A novel method for internal fixation of basal fifth metatarsal fracture in athletes: a cadaveric study of the F.E.R.I. technique (Fifth metatarsal, Extra-portal, Rigid, Innovative)
Author(s)
Type
Journal Article
Abstract
PURPOSE: One of the main problems of Kirschner wire fixation of fifth metatarsal base fractures (in combination with a tension band wiring technique) seems to be hardware intolerance and several studies in athletes also report failure after isolated fixation with a screw only. These reports prompted us to look at new materials and a novel technique through fixation with an intramedullary screw combined with a high-resistance suture via the presented F.E.R.I. (Fifth metatarsal, Extra-portal, Rigid, Innovative) technique. METHODS: This cadaveric study describes F.E.R.I. TECHNIQUE: On a cadaver, through two mini portals, a full reduction and solid internal fixation with an intramedullary screw and suture cerclage with Fiberwire of a fifth metatarsal base fracture is achieved. In this article, the cadaveric study and proposed surgical technique are explained and illustrated step by step. RESULTS: The presented internal fixation F.E.R.I. technique is indicated in acute proximal fractures, stress fractures or non-union of metatarsal 5 (Zone 2-3 by Lawrence and Botte) and it resulted feasible and stable during manual stress test. The authors intend to study this technique in the clinical setting in the near future. CONCLUSIONS: Fifth metatarsal base fractures gain specific interest when occurring in athletes. In this group of patients, internal fixation is often required to obtain a satisfactory outcome and time to return to play. The aim of the presented cadaveric study is to illustrate an innovative concept of internal fixation, named F.E.R.I.
Date Issued
2019-11-11
Date Acceptance
2019-10-28
Citation
Journal of Experimental Orthopaedics, 2019, 6 (1)
ISSN
2197-1153
Publisher
SpringerOpen
Journal / Book Title
Journal of Experimental Orthopaedics
Volume
6
Issue
1
Copyright Statement
© The Author(s). 2019Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, andreproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link tothe Creative Commons license, and indicate if changes were made.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/31713049
PII: 10.1186/s40634-019-0213-5
Subjects
Athlete
Fifth metatarsal
Fracture
Internal fixation
Publication Status
Published
Coverage Spatial
Germany
Article Number
ARTN 45