{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:13:09Z","timestamp":1783509189819,"version":"3.55.0"},"reference-count":20,"publisher":"MDPI AG","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intramedullary screw fixation of fractures of the proximal fifth metatarsal bone may not be satisfactory in comminuted fractures or when the lateral metatarsal bowing has to be restored. We report our experience with plate fixation in these circumstances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between June 1, 2009, and January 31, 2013, 13 patients who had comminuted fracture or nonunion of fracture of the proximal fifth metatarsal bone underwent plate fixation. Study patients were followed up for a mean of 500 days (range, 51\u20131238 days). Their medical records and radiographs were retrospectively reviewed for demographic and operative data and radiologic evidence of fracture healing. At their most recent follow-up, patients were evaluated for pain levels with a visual analog scale, for foot function with the Foot and Ankle Disability Index, and for quality of life with the 12-Item Short-Form Health Survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fracture union was evident in 12 patients after a mean of 56.8 days (range, 30\u201392 days). There was only one major complication of sural nerve neuroma and reflex sympathetic dystrophy. Four patients required reoperation for plate removal. Plate fixation of proximal fifth metatarsal comminuted fractures is associated with high union rates, relief of pain, and patient satisfaction. However, plate removal for various reasons was required in approximately one-third of the study patients. This high revision rate might be avoided by better selection of patients and meticulous intraoperative identification and preservation of the sural nerve.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We recommend reserving plate fixation for proximal fifth metatarsal fractures for cases of laterally bowed fifth metatarsal or comminuted fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.7547\/14-035","type":"journal-article","created":{"date-parts":[[2015,10,1]],"date-time":"2015-10-01T20:12:31Z","timestamp":1443730351000},"page":"389-394","source":"Crossref","is-referenced-by-count":8,"title":["Plate Fixation of Proximal Fifth Metatarsal Fracture"],"prefix":"10.3390","volume":"105","author":[{"given":"Assaf","family":"Kadar","sequence":"first","affiliation":[{"name":"Orthopedic Division, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Ankory","sequence":"additional","affiliation":[{"name":"Orthopedic Division, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronen","family":"Karpf","sequence":"additional","affiliation":[{"name":"Orthopedic Division, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elhanan","family":"Luger","sequence":"additional","affiliation":[{"name":"Orthopedic Division, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shlomo","family":"Elias","sequence":"additional","affiliation":[{"name":"Orthopedic Division, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-105-5-389-b01","series-title":"Foot Ankle","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1177\/107110079201300306","article-title":"The intraosseous blood supply of the fifth metatarsal: implications for proximal fracture healing","volume":"13","author":"Smith\n              JW,","year":"1992","unstructured":"Smith\n              JW, \n            \n              Arnoczky\n              SP, \n            \n              Hersh\n              A: \n          \n          The intraosseous blood supply of the fifth metatarsal: implications for proximal fracture healing. 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