Bouquet technique in management of metatarsal fractures

Abstract

Background: Metatarsal fractures are a prevalent cause of persistent foot discomfort in both adults and children alike. Depending on where the damage occurs anatomically and how it occurs, many types of metatarsal fractures may occur. The purpose of this study is evaluation of the bouquet technique in treating unstable metatarsal fractures. Methods: Closed intramedullary pinning was performed on 20 metatarsal fracture patients at Benha University Hospital's department of Orthopedics and Traumatology over a 6-to 12-week follow-up period. Results: The current study confirms that functional and radiological results using intramedullary K-wires pinning "Bouquet osteosynthesis" technique were good and statistically comparable with the other techniques. With minimal soft-tissue incision and avoiding periosteal blood supply, we feel this procedure is more biological and allows for predicted bone union in metacarpal shaft fractures. Placement of the wires away from the MCP joint gives excellent outcomes in terms of ROM in metatarsal neck fractures, making it preferable to the traditional retrograde wiring procedure with plate and screws. It was shown that the Bouquet procedure resulted in a 100% bone union in the metatarsal fractures of 20 patients with an average age of 30 who had been injured in a fall. The average length of immobilisation was four weeks. Within three months, the ankle, MTP, and IP joints should be able to restore to their pre-injury range of motion, enabling the patient to return to their usual job routine. There were no serious issues in terms of both clinical and radiological outcomes. As a result, the rigidity of ORIF is offset by a higher risk of infection and ROM complications. It was shown that retrograde pinning was stiffer than antegrade pinning. Treatment of misplaced metatarsal fractures using a prebent Kirschner wire and closed antegrade intramedullary nailing in Bouquet technique is successful. The recovery period is shortened, the clinical union occurs sooner, and patients are able to resume their usual daily activities as a consequence of receiving early surgical therapy. Metatarsal fractures can be fixed more effectively, with fewer problems, and with early weightbearing via our research.