Conservative Management of Proximal Fifth Metatarsal Fractures (Jones fracture)

Abstract

Objective: To determine the outcome of proximal fifth metatarsal fracture treated by POP (Plaster of Paris) cast.

Study Design: Descriptive Cross -sectional study

Place and Duration of Study: This study was conducted in the Department of Orthopaedics& Traumatology of KhyberTeaching Hospital, Peshawar from Jan 2012 to Jan 2013

Materials and Methods: Hundred patients with fracture of proximal fifth metatarsal bone (Jones fracture) were managed conservatively with plaster cast immobilization. Fracture healing and functional outcome was assessed.

Results: The mean age of the patients was 53 years. The clinical and radiological union

rates at 6 months of follow up were 97% and  95.3% respectively. A progressive improvement in

AOFAS (American Orthopaedic Foot and Ankle Society) mid foot scale score was seen. Overall 92% patients were satisfied with theoutcome.Four patients had malunion and only one had nonunion.

Conclusion: Acute fracture of proximal fifth metatarsal can be effectively managed by plaster cast immobilization