UNIVERSITAS AIRLANGGA



Detail Article

Journal Orthopaedi and Traumatology Surabaya

ISSN 2460-8742

Vol. 1 / No. 1 / Published : 2012-01

Order : 5, and page :21 - 26

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Original Article :

Comparison of outcomes between nonoperative treatment and k-wire fixation of central metatarsal fractures

Author :

  1. Rolandi Indra Pramukti*1
  2. Ahmad Sjarwani*2
  1. Resident of Orthopaedic and Traumatology Department
  2. Senior Consultant of Orthopaedic and Traumatology Department

Abstract :

Introduction. Metatarsal fractures are common injuries, accounting 5-6% of all fractures. Fractures of central metatarsal account for approximately 82% of all foot fractures, and mostly had been treated nonoperative. Treatment of choice is still in controversy. There were instruments for outcome evaluations, this study uses FAAM and FAOS scoring to represent clinical outcome evaluation for patients. Material and Method. Prospective cohort study, 64 patients with central metatarsal fracture were allocated to either nonoperative treatment with short leg cast or tight sole shoes (32 patients) and operative treatment with Kirschner wire fixation intramedullary (32 patients). Evaluation using FAAM and FAOS scoring instrument on 3 months after treatment.Result. The operative group had significantly superior FAAM score of follow-up (p=0,00). FAOS score had no significant differences between nonoperative and operative group of follow up (p=0,231). Conclusion. Operative fixation of central metatarsal fractures resulted in better functional outcome compared to nonoperative treatment at 3 months of follow up. This study support operative treatment for central metatarsal fractures with Kirschner wire fixation in active adult patient.

Keyword :

Central metatarsal fracture, FAAM score, FAOS score,


References :

Browner, Bruce D,(2003) Skeletal trauma : basic science, management, and reconstruction 3rd Ed Philadelphia : Elsevier Science

Early, John S,(2006) Fractures and Dislocation of the Midfoot and Forefoot in Rockwood & Green’s Fractures in Adults, 6th ed : Lippincott Williams & Wilkins

Murphy, Andrew G,(2008) Acute Fractures of the central metatarsals in Campbell's Operative Orthopaedics, 11th ed Philadelphia : Ed : Canale, T. Beaty, JH

Moore KL, Dalley AF,(1999) Clinically Oriented Anatomy, 4th ed Philadelphia : Lippincott Williams & Wilkins

Roos EM, Brandsson S, Karlsson J,(2001) Validation of the Foot and Ankle Outcome Score for Ankle Ligament Reconstruction : Foot & Ankle Int





Archive Article

Cover Media Content

Volume : 1 / No. : 1 / Pub. : 2012-11
  1. Comparison Of Tgf β Expression In Tendon Achilles Rupture Reparation Healing Process With And Without Mesencymal Stem Cell At Rabbit's Spinal Marrow
  2. Scleraxis As Determinant Of Tendon Cell Density In Achilles Tendon Healing Treated With Mesenchymal Stem Cell In Rabbit
  3. The Effect Of N-acetylcysteine (nac) On Tissue Malondialdehyde (mda) Level And Tissue Edema In Ischemia Reperfusion Injury Of Rat (rattus Norvegicus) Skeletal Muscle
  4. The Comparison Of Biomechanical Properties Between Autograft Flexor Tendon With Freeze Dried Flexor Tendon Composite And Auto Mesenchymal Stem Cell For The Reconstruction Of Flexor Tendon Defect
  5. Comparison Of Outcomes Between Nonoperative Treatment And K-wire Fixation Of Central Metatarsal Fractures
  6. The Comparison In The Amount Of Neovascularization Between Autograft Flexor Tendon With Freeze Dried Flexor Tendon Allograft Composite And Auto Mesenchymal Stem Cells In The Reconstruction Of Flexor Tendon Defect In New Zaeland White Rabbit
  7. The Effect Of Bone Marrow Derived Mesenchymal Stem Cells Of The Fibrotic Tissue Space Of The Healing Gastocnemius Muscle Of A Rabbit
  8. Evaluation Of The Association Of Vertebrae Fracture Level With Deficit Degree In Rsud Dr Soetomo Inpatient Januari 2010 - Desember 2010

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