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Review
. 2025 Mar;30(1):141-155.
doi: 10.1016/j.fcl.2024.04.003. Epub 2024 May 10.

Metatarsal Malunion

Alexandre Leme Godoy-Santos  1 , Martim Pinto  2 , Rafael Barban Sposeto  3
Affiliations
Review

Metatarsal Malunion

Alexandre Leme Godoy-Santos et al. Foot Ankle Clin. 2025 Mar.

Abstract

Metatarsal fractures account for almost 50% of all foot fractures; the most frequent trauma mechanism for central metatarsal fractures is direct trauma. Care should be taken when evaluating patients with higher energy accidents, as they are often associated with serious soft-tissue damage and adjacent joint injuries, such as Lisfranc injuries. Malunions on the axial plane (varus/valgus) are usually better tolerated than the ones on the coronal plane, especially plantar flexion deformity. The treatment aim is to reduce the pain and improve gait function. The aim of this article is to discuss the lateral metatarsal malunion related to trauma.

Keywords: Fixation; Fracture; Malunion; Metatarsal; Treatment.

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Conflict of interest statement

Acknowledgments We thank Prof. Tulio Diniz Fernandes for his clinical support. Disclosure Authors do not and will not have financial benefits related to the subject presented in this article. Funding No funding.

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