1 Nonoperative treatment topenlarge
In most cases, the fracture is manually reduced and stabilized with buddy taping.
2 Reduction and K-wire fixation topenlarge
Closed reduction and fixation
The toe is manually reduced by applying traction to the fracture. A 1.25 mm or 1.6 mm K-wire is placed across the DIP and PIP joints, and manually reduced MTP joint.
Fluoroscopic assistance during this procedure is necessary.
Open reduction and fixation
If unable to reduce the toe with manual reduction, a small dorsal incision over the fracture site may be utilized and the fracture disimpacted and reduced with a Freer elevator.