Beginner’s guide to 1st Metatarsal Fractures

 

Terms to know:

  1. Jahss classification

 

Conservative treatment for 1st met fractures: NWB in SLC for 4-6 weeks

When should you do ORIF for met fractures?

  1. Extra-articular: >2-3 mm displacement and >10 degrees angulation
  2. Intra-articular: fracture involves >20% articular surface if

 

When should you do open surgery for Jahss?

  1. Jahss classification 1
  2. Order is ADI – adductor, DTML, intersesamoidal ligament

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