Plantar Plating for the Treatment of Proximal Fifth Metatarsal Fractures in Elite Athletes

Ronald J. Mitchell, Neil L. Duplantier, Domenica A. Delgado, Bradley S. Lambert, Patrick C. McCulloch, Joshua D. Harris, Kevin E. Varner

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Proximal fifth metatarsal fractures, zones II and III, are commonly treated surgically, especially in elite athletes. Intramedullary screw fixation remains the most used construct despite nonunion and refracture. High tensile forces on the plantar-lateral aspect of the fifth metatarsal are difficult to control, and intramedullary screw fixation depends on ideal screw position, length, and width. The authors present a plantar plating technique with cancellous bone autograft for zones II and III proximal fifth metatarsal fractures. Rotational instability and plantar-lateral gapping are resisted by applying a compression plate to the tension side of the fracture, eliminating causes for failure. [Orthopedics. 2017; 40(3):e563–e566.]

Original languageEnglish (US)
Pages (from-to)e563-e566
Number of pages4
JournalOrthopedics
Volume40
Issue number3
Early online dateMar 30 2017
DOIs
StatePublished - May 1 2017

Keywords

  • Journal Article

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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