Effect of the operation of Matti-Rüsse bone grafting combined with plate internal fixation for proximal fifth metatarsal fracture(zone 3, type Ⅲ)
Jiang Weiqi1,2, Liu Bin2, Yan Chao2, Han Ning2, Ma Zefang2, Ma Xiangyu2, Xiang Liangbi2
1Postgraduate Training Base, General Hospital of Northern Theater Command, China Medical University, Shenyang 110016, China; 2Department of Orthopedic, General Hospital of Northern Theater Command of PLA, Shenyang 110000, China
Abstract：Objective This study aims to investigate the clinical effect of Matti-Rüsse bone grafting combined with plate internal fixation on the treatment of proximal fifth metatarsal fracture(zone 3, type Ⅲ). Methods This is a case series analysis study. A total of 10 soldiers with injury training who were operated in General Hospital of Northern Theater Command from January 2020 to January 2022 were enrolled in the study. The mean age was 18.9 years (18 to 24 years), and all the participants were male and had military training injuries. All the soldiers underwent open Matti-Rüsse bone grafting with plate fixation. Efficacy was evaluated by measuring healing state and healing times, time of return to before the injury training levels, recurrence or re-fracture, and postoperative complications. Results The operation was successfully performed in all patients and they were followed up (12-25 months). After 6.8 weeks (6-7 week), 9 cases of fracture healed clinically, and 1 case of delayed healing to 10.0 weeks after surgery were detected. Radiographic healing was observed at an overall average of 7.2 weeks (6.0-10.0 week), and the return to training was 9.8 weeks (7.0-11.0 week). One soldier had delayed union. The post-operation complication had two neurological symptoms. Conclusion Matti-Rüsse bone grafting combined with plate internal fixation is effective for the treatment of proximal fifth metatarsal fracture (zone 3, type Ⅲ).
姜伟琪, 刘兵, 杨超, 韩宁, 马泽方, 马翔宇, 项良碧. Matti-Rüsse植骨联合钢板内固定术治疗第五跖骨近端3区Ⅲ型骨折的疗效分析[J]. 中华解剖与临床杂志, 2023, 28(4): 251-255.
Jiang Weiqi, Liu Bin, Yan Chao, Han Ning, Ma Zefang, Ma Xiangyu, Xiang Liangbi. Effect of the operation of Matti-Rüsse bone grafting combined with plate internal fixation for proximal fifth metatarsal fracture(zone 3, type Ⅲ). Chinese Journal of Anatomy and Clinics, 2023, 28(4): 251-255.
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2023, Vol. 28 
