Intramedullary Fixation of Metatarsal Fracture and Nonunion

The Epidemiology of Metatarsal Fractures

“…Direct trauma also has been described as a common mechanism of injury for metatarsal fractures. 6,14 We found this to be the third most common mechanism of injury, occurring in approximately 10% of our patients.…”

Reduction and Fixation of Metatarsal Neck Fractures Using Closed Antegrade Intramedullary Nailing: Technique Tip

“…Sammarco et al reported risks of infection, soft tissue damage, and a possibility of metatarsophalangeal joint stiffness with this technique. 11 If open reduction becomes necessary, a Kirschner wire can be inserted in an antegrade fashion through the opened fracture site into the distal fracture fragment and to the proximal phalanx, followed by reduction and retrograde insertion back over the fracture site into the proximal fragment. 6 However, this technique impinges on the MTP joint and opening of the fracture site which may lead to nonunion.…”