld, Daniel
Macedo, Benjamim Dutra
Nery, Caio
Esper, Leonardo Elias
Filho, Marco Aurelio Baldo
author_facet Baumfeld, Daniel
Macedo, Benjamim Dutra
Nery, Caio
Esper, Leonardo Elias
Filho, Marco Aurelio Baldo
author_sort Baumfeld, Daniel
collection PubMed
description Objective: The aim of this study was to evaluate the results obtained using the anterograde percutaneous fixation technique for treating shaft and neck fractures of the lesser metatarsals. Methods: We prospectively evaluated 14 patients between 2003 and 2008, taking into consideration the topography of the fracture, trauma mechanism, associated comorbidities and AOFAS score for the forefoot. Results: The anatomical region most affected was the metatarsal neck (79%). Involvement of multiple metatarsals (53%) was more common than isolated fractures (47%). Low-energy trauma (79%) was more frequent than high-energy trauma (21%). Female patients with diabetes had the worst postoperative functional results. There were no postoperative complications relating to the type of treatment instituted. Conclusion: The surgical technique presented was efficient for treating fractures of the lesser metatarsals, with a lower complication rate than shown by other established techniques in the literature.
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spelling pubmed-47994792016-04-04 ANTEROGRADE PERCUTANEOUS TREATMENT OF LESSER METATARSAL FRACTURES: TECHNICAL DESCRIPTION AND CLINICAL RESULTS Baumfeld, Daniel Macedo, Benjamim Dutra Nery, Caio Esper, Leonardo Elias Filho, Marco Aurelio Baldo Rev Bras Ortop Original Article Objective: The aim of this study was to evaluate the results obtained using the anterograde percutaneous fixation technique for treating shaft and neck fractures of the lesser metatarsals. Methods: We prospectively evaluated 14 patients between 2003 and 2008, taking into consideration the topography of the fracture, trauma mechanism, associated comorbidities and AOFAS score for the forefoot. Results: The anatomical region most affected was the metatarsal neck (79%). Involvement of multiple metatarsals (53%) was more common than isolated fractures (47%). Low-energy trauma (79%) was more frequent than high-energy trauma (21%). Female patients with diabetes had the worst postoperative functional results. There were no postoperative complications relating to the type of treatment instituted. Conclusion: The surgical technique presented was efficient for treating fractures of the lesser metatarsals, with a lower complication rate than shown by other established techniques in the literature. Elsevier 2015-11-04 /pmc/articles/PMC4799479/ /pubmed/27047897 http://dx.doi.org/10.1016/S2255-4971(15)30035-5 Text en © 2012 Sociedade Brasileira de Ortopedia e Traumatologia http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Baumfeld, Daniel
Macedo, Benjamim Dutra
Nery, Caio
Esper, Leonardo Elias
Filho, Marco Aurelio Baldo
ANTEROGRADE PERCUTANEOUS TREATMENT OF LESSER METATARSAL FRACTURES: TECHNICAL DESCRIPTION AND CLINICAL RESULTS
title ANTEROGRADE PERCUTANEOUS TREATMENT OF LESSER METATARSAL FRACTURES: TECHNICAL DESCRIPTION AND CLINICAL RESULTS
title_full ANTEROGRADE PERCUTANEOUS TREATMENT OF LESSER METATARSAL FRACTURES: TECHNICAL DESCRIPTION AND CLINICAL RESULTS
title_fullStr ANTEROGRADE PERCUTANEOUS TREATMENT OF LESSER METATARSAL FRACTURES: TECHNICAL DESCRIPTION AND CLINICAL RESULTS
title_full_unstemmed ANTEROGRADE PERCUTANEOUS TREATMENT OF LESSER METATARSAL FRACTURES: TECHNICAL DESCRIPTION AND CLINICAL RESULTS
title_short ANTEROGRADE PERCUTANEOUS TREATMENT OF LESSER METATARSAL FRACTURES: TECHNICAL DESCRIPTION AND CLINICAL RESULTS
title_sort anterograde percutaneous treatment of lesser metatarsal fractures: technical description and clinical results
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799479/
https://www.ncbi.nlm.nih.gov/pubmed/27047897
http://dx.doi.org/10.1016/S2255-4971(15)30035-5
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