Reduction and Fixation of Metatarsal Neck Fracture by Metaizeau's Technique
Displaced Metatarsal Neck Fracture
About this trial
This is an interventional treatment trial for Displaced Metatarsal Neck Fracture
Eligibility Criteria
Inclusion Criteria: Adult patient with displaced fracture neck of the 2nd, 3rd or 4th metatarsal Exclusion Criteria: Poly_traumatized patient . Patient with fracture first and fifth metatarsal bone . Fracture shaft metatarsal bone , first MB, fifth MB. Open fractures of the foot . Intraarticular fracture of metatarsals . Lisfranc fracture . Segmental fracture of the metatarsals
Sites / Locations
- Sohag universityRecruiting
Arms of the Study
Arm 1
Other
Adult patient with displaced metatarsal head fractures
A Kirschner wire with its distal end is placed showing a small bend into the medullar cavity through the lateral margin of the proximal metaphysis of the affected metatarsal using a 5mm skin incision at that level. The skin incision was made over the interosseus space, so as to use one incision for the two neighbouring metatarsal bones. The diameter of the Kirschner wires to be used should be related to the size of the fractured metatarsal medullar cavity. Kirschner wire will be driven anterograde, with the help of an X-ray image intensifier. Subsequently, the wire will be rotated 180 to direct its end to the dorsum of the foot so as to provoke a translation effect on the metatarsal head in order to obtain the head reduction, and maintained this reduction with the Kirschner wire.