{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T03:30:27Z","timestamp":1787887827668,"version":"build-2784847793"},"reference-count":16,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAPMA"],"abstract":"<jats:p>Hallux fractures, particularly those involving the proximal phalanx, can lead to significant functional impairments if not promptly managed. This report introduces a novel, minimally invasive technique for hallux fracture fixation using hypodermic needles. This technique is specifically designed for resource-limited settings such as disasters or emergencies. A 30-year-old female sustained an open proximal phalanx fracture of the left hallux with interphalangeal joint dislocation following a motor vehicle accident. Under local anesthesia in the emergency service settings, fracture reduction and stabilization were achieved using two hypodermic needles. A 21-gauge needle was inserted intramedullary through the medial aspect of the hallux to stabilize the fracture, while an 18-gauge needle was placed distally to secure alignment. Postoperative radiographs confirmed proper alignment, and the needles were removed after four weeks. The patient achieved pain-free ambulation with a full range of motion within six months, with no complications noted. This technique offers a cost-effective, rapid, and practical alternative to traditional methods, eliminating the need for fluoroscopy or specialized surgical tools. It is particularly valuable in emergency and resource-constrained environments, providing favorable clinical and radiological outcomes. This approach demonstrates significant potential for managing hallux fractures in challenging settings and warrants further validation in broader orthopedic practice.<\/jats:p>","DOI":"10.3390\/japma116010004","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T13:47:02Z","timestamp":1771508822000},"page":"4","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Novel Minimally Invasive Technique for Hallux Fracture-Dislocation Fixation Using Hypodermic Needles: An Effective Solution for Disaster and Catastrophic Settings"],"prefix":"10.3390","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4940-4711","authenticated-orcid":false,"given":"Muhammed Yusuf","family":"Afacan","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Istanbul Physical Therapy and Rehabilitation Training and Research Hospital, 34186 Istanbul, T\u00fcrkiye"},{"name":"Department of Anatomy, Institute of Graduate Studies, Istanbul University\u2013Cerrahpasa, 34320 Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet Burak","family":"Demirdas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Cerrahpasa Faculty of Medicine, Istanbul University\u2013Cerrahpasa, 34098 Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4565-6383","authenticated-orcid":false,"given":"Bedri","family":"Karaismailoglu","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Institute of Graduate Studies, Istanbul University\u2013Cerrahpasa, 34320 Istanbul, T\u00fcrkiye"},{"name":"Department of Orthopaedics and Traumatology, Cerrahpasa Faculty of Medicine, Istanbul University\u2013Cerrahpasa, 34098 Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5110-3339","authenticated-orcid":false,"given":"Goker Utku","family":"Deger","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Acibadem Taksim Hospital, 34373 Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1053\/j.jfas.2014.03.011","article-title":"Epidemiology of Foot and Ankle Fractures in the United States: An Analysis of the National Trauma Data Bank (2007 to 2011)","volume":"53","author":"Shibuya","year":"2014","journal-title":"J. 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