![]() ![]() Overall, surgery had a good outcome with a low complication rate, though it is interesting to note that Type 1 fractures, which traditionally have a low non-union rate after conservative treatment, are associated with a significantly increased incidence of non-union if operated for symptomatic non-union. This study is the first of its kind, reporting specifically on the outcome after surgical fixation of a non-union of 5th metatarsal fractures. Surgery may include placing a screw to stabilize the fractured bone and hold it securely in place while healing occurs. 22.9% of the group required some form of further surgery, with a significant association between Type 1 fractures and the need for further surgery (p=0.0107). The fracture has occurred in a part of the bone which normally heals well without problems. 5 patients (14.3%) experienced a further symptomatic non-union after initial surgery Type 1 fractures were 11 times more likely to result in non-union (p=0.0375). You have broken a bone on the outer part of your foot. 12 were tuberosity avulsion fractures (Lawrence and Botte Type1) and 23 were Type 2/3. Demographic, clinical outcome data and radiographic classification of fracture types were collected, reviewed and analysed.ģ5 patients had undergone surgery for 5th metatarsal fractures during this time period and 31 of these had been operated on for a painful non-union. There are different types of metatarsal fractures, each one defined by the location: Zone 1: Small fractures of the tip of the fifth metatarsal base. We reported on outcome, rate of complications and requirement for additional surgery.Īll patients who required surgery to their 5th metatarsal from June 2008 to May 2018 were included. A fracture in the fifth metatarsal (located on the outside of the foot) can occur anywhere along the bone, but most often happens on the tip of the base of the bone, closer to the ankle. We studied a cohort of patients who underwent surgery as treatment for non-union. This can occur from overuse, playing sports, dancing, or a slip-and-fall accident. The primary objective of the present study was to record the radiographic healing time of fifth metatarsal diaphyseal fractures after surgical. The limited data on this specific fracture type has promoted nonoperative treatment with immobilization. Jones fractures are caused by sudden force on the outside of the foot when twisted, usually with the heel off the ground. Fifth metatarsal diaphyseal fractures are a common injury treated by foot and ankle surgeons. Tuberosity avulsion fractures are generally considered benign injuries with more distal fractures showing a propensity to develop delayed/non-union. A Jones fracture is a break in the long bone outside the foot ( fifth metatarsal) that connects to the pinky toe. The majority of 5th metatarsal fractures are successfully treated conservatively, with few patients requiring surgical fixation for symptomatic non-union. ![]()
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