Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip

Danilo Ryuko Cândido Nishikawa; Fernando Aires Duarte; Cesar de Cesar Netto; Augusto César Monteiro; Rômulo Ballarin Albino; Fabio Corrêa Paiva Fonseca

doi:10.1177/1938640017735889

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Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip

Journal article

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Peer reviewed

Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip

Danilo Ryuko Cândido Nishikawa, Fernando Aires Duarte, Cesar de Cesar Netto, Augusto César Monteiro, Rômulo Ballarin Albino and Fabio Corrêa Paiva Fonseca

Foot and ankle specialist, Vol.11(1), pp.77-81

02/2018

DOI: 10.1177/1938640017735889

PMID: 29076759

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Abstract

Phalangeal fractures of the toes represent common injuries of the forefoot. In the hallux, most fractures occur at the distal phalanx and frequently result from a direct crushing type of injury. Intra-articular fractures of the hallux are usually treated nonoperatively, except when the fragments are displaced and the joint is incongruent. Displaced fractures treated nonoperatively can result in degenerative arthritis of the interphalangeal joint, causing pain and range of motion limitation, hindering gait and weightbearing. The aim of this study was to present an option of operative approach in the treatment of displaced interphalangeal joint fractures of the hallux, along the medial border of the extensor hallucis longus tendon. It is our understanding that this approach minimizes injury to the soft tissue envelope, allowing a rigid fixation and early weightbearing and range of motion. Level V: Expert opinion.

Follow-Up Studies

Bone Screws

Humans

Fracture Fixation, Internal - methods

Fluoroscopy - methods

Intra-Articular Fractures - diagnostic imaging

Male

Treatment Outcome

Bone Plates

Fracture Dislocation - diagnostic imaging

Hallux - surgery

Intraoperative Care - methods

Fracture Fixation, Internal - instrumentation

Intra-Articular Fractures - surgery

Fracture Healing - physiology

Female

Hallux - injuries

Fracture Dislocation - surgery

Details

Title: Subtitle: Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip
Creators: Danilo Ryuko Cândido Nishikawa - Foot and Ankle Clinic, Department of Orthopedic Surgery, Universidade Estadual Paulista-Campus de Botucatu (UNESP), São Paulo, SP, Brazil (RBA)
Fernando Aires Duarte - Foot and Ankle Clinic, Department of Orthopedic Surgery, Universidade Estadual Paulista-Campus de Botucatu (UNESP), São Paulo, SP, Brazil (RBA)
Cesar de Cesar Netto - Foot and Ankle Clinic, Department of Orthopedic Surgery, Universidade Estadual Paulista-Campus de Botucatu (UNESP), São Paulo, SP, Brazil (RBA)
Augusto César Monteiro - Foot and Ankle Clinic, Department of Orthopedic Surgery, Universidade Estadual Paulista-Campus de Botucatu (UNESP), São Paulo, SP, Brazil (RBA)
Rômulo Ballarin Albino - Foot and Ankle Clinic, Department of Orthopedic Surgery, Universidade Estadual Paulista-Campus de Botucatu (UNESP), São Paulo, SP, Brazil (RBA)
Fabio Corrêa Paiva Fonseca - Foot and Ankle Clinic, Department of Orthopedic Surgery, Universidade Estadual Paulista-Campus de Botucatu (UNESP), São Paulo, SP, Brazil (RBA)
Resource Type: Journal article
Publication Details: Foot and ankle specialist, Vol.11(1), pp.77-81
DOI: 10.1177/1938640017735889
PMID: 29076759
NLM abbreviation: Foot Ankle Spec
ISSN: 1938-6400
eISSN: 1938-7636
Publisher: United States
Language: English
Date published: 02/2018
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040576802771

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