Comparison of Conservative and Operative Treatment of Jones Fracture

Not Applicable

Completed

• Conditions: Fracture of Fifth Metatarsal Bone
• Interventions: Procedure: Conservative approach; Procedure: Operational approach

• Registration Number: NCT04037540
• Lead Sponsor: University Hospital Ostrava

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.

Study Timeline

• Study Start: 2006-01-01
• Primary Completion: 2011-12-31
• Study Completion: 2018-12-31
• Status Verified: 2019-07
• Study First Submitted: 2019-07-26
• Study First Submitted QC: 2019-07-26
• Study First Posted: 2019-07-30
• Last Update Submitted: 2019-07-30
• Last Update Posted: 2019-07-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 27

Inclusion Criteria

• Jones fracture

Exclusion Criteria

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Conservative approach	Conservative approach	The patients enrolled in this arm were treated conservatively, using fixation of the injured extremity.
Operational approach	Operational approach	The patients enrolled in this arm underwent surgical treatment of the Jones fracture.

Primary Outcome Measures

Name	Time	Method
The American Orthopaedic Foot & Ankle Society (AOFAS) score - 6 weeks	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.
AOFAS score - 12 months	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.

Secondary Outcome Measures

Name	Time	Method
Signs of healing on X-ray at 6 weeks	6 weeks	The presence or absence of signs of healing on X-ray were observed at 6 weeks after injury.
Signs of healing on X-ray at 12 months	6 weeks	The presence or absence of signs of healing on X-ray were observed at 12 months after injury.
Extremity loading	6 weeks	The ability to load the injured extremity was measured in per cent of full loading.

Trial Locations

Locations (1)

University Hospital Ostrava; 🇨🇿 Ostrava, Moravian-Silesian Region, Czechia