HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS
ABSTRACT Objectives: To describe the surgical treatment of fractures that involves the hallux interphalangeal joint, current indications and management options. Methods: we performed a literature review of relevant clinical studies in multiple databases, including PubMed, MedLine and Scopus, from January 1989 to October 2020. Results: There is consensus for surgical treatment of intra-articular fractures with a deviation greater than 2 mm, metadiaphyseal fractures with malrotation and/or malangulation, open fractures and unstable fractures. Conclusion: The use of more rigid implants allow alignment maintenance during healing process and lower risk of reduction loss. Valgus deformity and interphalangeal joint osteoarthritis are possible complications that must be avoided. Level of Evidence III, Systematic review of Level III studies.
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2020
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oai:scielo:S1413-785220200006003182020-12-01HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSISGODOY-SANTOS,ALEXANDRE LEMEGIORDANO,VINCENZOCESAR NETTO,CESAR DESPOSETO,RAFAEL BARBANBITAR,ROGÉRIO CARNEIROWAJNSZTEJN,ANDRÉSAKAKI,MARCOS HIDEYOFERNANDES,TÚLIO DINIZ Hallux Fracture Fixation Treatment Outcome ABSTRACT Objectives: To describe the surgical treatment of fractures that involves the hallux interphalangeal joint, current indications and management options. Methods: we performed a literature review of relevant clinical studies in multiple databases, including PubMed, MedLine and Scopus, from January 1989 to October 2020. Results: There is consensus for surgical treatment of intra-articular fractures with a deviation greater than 2 mm, metadiaphyseal fractures with malrotation and/or malangulation, open fractures and unstable fractures. Conclusion: The use of more rigid implants allow alignment maintenance during healing process and lower risk of reduction loss. Valgus deformity and interphalangeal joint osteoarthritis are possible complications that must be avoided. Level of Evidence III, Systematic review of Level III studies.info:eu-repo/semantics/openAccessATHA EDITORAActa Ortopédica Brasileira v.28 n.6 20202020-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000600318en10.1590/1413-785220202806236612 |
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GODOY-SANTOS,ALEXANDRE LEME GIORDANO,VINCENZO CESAR NETTO,CESAR DE SPOSETO,RAFAEL BARBAN BITAR,ROGÉRIO CARNEIRO WAJNSZTEJN,ANDRÉ SAKAKI,MARCOS HIDEYO FERNANDES,TÚLIO DINIZ |
| spellingShingle |
GODOY-SANTOS,ALEXANDRE LEME GIORDANO,VINCENZO CESAR NETTO,CESAR DE SPOSETO,RAFAEL BARBAN BITAR,ROGÉRIO CARNEIRO WAJNSZTEJN,ANDRÉ SAKAKI,MARCOS HIDEYO FERNANDES,TÚLIO DINIZ HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS |
| author_facet |
GODOY-SANTOS,ALEXANDRE LEME GIORDANO,VINCENZO CESAR NETTO,CESAR DE SPOSETO,RAFAEL BARBAN BITAR,ROGÉRIO CARNEIRO WAJNSZTEJN,ANDRÉ SAKAKI,MARCOS HIDEYO FERNANDES,TÚLIO DINIZ |
| author_sort |
GODOY-SANTOS,ALEXANDRE LEME |
| title |
HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS |
| title_short |
HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS |
| title_full |
HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS |
| title_fullStr |
HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS |
| title_full_unstemmed |
HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS |
| title_sort |
hallux proximal phalanx fracture in adults: an overlooked diagnosis |
| description |
ABSTRACT Objectives: To describe the surgical treatment of fractures that involves the hallux interphalangeal joint, current indications and management options. Methods: we performed a literature review of relevant clinical studies in multiple databases, including PubMed, MedLine and Scopus, from January 1989 to October 2020. Results: There is consensus for surgical treatment of intra-articular fractures with a deviation greater than 2 mm, metadiaphyseal fractures with malrotation and/or malangulation, open fractures and unstable fractures. Conclusion: The use of more rigid implants allow alignment maintenance during healing process and lower risk of reduction loss. Valgus deformity and interphalangeal joint osteoarthritis are possible complications that must be avoided. Level of Evidence III, Systematic review of Level III studies. |
| publisher |
ATHA EDITORA |
| publishDate |
2020 |
| url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000600318 |
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1756414921331965952 |