Screw Length Associated With Fracture Gapping of Fifth Metatarsal Base Fracture With Intramedullary Screw Fixation: A Cadaveric Study. (Record no. 829)

MARC details
000 -LEADER
fixed length control field 03335nam a22003377a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 220221s20212021 xxu||||| |||| 00| 0 eng d
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1053/j.jfas.2021.12.025 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S1067-2516(21)00543-3 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 35016832
245 ## - TITLE STATEMENT
Title Screw Length Associated With Fracture Gapping of Fifth Metatarsal Base Fracture With Intramedullary Screw Fixation: A Cadaveric Study.
251 ## - Source
Source Journal of Foot & Ankle Surgery. 2021 Dec 22
252 ## - Abbreviated Source
Abbreviated source J Foot Ankle Surg. 2021 Dec 22
253 ## - Journal Name
Journal name The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2021 Dec 22
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2022-02-21
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007
520 ## - SUMMARY, ETC.
Abstract Intramedullary screw fixation is a well-established surgical treatment for fifth metatarsal Jones fractures, due to its minimally invasive nature, and potential early return to activity. Due to the curvature of the fifth metatarsal, optimal length of the screw is needed to prevent gapping at the fracture site. The placement of a straight screw induces straightening of a naturally curved bone. The purpose of this study was to aid surgeons in determining an appropriate screw length for intramedullary fixation of a fifth metatarsal Jones fracture in order to prevent fracture gapping. A transverse osteotomy of the fifth metatarsal was made in 10 cadaver specimens at the level of a traditional Jones fracture. Inserted screws were sequentially increased in length until plantar gapping at the fracture site was noted. The angle (degree) of plantar gapping was measured with each increase in screw length and diameter. The mean length of the cadaveric fifth metatarsals was 73.76 mm (range 67.42-81.73). The mean screw length that caused gapping at the fracture site was 49.89 mm (range 44-55), representing 67.05% (range 61.26-75.35) of the fifth metatarsal length. The correlation coefficient revealed that gapping of the fracture site is most likely to occur when the screw length is 66% the length of the metatarsal length (rs = 0.66; 95% confidence interval: 0.06-0.91; p = .04). The angle of the initial gapping was 2.85degree (range 2degree-4degree). With an incremental increase in screw length, the angle was 3.85degree (range 3degree-6degree), and with an incremental increase in screw diameter, the angle was 3.70degree (range 2degree-5degree). Our study demonstrated that screw lengths exceeding 66% of the metatarsal length lead to plantar fracture gapping. Additionally, gapping was accentuated with larger diameter screws due to angle variance. Copyright (c) 2021 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
546 ## - LANGUAGE NOTE
Language note English
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Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
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Department Podiatric Surgery Residency
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Medline publication type Journal Article
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Local Authors Tenley, Jonathan
790 ## - Authors
All authors Brandao RA, Cates NK, Gulati AR, O'Hara NN, Tenley JD, Wynes J
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1053/j.jfas.2021.12.025">https://dx.doi.org/10.1053/j.jfas.2021.12.025</a>
Public note https://dx.doi.org/10.1053/j.jfas.2021.12.025
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 02/21/2022   35016832 35016832 02/21/2022 02/21/2022 Journal Article

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