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| ID | Type | Description | Link |
|---|---|---|---|
| CZ.02.1.01/00/00/17_049/00084 | Other Grant/Funding Number | Ministry of Education of the Czech Republic |
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The study deals with the topic of treatment of Jones fracture, comparing surgical and conservative approach. The fracture occurs especially in highly active individuals.
The study deals with the topic of treatment of Jones fracture, comparing surgical and conservative approach. The fracture occurs especially in highly active individuals.
The study proposes a supposition of recommending the active operational approach, which shortens the period of healing by 6 weeks, limitation of physical activity by 4 weeks, and sick leave by 2 months. It also completely eliminates the need to perform a rigid fixation of the extremity for 8-12 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Operational approach | Experimental | The patients enrolled in this arm underwent surgical treatment of the Jones fracture. |
|
| Conservative approach | Experimental | The patients enrolled in this arm were treated conservatively, using fixation of the injured extremity. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Operational approach | Procedure | Operational approach was used to treat the Jones fracture in patients randomized into the respective study arm. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The American Orthopaedic Foot & Ankle Society (AOFAS) score - 6 weeks | The improvement in The American Orthopaedic Foot & Ankle Society (AOFAS) score from the baseline was observed at 6 weeks after injury on a scale of 0-100. | 6 weeks |
| AOFAS score - 12 months | The improvement in The American Orthopaedic Foot & Ankle Society (AOFAS) score from the baseline was observed at 12 months after injury on a scale of 0-100. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Signs of healing on X-ray at 6 weeks | The presence or absence of signs of healing on X-ray were observed at 6 weeks after injury. | 6 weeks |
| Signs of healing on X-ray at 12 months | The presence or absence of signs of healing on X-ray were observed at 12 months after injury. |
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Inclusion Criteria:
- Jones fracture
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jiřà Demel, MD | University Hospital Ostrava | Principal Investigator |
| Leopold Pleva, Ass.Prof.,MD,CSc. | University Hospital Ostrava | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Ostrava | Ostrava | Moravian-Silesian Region | 70852 | Czechia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 1099103 | Background | Dameron TB Jr. Fractures and anatomical variations of the proximal portion of the fifth metatarsal. J Bone Joint Surg Am. 1975 Sep;57(6):788-92. | |
| 701310 | Background | Kavanaugh JH, Brower TD, Mann RV. The Jones fracture revisited. J Bone Joint Surg Am. 1978 Sep;60(6):776-82. |
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The researchers do not plan to share individual participant data with other researchers.
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The patients with Jones fracture were randomized into one of the two study groups - operational or conservative approach.
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No masking was used in the study
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| Conservative approach | Procedure | Conservative approach was used to treat the Jones fracture in patients randomized into the respective study arm. |
|
| 6 weeks |
| Extremity loading | The ability to load the injured extremity was measured in per cent of full loading. | 6 weeks |
| 10466292 | Background | Landorf KB. Clarifying proximal diaphyseal fifth metatarsal fractures. The acute fracture versus the stress fracture. J Am Podiatr Med Assoc. 1999 Aug;89(8):398-404. doi: 10.7547/87507315-89-8-398. |
| 20478127 | Background | Malkus T, Soukup B. [Jones fracture.]. Acta Chir Orthop Traumatol Cech. 1999;66(1):15-21. Czech. |
| 8421045 | Background | Marshall PD, Evans PD, Richards J. Laboratory comparison of the cannulated Herbert bone screw with ASIF cancellous lag screws. J Bone Joint Surg Br. 1993 Jan;75(1):89-92. doi: 10.1302/0301-620X.75B1.8421045. |
| 8238714 | Background | Mindrebo N, Shelbourne KD, Van Meter CD, Rettig AC. Outpatient percutaneous screw fixation of the acute Jones fracture. Am J Sports Med. 1993 Sep-Oct;21(5):720-3. doi: 10.1177/036354659302100514. |
| 11465126 | Background | Nunley JA. Fractures of the base of the fifth metatarsal: the Jones fracture. Orthop Clin North Am. 2001 Jan;32(1):171-80. doi: 10.1016/s0030-5898(05)70200-5. |
| 10509682 | Background | Pietropaoli MP, Wnorowski DC, Werner FW, Fortino MD. Intramedullary screw fixation of Jones fractures: a biomechanical study. Foot Ankle Int. 1999 Sep;20(9):560-3. doi: 10.1177/107110079902000904. |
| 7724197 | Background | Quill GE Jr. Fractures of the proximal fifth metatarsal. Orthop Clin North Am. 1995 Apr;26(2):353-61. |
| 11029561 | Background | Rosenberg GA, Sferra JJ. Treatment strategies for acute fractures and nonunions of the proximal fifth metatarsal. J Am Acad Orthop Surg. 2000 Sep-Oct;8(5):332-8. doi: 10.5435/00124635-200009000-00007. |
| 13834594 | Background | STEWART IM. Jones's fracture: fracture of base of fifth metatarsal. Clin Orthop. 1960;16:190-8. No abstract available. |