Nonoperative treatment involves manual reduction, buddy taping or a hard-sole shoe, until the fracture site is non-tender.
2. Patient preparation
This procedure is normally performed with the patient in a supine position.
3. Closed reduction and K-wire fixation
When operative treatment is indicated, closed reduction and K-wire fixation is appropriate in most cases.
After manual reduction, one K-wire is placed to secure the fracture fragment perpendicular to the line of the fracture. A second K-wire is placed in the sagittal plane to maintain alignment of the hallux at the IP joint.
This image shows the fracture treated with closed reduction and percutaneous K-wire fixation.