Is Retrograde Pinning Reliable for Multiple Metatarsal Fractures?
ABSTRACT Background: Fixation with K-wires is a commonly used method in the surgical treatment of metatarsal fractures. The application of K-wires can be antegrade and retrograde. There is a limited number of studies about the fixation of metatarsal fractures with retrograde K-wires in the literatu...
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| Format: | Article |
| Language: | English |
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Selcuk University Press
2023-06-01
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| Series: | Genel Tıp Dergisi |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/2990203 |
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| author | Yusuf Ziya Yesil Bahattin Kerem Aydın Selim Safalı Ebubekir Eravşar Sadettin Çiftci Ali Özdemir |
| author_facet | Yusuf Ziya Yesil Bahattin Kerem Aydın Selim Safalı Ebubekir Eravşar Sadettin Çiftci Ali Özdemir |
| author_sort | Yusuf Ziya Yesil |
| collection | DOAJ |
| description | ABSTRACT
Background: Fixation with K-wires is a commonly used method in the surgical treatment of metatarsal fractures. The application of K-wires can be antegrade and retrograde. There is a limited number of studies about the fixation of metatarsal fractures with retrograde K-wires in the literature. The present study aims to investigate the long-term results of retrograde pinning.
Methods: 14 patients with at least a four-year follow-up were included in the study. The patients' union status, demographic data, duration of surgery, duration of fluoroscopy use, metacarpophalangeal (MP) range of motion, American Orthopedic Foot and Ankle Score (AOFAS) scores, and plantar keratosis formation were evaluated.
Results: Complete union was observed in 13 of 14 patients. MP joint restriction was not found in any patient with a union. Symptomatic plantar keratosis was not observed in any patient. Good and perfect results were obtained in AOFAS scores.
Conclusion: According to the literature, retrograde pinning in metatarsal fractures is thought to be a treatment that is difficult to apply, has high radiation exposure, and complications are observed frequently. However, in this study, we believe that retrograde pinning is a treatment method with satisfactory clinical results in long-term follow-up and fewer complications than mentioned. |
| format | Article |
| id | doaj-art-94d2d19435614243b2812154672b2f91 |
| institution | Kabale University |
| issn | 2602-3741 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Selcuk University Press |
| record_format | Article |
| series | Genel Tıp Dergisi |
| spelling | doaj-art-94d2d19435614243b2812154672b2f912025-01-02T23:11:46ZengSelcuk University PressGenel Tıp Dergisi2602-37412023-06-0133333033310.54005/geneltip.1260290154Is Retrograde Pinning Reliable for Multiple Metatarsal Fractures?Yusuf Ziya Yesil0Bahattin Kerem Aydın1Selim Safalı2Ebubekir Eravşar3Sadettin Çiftci4Ali Özdemir5Tokat Niksar Devlet HastanesiSELÇUK ÜNİVERSİTESİSELÇUK ÜNİVERSİTESİSAĞLIK BİLİMLERİ ÜNİVERSİTESİ, KONYA SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALISELÇUK ÜNİVERSİTESİSELÇUK ÜNİVERSİTESİABSTRACT Background: Fixation with K-wires is a commonly used method in the surgical treatment of metatarsal fractures. The application of K-wires can be antegrade and retrograde. There is a limited number of studies about the fixation of metatarsal fractures with retrograde K-wires in the literature. The present study aims to investigate the long-term results of retrograde pinning. Methods: 14 patients with at least a four-year follow-up were included in the study. The patients' union status, demographic data, duration of surgery, duration of fluoroscopy use, metacarpophalangeal (MP) range of motion, American Orthopedic Foot and Ankle Score (AOFAS) scores, and plantar keratosis formation were evaluated. Results: Complete union was observed in 13 of 14 patients. MP joint restriction was not found in any patient with a union. Symptomatic plantar keratosis was not observed in any patient. Good and perfect results were obtained in AOFAS scores. Conclusion: According to the literature, retrograde pinning in metatarsal fractures is thought to be a treatment that is difficult to apply, has high radiation exposure, and complications are observed frequently. However, in this study, we believe that retrograde pinning is a treatment method with satisfactory clinical results in long-term follow-up and fewer complications than mentioned.https://dergipark.org.tr/tr/download/article-file/2990203multipl metatarsal fracturesmetatarsal fracturesretrograde pinningmetatarsal kırıklarretrograd pinlemeçoklu metatars kırıkları |
| spellingShingle | Yusuf Ziya Yesil Bahattin Kerem Aydın Selim Safalı Ebubekir Eravşar Sadettin Çiftci Ali Özdemir Is Retrograde Pinning Reliable for Multiple Metatarsal Fractures? Genel Tıp Dergisi multipl metatarsal fractures metatarsal fractures retrograde pinning metatarsal kırıklar retrograd pinleme çoklu metatars kırıkları |
| title | Is Retrograde Pinning Reliable for Multiple Metatarsal Fractures? |
| title_full | Is Retrograde Pinning Reliable for Multiple Metatarsal Fractures? |
| title_fullStr | Is Retrograde Pinning Reliable for Multiple Metatarsal Fractures? |
| title_full_unstemmed | Is Retrograde Pinning Reliable for Multiple Metatarsal Fractures? |
| title_short | Is Retrograde Pinning Reliable for Multiple Metatarsal Fractures? |
| title_sort | is retrograde pinning reliable for multiple metatarsal fractures |
| topic | multipl metatarsal fractures metatarsal fractures retrograde pinning metatarsal kırıklar retrograd pinleme çoklu metatars kırıkları |
| url | https://dergipark.org.tr/tr/download/article-file/2990203 |
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