THE ROLE OF INTERNAL-FIXATION IN THE TREATMENT OF JONES FRACTURES IN DIABETICS

Authors
Citation
Jj. Yue et Re. Marcus, THE ROLE OF INTERNAL-FIXATION IN THE TREATMENT OF JONES FRACTURES IN DIABETICS, Foot & ankle international, 17(9), 1996, pp. 559-562
Citations number
15
Categorie Soggetti
Orthopedics
Journal title
ISSN journal
10711007
Volume
17
Issue
9
Year of publication
1996
Pages
559 - 562
Database
ISI
SICI code
1071-1007(1996)17:9<559:TROIIT>2.0.ZU;2-I
Abstract
The purpose of this study was to evaluate the treatment of fractures o f the proximal fifth metatarsal at the junction of the metaphysis and diaphysis (i.e., Jones fracture) in diabetics. Open reduction and inte rnal fixation with bone grafting resulted in clinical and radiographic union 8 weeks after surgery in patients treated with either immediate or delayed open reduction and internal fixation. Open reduction and i nternal fixation with autologous bone grafting is an effective treatme nt regimen in the diabetic patient with a Jones fracture. An initial t rial of casting can be attempted without any apparent deleterious effe cts on secondary open reduction and internal fixation.