关键词: 跖骨, 骨折, 微型钢板螺钉, 骨折固定术

Abstract: 【Abstract】〓Objective〓To summarize our experience of the metatarsal fractures fixed by miniplate and screw. Methods〓Between May 2011 and May 2014, 26 patients with metatarsal fractures fixed by miniplate and screw. Results〓All the 26 patients were followed up from 6 to 24 months (an averase of 13 months). All the fractures united within 10 to 16 weeks postoperatively (a average of 12 weeks). The mean time of complete weight loading walking was 14 weeks(ranging from 11 to 18 weeks). All the patients experienced no foot pain when standing and walking. Also no loosening of internal fixation and fracture occurred in all patients. According to the scoring criteria by American Foot and Ankle Society(AFAS): 95~100(13 cases), 90~95(10 cases), 85~90(13 cases). Conclusion〓Anatomic reduction and stable internal fixation is the best solution for dislocated metatarsal fractures, as well as is associated with a better functional outcome. The metatarsal fractures fixed by miniplate and screw can make it anatomic reduction and close contact. It also can control rotation preventing deformity. So it can achieve satisfactory reduction and clinical outcomes. Metatarsal fractures fixed by miniplate and screw is the ideal way.

Key words: Metatarsal bone, Fracture, Miniplate and screw, Fracture fixation