Bridging and Repair of First Metatarsal Fracture with Chronic Pseudoarthrosis Following Multiple Surgical Interventions Using a Minimally Invasive Approach

Michael A Scarpone and Charles C Lee*

Metatarsal fractures are a common type of injury to the foot and can result in chronic pain and disability if the fracture site fails to fuse after a series of bone fusion procedures with or without instrumentation, resulting in pseudarthrosis, which may ultimately require amputation. A 58-year-old male patient without any known risk factors presented with pseudarthrosis and chronic pain in the right foot after 4 failed bone fusion procedures on the first metatarsal bone where amputation was considered. The Hyper-Crosslinked Carbohydrate Polymer (HCCP) was injected with autologous bone marrow into the site of non-union without reduction or instrumentation in an outpatient setting. The patient showed a dramatic improvement over the course of 12 weeks and a radiographic fusion along with a 90% improvement in the pain scale. Forefoot and midfoot fractures and injuries associated with a high degree of pseudarthrosis may require a better predictor and appropriate fusion procedure before amputation is considered.

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Published on: Feb 4, 2025 Pages: 1-4

Full Text PDF Full Text HTML DOI: 10.17352/ojor.000050
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