J Korean Foot Ankle Soc.  2009 Jun;13(1):91-94.

Closed Reduction and Fixation of Metatarsal Head and Neck Fractures Using Antegrade Intramedullary K-wire (6 Cases Report)

• Kim HN
• Lim HJ
• Park YW

Abstract

Metatarsal head and neck fractures are injuries that often result from a direct blow of a heavy objects to the metatarsal head. The head is often impacted or displaced to the plantar aspect that if not treated may cause malunion which later induces painful plantar calluses. If the fracture fragment is large enough, closed reduction may be successfully performed, but when the fragment is small or closed reduction is unsuccessful, open reduction is needed. We present our reduction and fixation technique for the metatarsal head and neck fractures using antegrade intramedullary Kirschner wire (K-wire) without opening the fracture site or infringing the metatarsophalangeal (MTP) joint which allows immediate motion of the joint and partial weight bearing in a stiff soled shoe.

Keyword

Metatarsal head and neck; Fracture; Closed antegrade intramedullary pinning

MeSH Terms

Bony Callus
Head
Joints
Metatarsal Bones
Neck
Shoes
Weight-Bearing