Comparison of Conservative and Operative Treatment of Jones Fracture

NCT ID: NCT04037540

Last Updated: 2019-07-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-01-01

Study Completion Date

2018-12-31

Brief Summary

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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

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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.

Conditions

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Fracture of Fifth Metatarsal Bone

Keywords

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

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The patients with Jones fracture were randomized into one of the two study groups - operational or conservative approach.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

No masking was used in the study

Study Groups

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Operational approach

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

Group Type EXPERIMENTAL

Operational approach

Intervention Type PROCEDURE

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

Conservative approach

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

Group Type EXPERIMENTAL

Conservative approach

Intervention Type PROCEDURE

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

Interventions

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Operational approach

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

Intervention Type PROCEDURE

Conservative approach

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

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

\- Jones fracture

Exclusion Criteria

* combined injury
* recurring injury
* diabetes mellitus
* chronic renal insufficiency
* osteopathy
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital Ostrava

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jiří Demel, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Ostrava

Leopold Pleva, Ass.Prof.,MD,CSc.

Role: STUDY_DIRECTOR

University Hospital Ostrava

Locations

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University Hospital Ostrava

Ostrava, Moravian-Silesian Region, Czechia

Site Status

Countries

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Czechia

References

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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.

Reference Type BACKGROUND
PMID: 1099103 (View on PubMed)

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

Reference Type BACKGROUND
PMID: 701310 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 10466292 (View on PubMed)

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

Reference Type BACKGROUND
PMID: 20478127 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 8421045 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 8238714 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 11465126 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 10509682 (View on PubMed)

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

Reference Type BACKGROUND
PMID: 7724197 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 11029561 (View on PubMed)

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

Reference Type BACKGROUND
PMID: 13834594 (View on PubMed)

Other Identifiers

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CZ.02.1.01/00/00/17_049/00084

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

FNO-KUCH-01-Jones

Identifier Type: -

Identifier Source: org_study_id