Surgical Management of Proximal Fourth Metatarsal Stress Fracture Nonunion: Debridement and Locking Plate Stabilization

Although fractures of the proximal fourth metatarsal are rare, when they occur they may be associated with prolonged healing and increased rates of nonunion. We report a case of fourth metatarsal nonunion and describe the technique of debridement of the nonunion site and locking plate stabilization....

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Published inOperative techniques in sports medicine Vol. 17; no. 2; pp. 119 - 124
Main Authors Carmont, Michael R., FRCS (Tr & Orth), Blundell, Christopher M., FRCS (Tr & Orth), Straus, Brian, MD, Turgeon, Douglas R., MD
Format Journal Article
LanguageEnglish
Published Philadelphia Elsevier Inc 01.04.2009
Elsevier Limited
Subjects
fracture
metatarsal
Nonunion
Orthopedics
Pain
Rheumatology
stabilization
Veins & arteries
Wound healing
stabilization
nonunion
metatarsal
fracture
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Summary:Although fractures of the proximal fourth metatarsal are rare, when they occur they may be associated with prolonged healing and increased rates of nonunion. We report a case of fourth metatarsal nonunion and describe the technique of debridement of the nonunion site and locking plate stabilization. This technique allows fracture stabilization and optimizes periosteal vascularization of the fracture site, thus promoting healing. We recommend this technique for the debridement and stabilization of marginal proximal metatarsal fractures with established nonunion.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
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ISSN:1060-1872
1557-9794
DOI:10.1053/j.otsm.2009.04.001