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Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip.

Publication ,  Journal Article
Nishikawa, DRC; Duarte, FA; de Cesar Netto, C; Monteiro, AC; Albino, RB; Fonseca, FCP
Published in: Foot Ankle Spec
February 2018

UNLABELLED: Phalangeal fractures of the toes represent common injuries of the forefoot. In the hallux, most fractures occur at the distal phalanx and frequently result from a direct crushing type of injury. Intra-articular fractures of the hallux are usually treated nonoperatively, except when the fragments are displaced and the joint is incongruent. Displaced fractures treated nonoperatively can result in degenerative arthritis of the interphalangeal joint, causing pain and range of motion limitation, hindering gait and weightbearing. The aim of this study was to present an option of operative approach in the treatment of displaced interphalangeal joint fractures of the hallux, along the medial border of the extensor hallucis longus tendon. It is our understanding that this approach minimizes injury to the soft tissue envelope, allowing a rigid fixation and early weightbearing and range of motion. LEVELS OF EVIDENCE: Level V: Expert opinion.

Duke Scholars

Published In

Foot Ankle Spec

DOI

EISSN

1938-7636

Publication Date

February 2018

Volume

11

Issue

1

Start / End Page

77 / 81

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Male
  • Intraoperative Care
  • Intra-Articular Fractures
  • Humans
  • Hallux
  • Fracture Healing
  • Fracture Fixation, Internal
  • Fracture Dislocation
  • Follow-Up Studies
 

Citation

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Chicago
ICMJE
MLA
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Nishikawa, D. R. C., Duarte, F. A., de Cesar Netto, C., Monteiro, A. C., Albino, R. B., & Fonseca, F. C. P. (2018). Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip. Foot Ankle Spec, 11(1), 77–81. https://doi.org/10.1177/1938640017735889
Nishikawa, Danilo Ryuko Cândido, Fernando Aires Duarte, Cesar de Cesar Netto, Augusto César Monteiro, Rômulo Ballarin Albino, and Fabio Corrêa Paiva Fonseca. “Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip.Foot Ankle Spec 11, no. 1 (February 2018): 77–81. https://doi.org/10.1177/1938640017735889.
Nishikawa DRC, Duarte FA, de Cesar Netto C, Monteiro AC, Albino RB, Fonseca FCP. Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip. Foot Ankle Spec. 2018 Feb;11(1):77–81.
Nishikawa, Danilo Ryuko Cândido, et al. “Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip.Foot Ankle Spec, vol. 11, no. 1, Feb. 2018, pp. 77–81. Pubmed, doi:10.1177/1938640017735889.
Nishikawa DRC, Duarte FA, de Cesar Netto C, Monteiro AC, Albino RB, Fonseca FCP. Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip. Foot Ankle Spec. 2018 Feb;11(1):77–81.
Journal cover image

Published In

Foot Ankle Spec

DOI

EISSN

1938-7636

Publication Date

February 2018

Volume

11

Issue

1

Start / End Page

77 / 81

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Male
  • Intraoperative Care
  • Intra-Articular Fractures
  • Humans
  • Hallux
  • Fracture Healing
  • Fracture Fixation, Internal
  • Fracture Dislocation
  • Follow-Up Studies