急性第五跖骨近端骨折的治疗现状

Current concept on the treatment of acute proximal fifth metatarsal fractures

摘要:

总结急性第五跖骨近端骨折治疗的最新进展，为临床治疗提供参考。汇总国内外急性第五跖骨近端骨折治疗的相关文献，详细介绍其新治疗理念及方法。根据分区的不同，急性第五跖骨近端骨折采用不同的治疗方法。I 区及 II 区的骨折采用保守治疗配合功能锻炼，III 区骨折宜手术治疗，首选术式为闭合复位髓内螺钉固定。急性第五跖骨近端骨折的治疗方案应根据骨折类型的不同灵活选择，并根据患者需求综合选择治疗方案。

Abstract:

To summarize the latest progress in the treatment of acute proximal fifth metatarsal fractures, in order to provide best choice for clinical treatment. The domestic and foreign literatures related to acute proximal fifth metatarsal fractures were reviewed and summa- rized to make a detailed introduction of the new conceptions and methods on the treatment. Different methods of treatment should be adopt- ed based on the different zones of fractures. The fractures involving zone I and II should be treated conservatively with rehabilitation thera- py, while the fractures involving Zone III should be treated surgically with close reduction and intramedullary screw fixation as the first choice. The treatment plans should be made alternatively according to the different fracture types and the needs of individual patients.