Comparison Of Conservative And Operative Treatment Of Jones
Fracture

J 2020

Comparison Of Conservative And Operative Treatment Of Jones Fracture

DEMEL, Jiří

Basic information

Original name

Comparison Of Conservative And Operative Treatment Of Jones Fracture

Name in Czech

Srovnání konzervativní a operační léčby Jonesovy zlomeniny

Name (in English)

Comparison Of Conservative And Operative Treatment Of Jones Fracture

Authors

DEMEL, Jiří

Edition

European Journal of Trauma and Emergency Surgery, Urban & Vogel, 2020, 1863-9933

Other information

Type of outcome

Článek v odborném periodiku

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 3.693

Keywords (in Czech)

Jonesova zlomenina Herbert šroub

Keywords in English

Jones fracture Herbert screw

Abstract

V originále

Comparison Of Conservative And Operative Treatment Of Jones Fracture J. Demel University Hospital Ostrava, Traumacentre, Ostrava/CZECH REPUBLIC Introduction: prospective study of 27 patients Tracked parameters: 6 weeks and 12 weeks after injury 1) X-ray finding 2) AOFAS score Material & Methods: Hypothesis I: surgical treatment leads to a faster return to normal patient walking when an acute Jones fracture Hypothesis II: RTG signs of healing occur in case of surgical treatment earlier than in conservative treatment in orthesis. In the absence of X-ray signs of low AOFAS healing in a conservative 6-week treatment, treatment was labeled unsuccessful and the patient was indicated for surgical treatment: Number of probands 27, Group K (Conservative): 12, Group O (operational): 15 Results: Group K: There were no signs of RTG healing in 5 cases from 12 to 6 weeks. At the same time, these patients also showed AOFAS score in the bad or satisfactory category. They were indicated for surgical treatment and excluded from the course of the study. 7 patients in the X-ray image showed fracture failure. Their AOFAS were at least satisfactory and continued conservative therapy. After 12 months, 6 patients had X-ray fracture healing and AOFAS 100 score. In one patient after 12 weeks the fracture was not healed in X-ray image. The patient refused surgical treatment. Group O: 7 patients after 6 weeks had a healed fracture in X-ray image, 8 patients did not have XG fracture healing. The average AOFAS score after 6 weeks was 97 (excellent). After 12 months, the finding of fracture healing in X-ray was 13 patients. The average AOFAS was 100 points (maximum). Conclusions: The results of the study show that 1) Operating treatment leads to significantly faster RTG healing than conservative 2) After 6 weeks of surgery, 93% (14 out of 15) are able to fully load the limb, 60% (9 out of 15) even including all movement activities. References: DAMERON T.B., Jr: Fractures and Anatomical Variations of the Proximal Portion af the Fifth Metatrsal. The J Bone and Joint Surg 1975 Sept No 6, 788-792 KAVANAUGH J.H., BROWER T.D., MANN R.V.: The Jones fracture revisited. J Bone Joint Surg Am, 60 776-782

Citovat

DEMEL, Jiří. Comparison Of Conservative And Operative Treatment Of Jones Fracture. European Journal of Trauma and Emergency Surgery. Urban & Vogel, 2020, vol. 2019, No 45, p. 58. ISSN 1863-9933.

@article{1633496,
   author = {Demel, Jiří},
   article_number = {45},
   keywords = {Jones fracture Herbert screw},
   issn = {1863-9933},
   journal = {European Journal of Trauma and Emergency Surgery},
   title = {Comparison Of Conservative And Operative Treatment Of Jones Fracture},
   url = {https://link.springer.com/journal/68/45/1/suppl},
   volume = {2019},
   year = {2020}
}

TY  - JOUR
ID  - 1633496
AU  - Demel, Jiří
PY  - 2020
TI  - Comparison Of Conservative And Operative Treatment Of Jones Fracture
JF  - European Journal of Trauma and Emergency Surgery
VL  - 2019
IS  - 45
SP  - 58
EP  - 58
PB  - Urban & Vogel
SN  - 18639933
KW  - Jones fracture Herbert screw
UR  - https://link.springer.com/journal/68/45/1/suppl
N2  - Comparison Of Conservative And Operative Treatment Of Jones Fracture J. Demel University Hospital Ostrava, Traumacentre, Ostrava/CZECH REPUBLIC Introduction: prospective study of 27 patients Tracked parameters: 6 weeks and 12 weeks after injury 1) X-ray finding 2) AOFAS score Material & Methods: Hypothesis I: surgical treatment leads to a faster return to normal patient walking when an acute Jones fracture Hypothesis II: RTG signs of healing occur in case of surgical treatment earlier than in conservative treatment in orthesis. In the absence of X-ray signs of low AOFAS healing in a conservative 6-week treatment, treatment was labeled unsuccessful and the patient was indicated for surgical treatment: Number of probands 27, Group K (Conservative): 12, Group O (operational): 15 Results: Group K: There were no signs of RTG healing in 5 cases from 12 to 6 weeks. At the same time, these patients also showed AOFAS score in the bad or satisfactory category. They were indicated for surgical treatment and excluded from the course of the study. 7 patients in the X-ray image showed fracture failure. Their AOFAS were at least satisfactory and continued conservative therapy. After 12 months, 6 patients had X-ray fracture healing and AOFAS 100 score. In one patient after 12 weeks the fracture was not healed in X-ray image. The patient refused surgical treatment. Group O: 7 patients after 6 weeks had a healed fracture in X-ray image, 8 patients did not have XG fracture healing. The average AOFAS score after 6 weeks was 97 (excellent). After 12 months, the finding of fracture healing in X-ray was 13 patients. The average AOFAS was 100 points (maximum). Conclusions: The results of the study show that 1) Operating treatment leads to significantly faster RTG healing than conservative 2) After 6 weeks of surgery, 93% (14 out of 15) are able to fully load the limb, 60% (9 out of 15) even including all movement activities. References: DAMERON T.B., Jr: Fractures and Anatomical Variations of the Proximal Portion af the Fifth Metatrsal. The J Bone and Joint Surg 1975 Sept No 6, 788-792 KAVANAUGH J.H., BROWER T.D., MANN R.V.: The Jones fracture revisited. J Bone Joint Surg Am, 60 776-782
ER  -

DEMEL, Jiří. Comparison Of Conservative And Operative Treatment Of Jones Fracture. \textit{European Journal of Trauma and Emergency Surgery}. Urban \&{} Vogel, 2020, vol.~2019, No~45, p.~58. ISSN~1863-9933.

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