Antegrade Versus Retrograde Pinning of Metatarsal Bone Fractures, which is better?
Kotb, H., Elazab, M., Abdel-Moneim, H., Ahmed, M., fekry, A. (2025). Antegrade Versus Retrograde Pinning of Metatarsal Bone Fractures, which is better?. EKB Journal Management System, (), -. doi: 10.21608/eoj.2025.420627.1079
Hatem Ahmed Kotb; Mohamed Sayed Elazab; Haytham Abdel-Moneim; Mohamed Gamal Ahmed; ahmed rabie fekry. "Antegrade Versus Retrograde Pinning of Metatarsal Bone Fractures, which is better?". EKB Journal Management System, , , 2025, -. doi: 10.21608/eoj.2025.420627.1079
Kotb, H., Elazab, M., Abdel-Moneim, H., Ahmed, M., fekry, A. (2025). 'Antegrade Versus Retrograde Pinning of Metatarsal Bone Fractures, which is better?', EKB Journal Management System, (), pp. -. doi: 10.21608/eoj.2025.420627.1079
Kotb, H., Elazab, M., Abdel-Moneim, H., Ahmed, M., fekry, A. Antegrade Versus Retrograde Pinning of Metatarsal Bone Fractures, which is better?. EKB Journal Management System, 2025; (): -. doi: 10.21608/eoj.2025.420627.1079

Antegrade Versus Retrograde Pinning of Metatarsal Bone Fractures, which is better?

The Egyptian Orthopaedic Journal
Articles in Press, Accepted Manuscript, Available Online from 06 October 2025
Document Type: Original Article
DOI: 10.21608/eoj.2025.420627.1079
Authors
Hatem Ahmed Kotb1; Mohamed Sayed Elazab2; Haytham Abdel-Moneim1; Mohamed Gamal Ahmed3; ahmed rabie fekry* 4
1Professor of orthopedic surgery, faculty of medicine, Fayoum University, Egypt
2Lecturer of orthopedic surgery, faculty of medicine, Fayoum University, Egypt.
3Assistant lecturer of orthopedic surgery, faculty of medicine, Fayoum University, Egypt
4lecturer of orthopedic surgery, faculty of medicine, Fayoum university, Fayoum, Egypt
Abstract
Introduction:

Fractures of the metatarsal bones are considered one of the common fractures, representing about 35% of all foot fractures. Intramedullary pinning is considered the most commonly used method of fixation with either antegrade or retrograde technique. This study aimed to compare the functional outcome of both antegrade (AMK group) and retrograde (RMK group) intramedullary kirschner wire (k-wire) fixation of metatarsal fractures.

Methods:

This prospective randomized study included 40 patients with 87 metatarsal bone fractures; 20 patients in each group. Follow up at 3, 6 and 12 months postoperatively, the functional outcome using the American College of Foot and Ankle Surgeons (ACFAS) and European Foot and Ankle Society (EFAS) scoring scale was assessed.

Results:

The (AMK) group showed more radiation exposure time and longer operation time with shorter time to full weight bearing. Although this group had a statistically significant difference regarding EFAS score with p-value < 0.05 at 3 months follow up but at the final follow up, there was non-statistically significant difference regarding EFAS and ACFAS scores between both groups.

Conclusion:

Both techniques served as a powerful tool in treating the metatarsal bone fractures as regarding the functional outcome but the antegrade pinning allowed early weight bearing despite more radiological exposure and longer operative duration.
Keywords
metatarsal fractures; foot injuries; K-wires fixation; forefoot functional scores
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