Supraintercondylar fracture of the proximal phalanx of the hallux

• Main Authors: Alexandre Leme Godoy-Santos, André Wajnsztejn, Mercedes Elizabeth Tacuri Juncay, Cesar de Cesar Netto, Germán Matías-Joannas, Vincenzo Giordano
• Format: Article
• Language: English
• Published: Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé 2020-04-01
• Series: Journal of the Foot & Ankle
• Subjects: Hallux/surgery; Osteotomy/methods; Fracture fixation, internal
• Online Access: https://jfootankle.com/JournalFootAnkle/article/view/1154

Toe phalanx fractures are prevalent worldwide. The proximal phalanx of the hallux requires different treatment from the other four lateral phalanges. Poor positioning of rotation and angulation is not acceptable for this bone, since it can result in significant functional deficit. Indications for surgical treatment are: joint fractures with deviations greater than 2 mm, metadiaphyseal fractures with rotational and/or angular deviation, open fractures and unstable fractures. The classic medial approach in surgical treatment involves some high-risk neurovascular structures and does not allow the correct positioning of osteosynthesis systems in some cases. The aim of this study is to present an option for the surgical treatment of deviated and unstable supraintercondylar fractures of the proximal phalanx of the hallux by the dorsolateral approach, with a traction screw through the plate and a lateral neutralization plate. Level of Evidence V; Therapeutic Study; Expert Opinion.