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- Title
Surgical results of 5th metatarsal stress fracture using modified tension band wiring.
- Authors
Kyung Tai Lee; Young Uk Park; Ki Won Young; Jin Su Kim; Jun Beom Kim
- Abstract
Purpose: 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. Methods: 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. Results: 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. Conclusion: 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. Level of evidence: Case series with no comparison group, retrospective case series, Level IV.
- Subjects
METATARSUS; STRESS fractures (Orthopedics); BONE surgery; BONE fractures; OVERUSE injuries; SPORTS injuries; SURGERY
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2011, Vol 19, Issue 5, p853
- ISSN
0942-2056
- Publication type
Article
- DOI
10.1007/s00167-011-1406-3