关键词: 内固定, 第一跖骨基底部, 骨折, 脱位

Abstract:

Objective To observe the clinical effect of the first metatarsal base closed comminuted fracture and dislocation. Methods Twenty-four patients with the first metatarsal base closed comminuted fracture and dislocation were treated by surgery of reduction and internal fixation in our hospital from October 2012 to December 2015. The clinical data of the patients analyzed respectively. The foot function was evaluated using the standard of American Orthopaedic Foot and Ankle Society. Results All the patients were followed up for one year. Radiographic healing was observed at an overall average of 12.4±2.6. There were no internal fixation loosening, implant screw fracture. AOFAS score was 85.6+6.2 at the final follow-up. Conclusion Open reduction and internal fixation for the treatment of traumatic first metatarsal basal closed comminuted fracture dislocation could result in good functional outcome with simple operation.

Key words: dislocation, the first metatarsal base, internal fixation, fracture