Comparison Of Conservative And Operative Treatment Of Jones Fracture

Název česky Srovnání konzervativní a operační léčby Jonesovy zlomeniny
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DEMEL Jiří

Rok publikování 2020
Druh Článek v odborném periodiku
Časopis / Zdroj European Journal of Trauma and Emergency Surgery
Citace
www https://link.springer.com/journal/68/45/1/suppl
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