Temporary Bridging of Severe Medial Column Injury of the Foot using Internal Fixation
Inadequate treatment of midfoot crush injury often leads to permanent disability. The principle of treatment is to restore foot column length and joint congruity while it is stable enough to allow an early rehabilitation. Choices of treatment include external fixation plus pinning, circular frame fi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2014-12-01
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| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2210491714000463 |
| _version_ | 1819109135702032384 |
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| author | Michael Siu-Hei Tse Siu-Bon Woo |
| author_facet | Michael Siu-Hei Tse Siu-Bon Woo |
| author_sort | Michael Siu-Hei Tse |
| collection | DOAJ |
| description | Inadequate treatment of midfoot crush injury often leads to permanent disability. The principle of treatment is to restore foot column length and joint congruity while it is stable enough to allow an early rehabilitation. Choices of treatment include external fixation plus pinning, circular frame fixation, and open reduction plus internal fixation. External fixation is minimally invasive but it poses the threat of inaccurate reduction, loss of reduction secondary to pin loosening, and pin tract infections. Open reduction and internal fixation per se allows good reduction of fragments and restoration of joint congruities but it lacks the protection of the whole construct. We report a case of severe midfoot crush injury that was treated with temporary bridging fixation using a low-profile locking plate. It is an evolving technique that solves the problems of external fixation, and a stable construct can be achieved for early weight bearing. |
| first_indexed | 2024-12-22T03:21:01Z |
| format | Article |
| id | doaj.art-6ab07a4fa73649e7999cb8f17e8b737b |
| institution | Directory Open Access Journal |
| issn | 2210-4917 |
| language | English |
| last_indexed | 2024-12-22T03:21:01Z |
| publishDate | 2014-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj.art-6ab07a4fa73649e7999cb8f17e8b737b2022-12-21T18:40:44ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49172014-12-0118212012310.1016/j.jotr.2013.09.001Temporary Bridging of Severe Medial Column Injury of the Foot using Internal FixationMichael Siu-Hei TseSiu-Bon WooInadequate treatment of midfoot crush injury often leads to permanent disability. The principle of treatment is to restore foot column length and joint congruity while it is stable enough to allow an early rehabilitation. Choices of treatment include external fixation plus pinning, circular frame fixation, and open reduction plus internal fixation. External fixation is minimally invasive but it poses the threat of inaccurate reduction, loss of reduction secondary to pin loosening, and pin tract infections. Open reduction and internal fixation per se allows good reduction of fragments and restoration of joint congruities but it lacks the protection of the whole construct. We report a case of severe midfoot crush injury that was treated with temporary bridging fixation using a low-profile locking plate. It is an evolving technique that solves the problems of external fixation, and a stable construct can be achieved for early weight bearing.http://www.sciencedirect.com/science/article/pii/S2210491714000463bone platesdislocationsfoot injuriesfracture fixationinternal fixationtarsal joints |
| spellingShingle | Michael Siu-Hei Tse Siu-Bon Woo Temporary Bridging of Severe Medial Column Injury of the Foot using Internal Fixation Journal of Orthopaedics, Trauma and Rehabilitation bone plates dislocations foot injuries fracture fixation internal fixation tarsal joints |
| title | Temporary Bridging of Severe Medial Column Injury of the Foot using Internal Fixation |
| title_full | Temporary Bridging of Severe Medial Column Injury of the Foot using Internal Fixation |
| title_fullStr | Temporary Bridging of Severe Medial Column Injury of the Foot using Internal Fixation |
| title_full_unstemmed | Temporary Bridging of Severe Medial Column Injury of the Foot using Internal Fixation |
| title_short | Temporary Bridging of Severe Medial Column Injury of the Foot using Internal Fixation |
| title_sort | temporary bridging of severe medial column injury of the foot using internal fixation |
| topic | bone plates dislocations foot injuries fracture fixation internal fixation tarsal joints |
| url | http://www.sciencedirect.com/science/article/pii/S2210491714000463 |
| work_keys_str_mv | AT michaelsiuheitse temporarybridgingofseveremedialcolumninjuryofthefootusinginternalfixation AT siubonwoo temporarybridgingofseveremedialcolumninjuryofthefootusinginternalfixation |