Background:
Jones fracture of the base fifth metatarsal is one of the most
common foot injuries. Delayed union, nonunion and, refracture
are all known complications that can occur, and operative
intervention then must be considered.
Methodology:
Seventy-five patients who had recent Jones fractures were
treated surgically by intramedullary cannulated screws. Age of
the patients ranged from 18 to 40 yr with an average age of
26.4 yr. There were 51 male patients and 24 female patients.
Results:
All fractures were united within 6 to 12wk, with an average of
7.2wk. According to American Orthopaedic Foot and Ankle
Society (AOFAS) score, final scores ranged from 95 to 98 points
with an average of 97.5 points. An irritant screw that needed to be
removed after fracture union was encountered in two patients.
Conclusions:
The use of primary intramedullary screws is a safe and effective
option for patients who have Jones fractures, especially those
who need early ambulation and excellent osseous union rates. |
