Fracturas del primer metatarsiano Valoración funcional a largo plazo

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Fracturas del primer metatarsiano Valoración funcional a largo plazo

FRACTURES OF THE FIRST METATARSAL BONE. LONG TERM FUNCTIONAL ASSESMENT

E. SÁNCHEZ ALEPUZ, V. VICENT CARSÍ, P. ALCANTARA y A. J. LLABRES Servicio de Cirugía Ortopédica y Traumatología. Hospital Universitario «La Fe». Valencia.

Recepción:

09/01/2009

Aceptación:

09/01/2009

Publicación:

09/01/2009

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Resumen (ES)

We reviewed the final results in 24 fractures of the first metatarsal bone treatedin our hospital during a two-year period (1982-1983). The treatment consisted of Kirschner'swire fixation and plaster cast in 10 cases and only casting in 14 patients. The mostfrequent cause of fracture was traffic accident (66% of the cases). Open fractures were foundin 37% of the cases. The results after a follow-up period of 7 years were poor in 86% of theconservative treatments and in 70% of the surgical treatments. The most frequent sequela wasmetatarsalgia in 4 1% of the patients.

Palabras clave (ES):

Fractura

Primer

metatarsiano

Pie

Resultados

Tratamiento

Resumen (EN)

We reviewed the final results in 24 fractures of the first metatarsal bone treatedin our hospital during a two-year period (1982-1983). The treatment consisted of Kirschner'swire fixation and plaster cast in 10 cases and only casting in 14 patients. The mostfrequent cause of fracture was traffic accident (66% of the cases). Open fractures were foundin 37% of the cases. The results after a follow-up period of 7 years were poor in 86% of theconservative treatments and in 70% of the surgical treatments. The most frequent sequela wasmetatarsalgia in 4 1% of the patients.

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