Comparative analysis of functional outcome of multiple metatarsal fractures treated with plate osteosynthesis and kirschner wire fixation

Chandru, C (2018) Comparative analysis of functional outcome of multiple metatarsal fractures treated with plate osteosynthesis and kirschner wire fixation. Masters thesis, Madurai Medical College, Madurai.

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Abstract

INTRODUCTION: The human foot is a highly developed, biomechanically complex structure that serves to bear the weight of the body as well as forces many times the weight of the human body during propulsion. About 26 bones in the human foot provide structural support. They can be grouped into 3 parts, as follows: • The tarsal bones, • The metatarsal bones, • The phalanges. Apart from these main bones, the sesamoid bones help to improve function and are often found as variants of the accessory bones. The foot itself can be divided into 3 parts: the hindfoot, the midfoot, and the forefoot. The hindfoot is composed of 2 of the 7 tarsal bones, the talus, and the calcaneus; the midfoot contains the rest of the tarsal bones; and the forefoot contains the metatarsals and the phalanges. AIM OF THE STUDY: To compare and evaluate the results of surgical treatment of multiple metatarsal fractures (> 1 Metatarsal involved) using “Kirschner” wire fixation and plate osteosynthesis. In this study, 7 patients underwent ORIF and 8 underwent K-wire fixation. MATERIALS AND METHOD: In our study, 15 patients were included. Among 15 patients 14 male and 1 female were included. Among 15 patients, 8 patients were treated with K wire stabilisation by closed technique and 7 patients were treated with open reduction and plate osteosynthesis. AOFAS score was used to assess the functional outcome in our study. RESULTS: The mean AOFAS score was lower in ORIF group (76.57) compared to a higher score of in Kwire group (91.25). Using unpaired T test, we tested for the level of significance by calculating p value. However p-value for the final followup score was 0.38(not significant).Complications rate was little high in ORIF group compared to the other group. CONCLUSION: At the end of study AOFAS score was equal in both groups. So both techniques can be done for all metatarsal shaft fractures.

Item Type: Thesis (Masters)
Uncontrolled Keywords: metatarsal ; kirschner wire ; AOFAS score.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 14 Jul 2018 01:39
Last Modified: 14 Jul 2018 01:39
URI: http://repository-tnmgrmu.ac.in/id/eprint/8743

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