Postoperative outcome of screw fixation with autogenous bone grafting for the management of hallux sesamoid fracture nonunion

被引：0
作者：
Young Hwan Park [1 ]
Sei Wook Son [1 ]
Sung Jin Ahn [1 ]
Hee Soh Yoo [1 ]
Hak Jun Kim [1 ]
机构：
[1] Department of Orthopaedic Surgery, Korea University Guro Hospital, 148 Gurodong-ro, Guro- gu, Seoul
来源：
Archives of Orthopaedic and Trauma Surgery | / 145卷 / 1期
关键词：
Bone grafting; Fracture fixation; Sesamoid bone; Treatment outcome;
D O I：
10.1007/s00402-024-05612-y
中图分类号：
学科分类号：
摘要：
Introduction: Although sesamoid-preserving procedures have been attempted to complement sesamoidectomy for hallux sesamoid fracture nonunion, few reports document the results. Accordingly, the objective of this study was to review the outcomes of patients with hallux sesamoid fracture nonunion who underwent screw fixation with autogenous bone grafting. Materials and methods: Medical records of patients who underwent surgery between January 2013 and September 2022 were reviewed. Outcomes were assessed using the foot function index (FFI) and the visual analog scale (VAS) for pain. Fracture union was assessed using plain radiographs and computed tomography scans. Results: Ten patients (4 males and 6 females) were enrolled. The mean age was 39.4 years (standard deviation [SD], 14.0), and the mean follow-up duration was 23.4 months (SD, 14.5). The FFI score improved from 72.3 (SD, 8.7) preoperatively to 8.2 (SD, 10.7) 12 months postoperatively and to 6.6 (SD, 8.3) at the final follow-up (p < 0.01, respectively). The VAS score improved from 67.8 (SD, 13.5) preoperatively to 2.2 (SD, 3.8) 12 months postoperatively, finally improving to 3.6 (SD, 4.8) at the final follow-up (p < 0.01, respectively). Union was achieved in all patients 3 months postoperatively. Although no complications were observed, hardware removal was performed in two patients owing to discomfort and psychological anxiety. Conclusion: Given that the symptoms improved in all patients without complications, as observed in this study, screw fixation with autogenous bone grafting appears to be a viable option for treating hallux sesamoid fracture nonunion. © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024.
引用
收藏
相关论文
共 20 条
  • [1] Kadakia A.R., Molloy A., Current concepts review: traumatic disorders of the first metatarsophalangeal joint and sesamoid complex, Foot Ankle Int, 32, pp. 834-839, (2011)
  • [2] York P.J., Wydra F.B., Hunt K.J., Injuries to the great toe, Curr Rev Musculoskelet Med, 10, pp. 104-112, (2017)
  • [3] Saxena A., Yun A., Patel R., Gerdesmeyer L., Maffulli N., Radial soundwave for Sesamoidopathy in athletes: a pilot study, J Foot Ankle Surg, 55, pp. 1333-1335, (2016)
  • [4] Le H.M., Stracciolini A., Stein C.J., Quinn B.J., Jackson S.S., Platelet rich plasma for hallux sesamoid injuries: a case series, Phys Sportsmed, 50, pp. 181-184, (2022)
  • [5] Leventen E.O., Sesamoid disorders and treatment. An update, Clin Orthop Relat Res, pp. 236-240, (1991)
  • [6] Saxena A., Krisdakumtorn T., Return to activity after sesamoidectomy in athletically active individuals, Foot Ankle Int, 24, pp. 415-419, (2003)
  • [7] Bichara D.A., Henn R.F., Theodore G.H., Sesamoidectomy for hallux sesamoid fractures, Foot Ankle Int, 33, pp. 704-706, (2012)
  • [8] Shimozono Y., Hurley E.T., Brown A.J., Kennedy J.G., Sesamoidectomy for Hallux Sesamoid disorders: a systematic review, J Foot Ankle Surg, 57, pp. 1186-1190, (2018)
  • [9] Lee S., James W.C., Cohen B.E., Davis W.H., Anderson R.B., Evaluation of hallux alignment and functional outcome after isolated tibial sesamoidectomy, Foot Ankle Int, 26, pp. 803-809, (2005)
  • [10] Blundell C.M., Nicholson P., Blackney M.W., Percutaneous screw fixation for fractures of the sesamoid bones of the hallux, J Bone Joint Surg Br, 84, pp. 1138-1141, (2002)
12