Clinical trial NCT04037540: Comparison of Conservative and Operative Treatment of Jones Fracture
Official title: Comparison of Conservative and Operative Treatment of Jones Fracture
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Fracture of Fifth Metatarsal Bone
Keywords: Jones fracture
The American Orthopaedic Foot & Ankle Society (AOFAS)
Herbert screw
Lead sponsor: University Hospital Ostrava
Sponsor class: OTHER
First posted: 2019-07-30
Enrollment: 27
Sex: ALL
Minimum age (years): 18
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The patients with Jones fracture were randomized into one of the two study groups - operational or conservative approach.
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

- Jones fracture

Exclusion Criteria:

* combined injury
* recurring injury
* diabetes mellitus
* chronic renal insufficiency
* osteopathy

Primary outcomes:
measure: The American Orthopaedic Foot & Ankle Society (AOFAS) score - 6 weeks
timeFrame: 6 weeks
measure: AOFAS score - 12 months
timeFrame: 12 months
Secondary outcomes:
measure: Signs of healing on X-ray at 6 weeks
timeFrame: 6 weeks
measure: Signs of healing on X-ray at 12 months
timeFrame: 6 weeks
measure: Extremity loading
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Ostrava
country: Czechia
facility: University Hospital Ostrava
state: Moravian-Silesian Region
Study officials:
affiliation: University Hospital Ostrava
name: Jiří Demel, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: University Hospital Ostrava
name: Leopold Pleva, Ass.Prof.,MD,CSc.
role: STUDY_DIRECTOR
References:
citation: 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.
citation: Kavanaugh JH, Brower TD, Mann RV. The Jones fracture revisited. J Bone Joint Surg Am. 1978 Sep;60(6):776-82.
citation: 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.
citation: Malkus T, Soukup B. [Jones fracture.]. Acta Chir Orthop Traumatol Cech. 1999;66(1):15-21. Czech.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: Quill GE Jr. Fractures of the proximal fifth metatarsal. Orthop Clin North Am. 1995 Apr;26(2):353-61.
citation: 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.
citation: STEWART IM. Jones's fracture: fracture of base of fifth metatarsal. Clin Orthop. 1960;16:190-8. No abstract available.