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. Objetivos:destacar o tratamento cirúrgico das fraturas que envolvem a articulação interfalangiana do hálux, suas indicações atuais e as opções de tratamento. Métodos:Realizamos uma revisão da literatura de estudos clínicos relevantes em múltiplas bases de dados, incluindo PubMed, MedLine e Scopus, de janeiro de 1989 a outubro de 2020. Resultados:Há consenso para o tratamento cirúrgico de fraturas intra-articulares com desvio superior a 2 mm, fraturas metadiafisárias com má rotação e/ou malangulação, fraturas expostas e fraturas instáveis. Conclusão:O uso de implantes mais rígidos permite a manutenção do alinhamento durante o processo de consolidação e menor risco de perda da redução. As complicações que devem ser evitadas são a deformidade em valgo e a osteoartrite da articulação interfalangeana. Nível de Evidência III, Revisão sistemática de Estudos de Nível III.
journal_name
Acta Ortop Brasjournal_title
Acta ortopedica brasileiraauthors
Godoy-Santos AL,Giordano V,Cesar C,Sposeto RB,Bitar RC,Wajnsztejn A,Sakaki MH,Fernandes TDdoi
10.1590/1413-785220202806236612subject
Has Abstractpub_date
2020-11-01 00:00:00pages
318-322issue
6eissn
1413-7852issn
1809-4406journal_volume
28pub_type
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