Acta Ortopédica Brasileira (Dec 2020)

HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS

  • ALEXANDRE LEME GODOY-SANTOS,
  • VINCENZO GIORDANO,
  • CESAR DE CESAR NETTO,
  • RAFAEL BARBAN SPOSETO,
  • ROGÉRIO CARNEIRO BITAR,
  • ANDRÉ WAJNSZTEJN,
  • MARCOS HIDEYO SAKAKI,
  • TÚLIO DINIZ FERNANDES

DOI
https://doi.org/10.1590/1413-785220202806236612
Journal volume & issue
Vol. 28, no. 6
pp. 318 – 322

Abstract

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ABSTRACT Objectives: To describe the surgical treatment of fractures that involves the hallux interphalangeal joint, current indications and management options. Methods: we performed a literature review of relevant clinical studies in multiple databases, including PubMed, MedLine and Scopus, from January 1989 to October 2020. Results: There is consensus for surgical treatment of intra-articular fractures with a deviation greater than 2 mm, metadiaphyseal fractures with malrotation and/or malangulation, open fractures and unstable fractures. Conclusion: The use of more rigid implants allow alignment maintenance during healing process and lower risk of reduction loss. Valgus deformity and interphalangeal joint osteoarthritis are possible complications that must be avoided. Level of Evidence III, Systematic review of Level III studies.

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