BOFAS Abstracts Archive

You can search for abstracts by using the search bar below.
Alternatively you can browse through podium and poster presentations by selecting the year and / or type below. You can further refine your search using tags or use the search bar.

Search

RSS Abstracts 476 Expand/Collapse
- RSS 2013 64 Expand/Collapse
  - RSS Poster 24 Expand/Collapse
  - RSS Podium 40 Expand/Collapse
- RSS 2014 36 Expand/Collapse
  - RSS Podium 36 Expand/Collapse
- RSS 2015 49 Expand/Collapse
  - RSS Poster 20 Expand/Collapse
  - RSS Podium 29 Expand/Collapse
- RSS 2016 45 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 27 Expand/Collapse
- RSS 2017 40 Expand/Collapse
  - RSS Poster 15 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2018 47 Expand/Collapse
  - RSS Poster 22 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2019 48 Expand/Collapse
  - RSS Poster 25 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2021 15 Expand/Collapse
  - RSS Poster 10 Expand/Collapse
  - RSS Podium 6 Expand/Collapse
- RSS 2022 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2023 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2024 40 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 22 Expand/Collapse

Categories: Abstracts, 2018, Poster

The use of Percutaneous screw fixation without fracture site preparation in the treatment of 5th metatarsal base non-union

M. Grant, A. Molloy, L. Mason

¹Aintree University Hospital, Liverpool, United Kingdom

²University of Liverpool, Liverpool, United Kingdom

Introduction: Non-union following a proximal fifth metatarsal can cause considerable pain with high morbidity with loss of work. Although many authors advocate early surgical management of zone 3 injuries (Jones fracture), zone 1 and 2 fractures are generally expected to heal with conservative management. Uncommonly, zone 1 and 2 fractures can develop non-unions. The aim of this study was to evaluate the efficacy of closed intramedullary screw fixation for non-unions of the 5^th metatarsal base.

Methods: We performed a prospective study involving all 5^th metatarsal base non-unions treated in our department over 2 years. Only minimally-displaced adult fractures were considered for this study. The fracture pattern was categorised using the Dameron classification (zone 1 - styloid process, zone 2- meta-diaphyseal area, zone 3 - proximal diaphysis). All non-unions were fixed percutaneously under radiographic guidance, without fracture site preparation. Zone 1 injuries were fixed using a 3mm headless compression screw and zone 2 and 3 with an intramedullary 4mm screw.

Results: Out of 19 patients included in this study, a minimum of 6 month clinical follow up was obtained. The average time from injury to treatment was 5.4 months (range 3-12 months). There were no smokers in this patient cohort. There were 12 zone 1 injuries, 3 zone 2 injuries and 4 zone 3 injuries. All patients achieved union by 3 months post screw fixation, with 18 out of 19 achieving union by 6 weeks. All patients had resolution of symptoms. There were no complications.

Conclusions: We conclude that percutaneous fixation of 5^th metatarsal base non-unions, without fracture site preparation, achieves excellent results. We believe that the screw alters the strain of the fracture, thus promoting fibrous to osseous conversion and therefore union.

Print

Tags: Fracture Trauma 5th Metatarsal

Click thumbnail below to view poster / thumbnail:

Archive of Abstracts