PDF(Pubmed)
Abstract：
Metatarsal fractures pose significant challenges in orthopedic practice, necessitating effective treatment methods to ensure optimal patient outcomes. This comprehensive review focuses on intramedullary Kirschner wire fixation as a promising intervention for metatarsal fractures. Beginning with an overview of metatarsal fractures and the imperative for effective treatments, the review delves into intramedullary fixation\'s definition, historical background, advantages, and disadvantages. Indications for its use in metatarsal fractures are discussed, providing a foundation for understanding its application. The surgical technique section outlines critical aspects, including patient selection criteria and preoperative planning. Before presenting a detailed step-by-step procedure for intramedullary Kirschner wire fixation, anesthesia considerations are explored. Emphasizing precision, fluoroscopic guidance, and meticulous postoperative care, this section provides insights for surgeons and healthcare practitioners. Considerations for rehabilitation follow, addressing postoperative care, expected recovery timelines, and physical therapy recommendations. Early mobilization, weight-bearing guidelines, and a structured rehabilitation program play pivotal roles in recovery. In the conclusion, key findings are summarized, highlighting the efficacy of intramedullary Kirschner wire fixation, its advantages, and recommendations for clinical practice. Additionally, areas for future research are identified, guiding further exploration and refinement of this surgical approach. This review is valuable for clinicians, researchers, and healthcare practitioners involved in metatarsal fracture management, contributing to the evolution of treatment strategies and improving patient care.
摘要：
meta骨骨折在骨科实践中提出了重大挑战，需要有效的治疗方法以确保最佳的患者结果。这篇全面的综述集中在髓内克氏针固定作为一种有前途的干预治疗meta骨骨折。从meta骨骨折的概述和有效治疗的必要性开始，本综述深入研究了髓内固定术的定义，历史背景,优势,和缺点。讨论了其在meta骨骨折中使用的适应症，为理解其应用提供基础。手术技术部分概述了关键方面，包括患者选择标准和术前计划。在介绍髓内克氏针固定的详细分步程序之前，麻醉考虑因素进行了探讨。强调精度，透视引导,细致的术后护理，本节为外科医生和医疗保健从业人员提供见解。康复的注意事项如下，解决术后护理，预期的恢复时间表，和物理治疗建议。及早动员,承重指南，结构化的康复计划在康复中起着关键作用。在结论中,总结了主要发现，强调髓内克氏针固定的疗效，其优势,并为临床实践提供建议。此外,确定了未来研究的领域，指导这种手术方式的进一步探索和完善。这篇综述对临床医生来说是有价值的，研究人员,和参与meta骨骨折管理的医疗保健从业人员，有助于治疗策略的发展和改善患者护理。
