跖骨骨折是最常见的足部损伤之一,尤其是在儿童发生机动车事故后。此病例报告简要说明了一名青少年患者在摩托车事故后患有多发性创伤的左脚小儿全meta骨骨折的罕见情况。此病例报告说明了多发性创伤后青少年患者的外科治疗小儿足部骨折的潜力。在检查一名在摩托车事故后被带到急诊室的16岁男性患者时,我们检测到右脚三指近端指骨开放性骨折,右脚第四指近端指骨骨折,左足第一跖骨近端骨折,左脚第二,第三,第四,第五跖骨远端骨折,左脚长方体,和舟骨骨折.患者的左脚meta骨全部骨折。还检测到患者右上颌骨的后外侧壁骨折。所有meta骨都流离失所,第二个meta骨与第三个meta骨配对,等。,由于这种流离失所,封闭还原是不可能的,甚至开放式还原也很难达到正确的配对。我们对左足第一跖骨骨折进行了克氏针闭合复位和固定,对左足第二跖骨骨折进行了克氏针切开复位和固定,第三,第四跖骨远端骨折.我们还对右脚第三和第四近端指骨骨折进行了克氏针闭合复位和固定。我们在第六周观察到愈伤组织形成,并移除患者的K线。八周时,X射线显示所有meta骨的正确对齐。所有meta骨的正确对齐以及所有脚和踝关节的全方位运动均通过早期手术干预实现。开放还原,及时康复。该病例还强调了切开复位在诸如全跖骨骨折的不可复位和严重移位的多发性骨折病例中的重要性,并为文献中缺乏的全跖骨骨折病例提供了特定的治疗方式。
Metatarsal bone fractures are one of the most frequent foot injuries, especially after motor vehicle accidents in children. This
case report briefly demonstrated a rare instance of pediatric all-metatarsal fractures of the left foot in an adolescent patient with polytrauma after a motorcycle accident. This
case report illustrated the surgical procedure\'s potential for healing pediatric foot fractures in teenage patients after polytrauma. In the examination of a 16-year-old male patient brought to the emergency department after a motorcycle accident, we detected a right foot third finger proximal phalanx open fracture, right foot fourth finger proximal phalanx fracture, left foot first metatarsal proximal fracture, left foot second, third, fourth, and fifth metatarsal distal fractures, left foot cuboid, and navicular bone fractures. The patient\'s left foot\'s metatarsals were all fractured. The posterolateral wall fracture of the patient\'s right maxilla was also detected. All metatarsals were displaced, the second metatarsal paired with the third, etc., and because of this displacement, the closed reduction was impossible, and even the open reduction was challenging to reach the correct pairs. We performed closed reduction and fixation with Kirschner wire for the left foot\'s first metatarsal fracture and open reduction and fixation with Kirschner wire for the left foot\'s second, third, and fourth metatarsal distal fractures. We also performed closed reduction and fixation with Kirschner wire for the right foot third and fourth proximal phalanx fractures. We observed callus formation in the sixth week and removed the patient\'s K-wires. At eight weeks, the X-ray demonstrated the correct alignment of all metatarsals. The proper alignment of all metatarsals and the full range of motion of all foot and ankle joints were achieved with early surgical intervention, open reduction, and timely rehabilitation. This
case also emphasizes the importance of open reduction in such irreducible and heavily displaced cases of multiple fractures as all-metatarsal fractures and contributes to the literature with a specific treatment modality in the
case of all-metatarsal fractures lacking in the literature.