Patients with metatarsal neck or shaft of central metatarsal bone fracture Metatarsal neck fracture, metatarsal shaft fracture, central metatarsal fracture, lesser metatarsal fracture
Conditions
Interventions
Antegrade intramedullary fixation (insert Kirschner wire from base of metatarsal bone and bury beneath the skin),Retrograde intramedullary fixation (insert Kirschner wire from head of metatarsal bone,
Experimental Procedure/Surgery,Experimental Procedure/Surgery
Antegrade intramedullary fixation ,Retrograde intramedullary fixation
Sponsors
Nakornping Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. Stable central metatarsal neck or shaft fractures (transverse or short oblique fracture without comminution) with displacement 4mm or more or angulation 10degrees or more 2. Acute fracture within 7 days
Exclusion criteria
Exclusion criteria: 1. Associated fractures (other bones or Lisfranc's injury) 2. Patient that deny to surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to full weight bearing Time that patients can full full weight after surgery Weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinical outcomes at 6 and 12 weeks Visual analogue scale foot and ankle Thai version ,Clinical outcomes at 6 and 12 weeks American Orthopaedic Foot and Ankle Society (AOFAS) ,MTP joint arc of motion at 6 and 12 weeks degrees by Goniometer,Functional metatarsalgia or plantar keratosis at 12 weeks Patient report or doctor examine,clinical union Painless while palpate on fracture site after surgery Patient report,Radiographic union Bridging bone on radiograph after surgery Radiography,Return to work Time to return to normal work after surgery weeks | — |
Countries
Thailand
Contacts
Public ContactPattraluck Anantasinkul
Nakornping hospital
Outcome results
None listed