A Closer Look At Fixation For Fifth Metatarsal Fractures

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Lawrence Fallat, DPM, FACFAS, and Ruby Chahal, DPM

   Diaphyseal fractures are almost always displaced and unstable. One can achieve stable fixation for most patients by using an inexpensive quarter tubular plate with 2.7 mm cortical bone screws. For patients with increased BMI or osteoporotic bone, the surgeon can use either a one-third tubular plate with 3.5 mm cortical bone screws or a locking plate.

In Summary

Although many different types of fixation have been advocated for fifth metatarsal fractures, we have reviewed the basic types of fixation that have given us the most consistent outcomes. Selection of fixation for a fracture is always the surgeon’s preference.

   Dr. Fallat is the Program Director of the Podiatric Surgery Residency at the Oakwood Annapolis Hospital within the Oakwood Healthcare System in Wayne, Mich. He is a Fellow of the American College of Foot and Ankle Surgeons.

   Dr. Chahal is a second-year podiatric surgery resident at the Oakwood Annapolis Hospital within the Oakwood Healthcare System in Wayne, Mich.

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   For further reading, see “Essential Insights On Treating Fifth Metatarsal Fractures” in the April 2006 issue of Podiatry Today, “Current Concepts In Treating Fifth Metatarsal Fractures” in the May 2010 issue or “Rethinking Our Approach To Jones Fractures To Facilitate Shorter Post-Op Recovery” in the December 2011 issue.

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