-Case Reports-

The Ilizarov Mini-External Fixator for the Treatment of First Metatarsal Fracture: A Case Report

Tatsunori Kataoka, Norie Kodera and Shinro Takai

Department of Orthopaedics, Nippon Medical School, Tokyo, Japan

Forefoot fractures are frequently accompanied by severe soft tissue damage. Therefore, treatment should focus not only on fractures but also on soft tissue damage, for which external fixation can be used as a surgical option. A 63-year-old woman presented to the emergency clinic of our hospital with forefoot pain after a motorcycle accident. Comminuted fracture of the proximal part of the metatarsal was diagnosed. Because of the swollen foot and fracture comminution, an operation using the Ilizarov mini external fixator was performed to prevent further damage to the soft tissue. Weight-bearing was permitted seven weeks after the operation, and the extraction of the apparatus was performed nine weeks postoperatively. One year later, the patient had no pain and had returned to ballroom dancing, a hobby which she performed five days a week, with no difficulties. Our results suggest that the Ilizarov mini external fixator should be considered not only for temporary treatment, but also for the entire duration of treatment of first metatarsal fractures associated with severe soft tissue damage.

J Nippon Med Sch 2017; 84: 144-147

Keywords
trauma, metatarsal, minimally invasive, external fixation, Ilizarov

Correspondence to
Tatsunori Kataoka, MD, Department of Orthopaedics, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
1109tk1986@nms.ac.jp

Received, December 18, 2016
Accepted, March 17, 2017