Displaced Fracture of the Fifth Metatarsal

Enhance your skills in the surgical treatment of the deviated fifth metatarsal fracture. This procedure requires attention to anatomical reduction to avoid metatarsalgias or gait dysfunctions, especially in young patients and athletes. This training details the surgical procedure using a locked plate and screws, focusing on rapid functional recovery and return to sports activities.

Training Focus:

• Surgical treatment of deviated fifth metatarsal fractures.
• Anatomical reduction and stable fixation with a locked plate.
• Surgical access and protection of neurovascular structures.

Detailed Content:

• Access Evaluation and Planning: Analysis of X-rays to identify the fracture angulation and the potential for load-bearing impairment, metatarsalgia, or gait dysfunction.
• Neurovascular Identification and Protection: Recognition and anatomical distancing of sensory nerves, veins, and arteries along the surgical pathway.
• Surgical Access and Fracture Exposure: Palpation of the head and diaphysis of the fifth metatarsal, single incision with internal scalpel, uniform detachment of the periosteum, and enlargement of access distally, if necessary.
• Fracture Reduction and Temporary Stabilization: Identification of fracture vertices, reduction under direct visualization with reduction forceps, and temporary stabilization with Kirschner wires, avoiding the area of the future plate.
• Definitive Fixation with Locked Plate: Positioning of low-profile mini fragment plate, use of long screws for adequate load distribution and reduction of future removal needs.
• Closure and Results: Closure in layers, with markings for aesthetic results. Stable fixation allows for early loading with rigid-soled footwear.

Included Material:

• Complete Technical PDF: The PDF details the technique of anatomical reduction, provisional stabilization, and definitive fixation using a locked mini fragment plate and low-profile long screws. Additionally, the document describes the expected outcomes, such as achieving precise anatomical reduction and stable fixation, which allows for early loading. The closure by layers is performed aiming for a superior aesthetic result.

Enhance your skills in the surgical treatment of fifth metatarsal fractures. Enroll now and master the techniques of anatomical reduction and stable fixation.