Surgical results of 5th metatarsal stress fracture using modified tension band wiring

  • Kyung Tai Lee
  • Young Uk ParkEmail author
  • Ki Won Young
  • Jin Su Kim
  • Jun Beom Kim



The purpose of this study was to evaluate the surgical results of modified tension band wiring using two cortical screws for the treatment of fifth metatarsal stress fractures.


Forty-two patients with Torg’s type I and II fifth metatarsal stress fractures treated using the modified tension band wiring technique from 2005 to 2008 were evaluated retrospectively. All of the patients were elite athletes.


The mean length of follow-up was 26 ± 16 months (12–62 months). All patients were able to return to their previous levels of sporting activity. The mean time to union as determined by CT was 75 ± 25 days (40–150 days). However, during follow-up, there were 4 delayed unions, 1 nonunion, and 4 refractures.


The described modified tension band wiring technique is a good alternative method for the surgical treatment of Torg’s type I and II fifth metatarsal stress fractures.

Level of evidence

Case series with no comparison group, retrospective case series, Level IV.


Stress fracture Fifth metatarsal bone Modified tension band wiring 


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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Kyung Tai Lee
    • 1
  • Young Uk Park
    • 1
    Email author
  • Ki Won Young
    • 2
  • Jin Su Kim
    • 2
  • Jun Beom Kim
    • 1
  1. 1.Foot and Ankle ServiceKT Lee’s Orthopedic HospitalSeoulSouth Korea
  2. 2.Foot and Ankle Clinic, Department of Orthopedic Surgery, Eulji Medical CenterEulji University School of MedicineSeoulKorea

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