--- title: "Plate fix: autogen calcan dowel graft proxim 4&5 metatar fxs | Sutter Health" description: "Surgical technique involves evacuation of sclerotic bone at the fracture site, packing the fracture site with compact cancellous bone, and plate fixation." url: "https://www.sutterhealth.org/research/publications/plate-fix-autog-calcan-dowel-graft-4-5-metatar-fx-1055312444" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Plate fix: autogen calcan dowel graft proxim 4&5 metatar fxs # Plate fixation with autogenous calcaneal dowel grafting proximal fourth and fifth metatarsal fractures: technique and case series. Seidenstricker CL, Blahous EG, Bouché RT, & Saxena A. _J Foot Ankle Surg. pii: S1067-2516(17)30286-7. doi: 10.1053/j.jfas.2017.04.035. \[Epub ahead of print\]_ 2017-06-09 ## Abstract Metaphyseal and proximal diaphyseal fractures of the lateral column metatarsals can have problems with healing. In particular, those involving the fifth metatarsal have been associated with a high nonunion rate with nonoperative treatment. Although intramedullary screw fixation results in a high union rate, delayed healing and complications can occur. We describe an innovative technique to treat both acute and chronic injuries involving the metatarsal base from the metaphysis to the proximal diaphyseal bone of the fourth and fifth metatarsals. The surgical technique involves evacuation of sclerotic bone at the fracture site, packing the fracture site with compact cancellous bone, and plate fixation. In our preliminary results, 4 patients displayed 100% radiographic union at a mean of 4.75 (range 4 to 6) weeks with no incidence of refracture, at a mean follow-up point of 3.5 (range 1 to 5) years. The early results with our small series suggest that this technique is a useful treatment choice for metaphyseal and proximal diaphyseal fractures of the fourth and fifth metatarsals. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/28606789) ## Research topics - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Musculoskeletal Disorders](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Musculoskeletal+Disorders%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Percutaneous ultrasonic tenotomy for Achilles tendinopathy is a surgical procedure with similar complications.](https://www.sutterhealth.org/research/publications/percutaneous-ultrasonic-tenotomy-for-achilles-tendinopathy-1055312483) Sanchez PJ, Grady JF, Saxena A. 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Foot Ankle Int. 39(2):135-142. doi: 10.1177/1071100717738747. 2018 Feb 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/plate-fix-autog-calcan-dowel-graft-4-5-metatar-fx-1055312444#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Plate fix: autogen calcan dowel graft proxim 4&5 metatar fxs"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/plate-fix-autog-calcan-dowel-graft-4-5-metatar-fx-1055312444#medicalscholarlyarticle","name":"Plate fixation with autogenous calcaneal dowel grafting proximal fourth and fifth metatarsal fractures: technique and case series.","headline":"Plate fix: autogen calcan dowel graft proxim 4&5 metatar fxs","abstract":"Metaphyseal and proximal diaphyseal fractures of the lateral column metatarsals can have problems with healing. In particular, those involving the fifth metatarsal have been associated with a high nonunion rate with nonoperative treatment. Although intramedullary screw fixation results in a high union rate, delayed healing and complications can occur. We describe an innovative technique to treat both acute and chronic injuries involving the metatarsal base from the metaphysis to the proximal diaphyseal bone of the fourth and fifth metatarsals. The surgical technique involves evacuation of sclerotic bone at the fracture site, packing the fracture site with compact cancellous bone, and plate fixation. In our preliminary results, 4 patients displayed 100% radiographic union at a mean of 4.75 (range 4 to 6) weeks with no incidence of refracture, at a mean follow-up point of 3.5 (range 1 to 5) years. The early results with our small series suggest that this technique is a useful treatment choice for metaphyseal and proximal diaphyseal fractures of the fourth and fifth metatarsals.","description":"Surgical technique involves evacuation of sclerotic bone at the fracture site, packing the fracture site with compact cancellous bone, and plate fixation.","keywords":["Disease Management","Musculoskeletal Disorders"],"datePublished":"2017-06-09","url":"https://www.sutterhealth.org/research/publications/plate-fix-autog-calcan-dowel-graft-4-5-metatar-fx-1055312444","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"28606789"},{"@type":"PropertyValue","propertyID":"DOI","value":"10.1053/j.jfas.2017.04.035"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/28606789/","https://doi.org/10.1053/j.jfas.2017.04.035"],"isPartOf":{"@type":"Periodical","name":"J Foot Ankle Surg"},"author":[{"@type":"Person","name":"Seidenstricker CL"},{"@type":"Person","name":"Blahous EG"},{"@type":"Person","name":"Bouché RT"},{"@type":"Person","name":"Saxena A"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Disease Management","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Disease+Management%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Musculoskeletal Disorders","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Musculoskeletal+Disorders%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/plate-fix-autog-calcan-dowel-graft-4-5-metatar-fx-1055312444","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/plate-fix-autog-calcan-dowel-graft-4-5-metatar-fx-1055312444#breadcrumblist"}}} ```