Fifth Metatarsal Jones' Fractures: Internal Fixation.

Jones' fractures occur in the proximal diametaphyseal
region of the fifth metatarsal, which
is a relative watershed area for blood supply,
and are associated with a prolonged time for
healing and an increased rate of symptomatic
nonunions. In patients who desire a quicker
return to activity, athletes, or cases in which
bony healing appears to be delayed, surgical
treatment with intramedullary fixation of the
fifth metatarsal is an appropriate consideration.
Proper surgical technique and intraoperative
fluoroscopic imaging will help ensure an
uncomplicated outcome. Generally, solid screws
of the appropriate length to achieve endosteal
screw purchase within the isthmus of the fifth
metatarsal provides the best internal fixation.

свернуть