Combined Surgical Therapy and Orthotic Management of Stress and Tuberosity Avulsion Fracture of the Fifth Metatarsal Bone A Case Report
Combined Surgical Therapy and Orthotic Management of Stress and Tuberosity Avulsion Fracture of the Fifth Metatarsal Bone A Case Report
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DOI：
10.7547/0990529
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发表时间：
2009-11-01
影响因子：
0.7
通讯作者：
Elabjer, Esmat
中科院分区：
文献类型：
--
作者：
Darabos, Nikica;Obrovac, Karlo;Elabjer, Esmat
第五跖骨骨折的发病率在体育运动中比较常见，并且可能在性质上比较复杂。第五跖骨骨折可以发生在许多位置。虽然这些骨折中的一些对保守治疗反应良好，但其他骨折众所周知难以愈合，骨不连和其他并发症的发生率很高。足部矫正装置通常用作治疗足部问题的辅助工具。在我们的病例中，我们考虑了手术治疗和应用定制足部矫形器的综合效果。特别注意调整足部受累区域沿着和下方的矫形装置，以充分控制疼痛并快速恢复，以恢复正常的体育活动。在这种情况下，对计算机辅助设计/计算机辅助制造矫形器设计和制造的要求是具体的，与通常的程序有很大的不同。（J Am Podiatr Med Assumption 99（6）：529-535，2009）
The incidence of fifth metatarsal fracture is somewhat common in sports and can be complicated in nature. Fractures of the fifth metatarsal can occur at a number of locations. Although some of these fractures respond well to conservative treatment, others have been notoriously hard to heal, with high rates of nonunions and other complications. Foot orthotic devices are commonly used as aids in the treatment of foot problems. In our case, we considered the combined effect of the surgical treatment and application of the custom-made foot orthoses. Special attention was taken with adjustments to the orthotic devices along and beneath the affected regions of the foot for adequate pain management and quick recovery to return to normal sports activities. Requirements for computer aided design/computer aided manufacturing orthotic design and manufacturing in this case were specific and considerably different from the usual procedure. (J Am Podiatr Med Assoc 99(6): 529-535, 2009)