Screw Fixation versus Casting in the Treatment of Acute Jones Fracture | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 7, July 2024 | ||||
| DOI: 10.58675/2682-339X.2503 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Bahaa Koranh; Ahmed Hammouda; Ali Ahmed | ||||
| Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Approximately 3- 10% of all metatarsal fractures are Jones fractures, defined as fractures at the base of the fifth metatarsal at the meta-diaphyseal junction. Aim and objectives: To evaluate and assess the outcomes and results of percutaneous Screw Fixation against Casting in the Treatment of acute Jones Fracture. Patients and methods: This was comparative research among conservative & percutaneous screw fixation in the management of acute Jones fracture type II conducted on 20 patients presenting to Elhussein Hospital and Elmounira General Hospital from September 2020 to March 2021. Patients were categorized into two groups. Results: No significant variance was found among groups concerning comorbidities p over 0.05. no significant variance was found among groups regarding the Fracture Side (p equals 0.639). Union time was significantly less in the operative group than in the cast group p equals 0. 006. AOFAS score was significantly greater in the operative group than the cast group at 1-, 2-, and 3-months P= (0.026, 0.025, 0.005), respectively. There was no significant variance among the groups concerning Following surgery complications (Wound infection, Nonunion, and Sudeck’s atrophy) p = (0.307, 0.060, 0.307) respectively. Conclusion: The union time was significantly lower in the operative group compared to the cast group. The AOFAS score was significantly higher in the operative group than in the cast group at 1, 2, and 3 months. So, we can conclude that Screw Fixation has efficient and better outcomes than Casting in the Treatment of acute Jones fracture. | ||||
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