The use of external fixation for treatment of the acute jones fracture: a retrospective review of 10 cases

The purpose of this retrospective clinical study was to evaluate the clinical outcome of patients who underwent external fixation of acute Jones fractures. There were 10 patients with a mean age of 25.2 years; 9 of the patients were actively involved in athletics. Chart and radiograph review showed...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2004-05, Vol.43 (3), p.173-178
Main Authors: Lombardi, Charles M, Connolly, Fiona G, Silhanek, Alison D
Format: Article
Language:English
Subjects:
Acute Disease
Adolescent
Adult
Biological and medical sciences
Diseases of the osteoarticular system
external fixation
External Fixators - adverse effects
Female
fifth metatarsal
Fractures, Bone - surgery
Humans
Jones fracture
Male
Medical sciences
Metatarsal Bones - injuries
Metatarsal Bones - surgery
Middle Aged
Retrospective Studies
Traumas. Diseases due to physical agents
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Summary:The purpose of this retrospective clinical study was to evaluate the clinical outcome of patients who underwent external fixation of acute Jones fractures. There were 10 patients with a mean age of 25.2 years; 9 of the patients were actively involved in athletics. Chart and radiograph review showed the mean clinical and radiographic healing times to be 5.7 and 6.5 weeks, respectively. Patients returned to preinjury activity levels at a mean 9 weeks postoperatively. Complications included 1 case each of localized cellulitis, asymptomatic nonunion, and refracture. Telephone inquiry performed at a mean 46 months postoperatively determined all patients to be pain-free and continuing to participate at their preinjury activity levels. External fixation is quick and easy to perform and provides a viable alternative to intramedullary screw fixation of Jones fractures in the young, active patient.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2004.03.002