Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8798200 | Foot and Ankle Surgery | 2018 | 5 Pages |
Abstract
Isolated avulsion fracture of the peroneus longus tendon insertion at the base of the first metatarsal without injury of the tarsometatarsal joint is very rare. Similar to most avulsion fractures, this type of injury is caused by strong tension exerted by the peroneus longus tendon. The mechanism leading to this lesion and treatment options are not clearly defined. Several surgical techniques have been advocated for this fracture, including excision of an avulsion fragment and open reduction for internal fixation through the medial aspect of the foot or minimal plantar incision. We have described a method of percutaneous fixing of the avulsion fracture at the plantar lateral base of the first metatarsal using the ZipTight Fixation System (Zimmer Biomet Warsaw, Indiana, USA), which offers the advantage of allowing a rigid fixation and minimal invasive surgical technique for a small fragment.
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Authors
Katsunori Fukutake, Hiroyuki Hattori, Masayuki Sekiguchi, Yasuhiro Inoue, Daisuke Kamakura, Kentaro Tsuji, Yousuke Kojimahara, Hiroshi Takahashi, Kazuaki Tsuchiya,