A novel method for internal fixation of basal fifth metatarsal fracture in athletes: a cadaveric study of the F.E.R.I. technique (Fifth metatarsal, Extra-portal, Rigid, Innovative)

D’Hooghe, Pieter; Caravelli, Silvio; Massimi, Simone; Calder, James; Dzendrowskyj, Peter; Zaffagnini, Stefano

doi:10.1186/s40634-019-0213-5

Cited by 7 publications

(7 citation statements)

References 41 publications

(51 reference statements)

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“…2 cerclage). This proof-of-concept cadaveric study provides an interesting option; however, it is awaiting biomechanical evaluation and comparison in trials to other accepted surgical options (119).…”

Section: Patient Specific Injury Specific Surgeon-specific Factors Medicationsmentioning

confidence: 99%

Fifth metatarsal fractures: an update on management, complications, and outcomes

Chloros

Kakos²,

Tastsidis

et al. 2022

EFORT Open Reviews

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Even though fifth metatarsal fractures represent one of the most common injuries of the lower limb, there is no consensus regarding their classification and treatment, while the term ‘Jones’ fracture has been used inconsistently in the literature. In the vast majority of patients, Zone 1 fractures are treated non-operatively with good outcomes. Treatment of Zone 2 and 3 fractures remains controversial and should be individualized according to the patient’s needs and the ‘personality’ of the fracture. If treated operatively, anatomic reduction and intramedullary fixation with a single screw, with or without biologic augmentation, remains the ‘gold standard’ of management; recent reports however report good outcomes with open reduction and internal fixation with specifically designed plating systems. Common surgical complications include hardware failure or irritation of the soft tissues, refracture, non-union, sural nerve injury, and chronic pain. Patients should be informed of the different treatment options and be part of the decision process, especially where time for recovery and returning to previous activities is of essence, such as in the case of high-performance, elite athletes.

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Section: Patient Specific Injury Specific Surgeon-specific Factors Medicationsmentioning

confidence: 99%

Fifth metatarsal fractures: an update on management, complications, and outcomes

Chloros

Kakos²,

Tastsidis

et al. 2022

EFORT Open Reviews

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“…It is a synthesis of a stable intramedullary anastomosis with a safe margin of its dynamization. This method seems very promising, yet requires further confirmation of its effectiveness in clinical trials ( D'Hooghe et al, 2019 ). In sports practice, the highest priorities are permanent fusion and comfort of the player's daily function.…”

Section: Discussionmentioning

confidence: 99%

The Fifth Metatarsal Bone Fracture In Athletes ‐ Modalities of Treatment Related to Agility In Soccer Players

Ficek¹,

Kędra²,

Skowronek³

et al. 2021

Journal of Human Kinetics

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The 5th metatarsal fracture is a common foot fracture which could exclude a player from competition for several months and significantly affect his or her career. This manuscript presents the treatment and rehabilitation of professional soccer players who had acute fractures of the 5th metatarsal bone and a cannulated screw fixation. The main purpose of the analysis was to determine the minimum time necessary for a permanent return to the sport after a 5th metatarsal fracture among professional soccer players. We followed the surgical and rehabilitation path of 21 professional soccer players from the Polish League (Ist and IInd divisions) who suffered from the 5th metatarsal bone fracture. All players underwent standard percutaneous internal fixation with the use of cannulated screws. The total inability to play lasted for 9.2 (± 1.86) weeks among players treated only surgically (n = 10), 17.5 (± 2.5) weeks in the conservative and later surgery group, excluding players with nonunion (n = 6), and 24.5 (± 10.5) weeks for nonunion and switch treatment (n = 4) players. Prompt fracture stabilization surgery is recommended for athletes, enabling the implementation of an aggressive rehabilitation protocol as soon as possible. Early limb loading after surgery (from week 2) does not delay fracture healing or hinder the bone union, thus rehabilitation plays a crucial role in shortening the time of RTP (return to play) and is obligatory for each athlete who undergoes surgical treatment.

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“…Numerous authors have proposed operative treatment for intra-articular tuberosity fractures with a displacement exceeding 2 to 3 mm or separation of >30% of the joint surface between the cuboid and fifth metatarsal, particularly in athletes and high-demand patients and in fractures with wide fragment displacement, resulting in soft-tissue incarceration 56,76,85,101,103,108-110 . Options for internal fixation include Kirschner wires 111,112 , simple intraosseous wire fixation 30,113 , and tension-band wiring alone 76,109,114 or in combination with interfragmentary lag screws 115,116 . Several custom or preshaped plates for tuberosity fractures 117-121 , various types of screws 101,120-124 (Fig.…”

Section: Principles Of Treatmentmentioning

confidence: 99%

Fractures of the Base of the Fifth Metatarsal Bone

Bartoníček

Rammelt

2021

JBJS Reviews

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» Fractures of the proximal fifth metatarsal (PFMT) are one of the most common foot injuries, accounting for 61% to 78% of all foot fractures, but full consensus on their classification, diagnosis, and treatment has not yet been reached.» The most commonly accepted classification is that of Lawrence and Botte, who divided the location of PFMT fractures into 3 zones with respect to their healing potential.» Avulsion fractures of the tuberosity of the base (zone 1) generally heal well, and nonoperative treatment is commonly recommended.» Internal fixation may be considered for displaced fractures that extend into the fourth-fifth intermetatarsal joint (zone 2) as well as for nondisplaced fractures in athletes or high-demand patients, with the aims of reducing the healing time and expediting return to sport or work.» Stress fractures of the proximal diaphysis (zone 3) are preferably treated operatively, particularly in the presence of signs of delayed union. With nonoperative treatment, supportive measures such as ultrasonography or external/extracorporeal shockwave therapy have been demonstrated to have limited potential for the enhancement of fracture-healing.

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A novel method for internal fixation of basal fifth metatarsal fracture in athletes: a cadaveric study of the F.E.R.I. technique (Fifth metatarsal, Extra-portal, Rigid, Innovative)

Cited by 7 publications

References 41 publications

Fifth metatarsal fractures: an update on management, complications, and outcomes

Fifth metatarsal fractures: an update on management, complications, and outcomes

The Fifth Metatarsal Bone Fracture In Athletes ‐ Modalities of Treatment Related to Agility In Soccer Players

Fractures of the Base of the Fifth Metatarsal Bone

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