Comparison of Conservative and Operative Treatment of Jones Fracture

NCT04037540 | Completed

• 2 other identifiers: FNO-KUCH-01-JonesCZ.02.1.01/00/00/17_049/00084
• Study Type: interventional
• Target: 27
• Locations: 1 country
• Sites: 1

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.

Conditions

Fracture of Fifth Metatarsal Bone

Keywords

Jones fracture; The American Orthopaedic Foot & Ankle Society (AOFAS); Herbert screw

Outcome Measures

Primary Outcomes (2)

• 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 Outcomes (3)

• Signs of healing on X-ray at 6 weeks

  6 weeks

• Signs of healing on X-ray at 12 months

  6 weeks

• Extremity loading

  6 weeks

Study Arms (2)

Operational approach

EXPERIMENTAL

The patients enrolled in this arm underwent surgical treatment of the Jones fracture.

Procedure: Operational approach

Conservative approach

EXPERIMENTAL

The patients enrolled in this arm were treated conservatively, using fixation of the injured extremity.

Procedure: Conservative approach

Interventions

Operational approach PROCEDURE

Operational approach was used to treat the Jones fracture in patients randomized into the respective study arm.

Operational approach

Conservative approach PROCEDURE

Conservative approach was used to treat the Jones fracture in patients randomized into the respective study arm.

Conservative approach

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Jones fracture

You may not qualify if:

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

Sponsors & Collaborators

• University Hospital Ostrava: lead

Study Sites (1)

University Hospital Ostrava

Ostrava, Moravian-Silesian Region, 70852, Czechia

Location

Related Publications (11)

• 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.

  PMID: 1099103 BACKGROUND

• Kavanaugh JH, Brower TD, Mann RV. The Jones fracture revisited. J Bone Joint Surg Am. 1978 Sep;60(6):776-82.

  PMID: 701310 BACKGROUND

• 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.

  PMID: 10466292 BACKGROUND

• Malkus T, Soukup B. [Jones fracture.]. Acta Chir Orthop Traumatol Cech. 1999;66(1):15-21. Czech.

  PMID: 20478127 BACKGROUND

• 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.

  PMID: 8421045 BACKGROUND

• 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.

  PMID: 8238714 BACKGROUND

• 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.

  PMID: 11465126 BACKGROUND

• 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.

  PMID: 10509682 BACKGROUND

• Quill GE Jr. Fractures of the proximal fifth metatarsal. Orthop Clin North Am. 1995 Apr;26(2):353-61.

  PMID: 7724197 BACKGROUND

• 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.

  PMID: 11029561 BACKGROUND

• STEWART IM. Jones's fracture: fracture of base of fifth metatarsal. Clin Orthop. 1960;16:190-8. No abstract available.

  PMID: 13834594 BACKGROUND

Study Officials

• Jiří Demel, MD

  University Hospital Ostrava

  PRINCIPAL INVESTIGATOR

• Leopold Pleva, Ass.Prof.,MD,CSc.

  University Hospital Ostrava

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: No masking was used in the study
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The patients with Jones fracture were randomized into one of the two study groups - operational or conservative approach.

Study Record Dates

• First Submitted: July 26, 2019
• First Posted: July 30, 2019
• Study Start: January 1, 2006
• Primary Completion: December 31, 2011
• Study Completion: December 31, 2018
• Last Updated: July 31, 2019

Record last verified: 2019-07

Data Sharing

• IPD Sharing: Will not share

Locations

CZ (1)