fifth metatarsal shaft fractures fractures of the lesser toe
Conditions
Interventions
The intervention group is offered surgical treatment of the shaft fracture of
the fifth metatarsal bone with ORIF. Depending on the type of shaft fracture
this will be either lag screw fixation or p
Sponsors
Isala Klinieken
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - 18 years or older at the time of study entry - Informed consent - Competent to participate in follow up and fill out questionnaires - Dislocated (1mm or more on plain radiography) fracture of the shaft, distal from zone 3, of the fifth metatarsal according to the Orthopedic Trauma Association (OTA) classification 87.5.3 A-C
Exclusion criteria
Exclusion criteria: - Open fracture - Proximal fifth metatarsal fracture, Jones fracture - Clinically significant or symptomatic vascular or neurologic pathology on the ipsilateral leg - Former surgery or history of development disorder of the contralateral fifth metatarsal - Multiple fractured metatarsals in the affected foot - Medical history of Rheumatoid Arthritis - Unable to undergo surgical procedure
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Impact on daily living will be measured by * Return to work * Return to normal footwear Impact on fracture healing will be measured by * Malunion of the fracture * Non-union of the fracture * Complication rate Functional outcome will be measured by the questionnaires * FAAM * PROMIS * AOFAS LTS * NRS-11 measured across the different timepoints of the follow up (6 weeks. 3, 6 and 12 months) | — |
Primary
| Measure | Time frame |
|---|---|
| The main study endpoint is difference in NRS-11 score for pain between the two groups at three months. This is a patient reported rating scale, resulting in a score ranging from 0-10 where 10 is the worst pain ever experienced. | — |
Countries
Netherlands
Outcome results
None listed