Fifth Metatarsal Jones' Fractures: Internal Fixation. скачать в хорошем качестве

Fifth Metatarsal Jones' Fractures: Internal Fixation.

Fifth Metatarsal Jones' Fractures: Internal Fixation. Jones' fractures occur in the proximal diametaphyseal region of the fifth metatarsal, which is a relative watershed area for blood supply, and are associated with a prolonged time for healing and an increased rate of symptomatic nonunions. In patients who desire a quicker return to activity, athletes, or cases in which bony healing appears to be delayed, surgical treatment with intramedullary fixation of the fifth metatarsal is an appropriate consideration. Proper surgical technique and intraoperative fluoroscopic imaging will help ensure an uncomplicated outcome. Generally, solid screws of the appropriate length to achieve endosteal screw purchase within the isthmus of the fifth metatarsal provides the best internal fixation.