Richard Buckley, Andrew Sands, Michael Castro, Christina Kabbash
Joseph Schatzker, Richard Buckley
In most cases, the fracture is manually reduced and stabilized with buddy taping.
This procedure is normally performed with the patient in a supine position.
The toe is manually reduced by applying traction to the fracture. A 1.25 mm or 1.6 mm K-wire is placed across the DIP and PIP joints, and manually reduced MTP joint.
Fluoroscopic assistance during this procedure is necessary.
If unable to reduce the toe with manual reduction, a small dorsal incision over the fracture site may be utilized and the fracture disimpacted and reduced with a Freer elevator.
After percutaneous pinning immobilize the foot in a flat, rigid sole shoe until the K-wires are removed at six weeks.