Acute surgical management of Jones' fractures.
The purpose of this study was to evaluate the effectiveness of surgical management for acute Jones' fractures and Torg types I and II proximal diaphyseal stress fractures presenting acutely in both athletes and nonathletes. Twenty-two patients underwent intramedullary screw fixation between 1994 and 1999. Immediate intramedullary screw fixation of acute Jones' fractures and type I stress fractures resulted in a 100% union rate with an average time to union of 6.2 weeks. Fixation of type II stress fractures had a union rate of 100% with a mean time to union of 8.3 weeks. The overall complication rate was 9%. Surgical intervention allowed an earlier return to weight-bearing with a more rapid and predictable union rate. The authors recommend intramedullary fixation as a treatment of choice for the management of fifth metatarsal fractures distal to the tuberosity in nonathletes as well as athletes.
Portland
Greg
G
Northwestern Memorial Hospital and Illinois Bone and Joint Institute, Glenview, IL 60025, USA. gcbportland@yahoo.com
Kelikian
Armen
A
Kodros
Steven
S
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000601:surgery; D001863:Bone Screws / Q000009:adverse effects; D018483:Diaphyses / Q000293:injuries; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary; D050723:Fractures, Bone / Q000145:classification / Q000601:surgery*; D015775:Fractures, Stress / Q000145:classification / Q000601:surgery*; D006801:Humans; D008682:Metatarsal Bones / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D012189:Retrospective Studies