![]() If left untreated, they usually produce pain and limitations in activities of daily living. It can be a closed fracture or a compound fracture ( Fig. The most common mode of injury is road traffic accidents which are always high-velocity injuries. Forefoot fractures may be due to direct or indirect injury. Metatarsals are placed in the foot between the toes and the tarsal bones. One or all the metatarsals may be injured which may be a complete or incomplete fracture. Middle-age people are most commonly injured. Metatarsal fractures are common among foot injuries. Keywords: Government of Tamil Nadu chief minister’s comprehensive health insurance scheme, Kirschner wire, Metatarsal fractures, Tamil Nadu accident and emergency care initiative. The health department is no more an expenditure department for the government since it generates money from TNCMCHIS–AB-PMJAY which is very useful for the patients from below poverty line. The Tamil Nadu accident and emergency care initiative provide early treatment and early discharge of the patients. The displaced metatarsal fractures need limited internal fixation with Kirschner’s wires. Fair results were seen in three patients.Ĭonclusion: The compound undisplaced metatarsal fractures can be treated conservatively. Good results were observed in 32 patients and excellent results were observed in 5 patients. Results: The American Orthopaedic Foot and Ankle Society score was used to assess the functional outcome of compound metatarsal fractures. Anterograde retrograde technique was used for the fixation of compound metatarsal fractures. ![]() The displaced compound metatarsal fractures are treated with limited internal fixation using Kirschner’s wires within the golden period of 6 hours and they were covered under Government of Tamil Nadu Chief Minister’s Comprehensive Health Insurance Scheme–Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (TNCMCHIS-AB-PMJAY). Materials and methods: This is a prospective study done on patients admitted with compound metatarsal fractures in emergency orthopedic unit, Government Coimbatore Medical Hospital under Tamil Nadu Accident and Emergency Care Initiative between January 2020 and December 2020. This study aimed to evaluate and analyze the functional outcomes of compound metatarsal fractures using the anterograde retrograde fixation technique under the Tamil Nadu Accident and Emergency Care Initiative. Introduction: Metatarsal fractures are common among foot injuries. Management of Compound Metatarsal Fractures under Tamil Nadu Accident and Emergency Care Initiative. Vetrivel Chezian Sengodan 1, Arun Subramanian 2ġ,2Institute of Orthopaedics and Traumatology, Coimbatore Medical College and Hospital, Coimbatore, Tamil Nadu, IndiaĬorresponding Author: Vetrivel Chezian Sengodan, Institute of Orthopaedics and Traumatology, Coimbatore Medical College and Hospital, Coimbatore, Tamil Nadu, India, Phone: +91 9843028096, e-mail: to cite this article Sengodan VC, Subramanian A. ![]() Management of Compound Metatarsal Fractures under Tamil Nadu Accident and Emergency Care Initiative Journal of Orthopedics and Joint Surgery Volume 3 | Issue 2 | Year 2021 ![]()
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