Comparison of Conservative and Operative Treatment of Jones Fracture

Study Overview
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Brief Summary
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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.

Detailed Description
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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 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.

Official Title
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Comparison of Conservative and Operative Treatment of Jones Fracture

Conditions
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Fracture of Fifth Metatarsal Bone

Intervention / Treatment
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* Procedure: Operational approach
* Procedure: Conservative approach


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - Jones fracture Exclusion Criteria: combined injury recurring injury diabetes mellitus chronic renal insufficiency osteopathy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The patients with Jones fracture were randomized into one of the two study groups - operational or conservative approach.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Operational approach<br>The patients enrolled in this arm underwent surgical treatment of the Jones fracture. | Procedure: Operational approach<br>* Operational approach was used to treat the Jones fracture in patients randomized into the respective study arm.<br>|
| Experimental: Conservative approach<br>The patients enrolled in this arm were treated conservatively, using fixation of the injured extremity. | Procedure: Conservative approach<br>* Conservative approach was used to treat the Jones fracture in patients randomized into the respective study arm.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | 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 | 

Secondary Outcome Measures

| Outcome Measure | 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. | 6 weeks | 
| Extremity loading | The ability to load the injured extremity was measured in per cent of full loading. | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Jones fracture, The American Orthopaedic Foot & Ankle Society (AOFAS), Herbert screw