Comparison Of Conservative And Operative Treatment Of Jones Fracture

Název česky Srovnání konzervativní a operační léčby Jonesovy zlomeniny


Rok publikování 2020
Druh Článek v odborném periodiku
Časopis / Zdroj European Journal of Trauma and Emergency Surgery
Klíčová slova Jones fracture Herbert screw
Popis Comparison Of Conservative And Operative Treatment Of Jones Fracture J. Demel University Hospital Ostrava, Traumacentre, Ostrava/CZECH REPUBLIC Introduction: prospective study of 27 patients Tracked parameters: 6 weeks and 12 weeks after injury 1) X-ray finding 2) AOFAS score Material & Methods: Hypothesis I: surgical treatment leads to a faster return to normal patient walking when an acute Jones fracture Hypothesis II: RTG signs of healing occur in case of surgical treatment earlier than in conservative treatment in orthesis. In the absence of X-ray signs of low AOFAS healing in a conservative 6-week treatment, treatment was labeled unsuccessful and the patient was indicated for surgical treatment: Number of probands 27, Group K (Conservative): 12, Group O (operational): 15 Results: Group K: There were no signs of RTG healing in 5 cases from 12 to 6 weeks. At the same time, these patients also showed AOFAS score in the bad or satisfactory category. They were indicated for surgical treatment and excluded from the course of the study. 7 patients in the X-ray image showed fracture failure. Their AOFAS were at least satisfactory and continued conservative therapy. After 12 months, 6 patients had X-ray fracture healing and AOFAS 100 score. In one patient after 12 weeks the fracture was not healed in X-ray image. The patient refused surgical treatment. Group O: 7 patients after 6 weeks had a healed fracture in X-ray image, 8 patients did not have XG fracture healing. The average AOFAS score after 6 weeks was 97 (excellent). After 12 months, the finding of fracture healing in X-ray was 13 patients. The average AOFAS was 100 points (maximum). Conclusions: The results of the study show that 1) Operating treatment leads to significantly faster RTG healing than conservative 2) After 6 weeks of surgery, 93% (14 out of 15) are able to fully load the limb, 60% (9 out of 15) even including all movement activities. References: DAMERON T.B., Jr: Fractures and Anatomical Variations of the Proximal Portion af the Fifth Metatrsal. The J Bone and Joint Surg 1975 Sept No 6, 788-792 KAVANAUGH J.H., BROWER T.D., MANN R.V.: The Jones fracture revisited. J Bone Joint Surg Am, 60 776-782