Union time in patients with displaced, distal, diaphyseal-metaphyseal fifth metatarsal fractures. Functional out come in patients with displaced, distal, diaphyseal-metaphyseal fifth metatarsal fractures. Bone fractures Metatarsal bone Fracture fixation, internal Conservative treatment
Conditions
Interventions
The volunteers will be treated with a surgical procedure, that is an open reduction internal fixation with mid foot locking plate and screws. After surgery, the volunteers will be applied with a short
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
Surgical treatment with open reduction and internal fixation,Conservative treatment
Sponsors
Maha Vajiralongkorn foundation
Eligibility
Sex/Gender
All
Age
20 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age minimum 20 years 2. Have a diagnosis of the isolated, closed, distal, diaphyseal-metaphyseal fifth metatarsal fracture with displacement 2 to 5 mm or angulation more than 10 degrees or shortening more than 1 mm 3. Have a diagnosis within 2 weeks after injury
Exclusion criteria
Exclusion criteria: 1. Have a previous history of ipsilateral leg or foot fractures or abnormalities 2. Pathologic fractures 3. Have a history of peripheral neuropathy 4. Poor controlled DM 5. Cannot walk such as cerebrovascular diseases 6. The volunteer cannot follow up at least 12 mouths
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Union time (week) 8 weeks after treatment, then repeat every 3 weeks until union occurs Weigh bearing CT scan of foot | — |
Secondary
| Measure | Time frame |
|---|---|
| Union rate 6 months Count of non-union case, by a weight bearing CT scan of the foot,Functional outcomes Pre-treatment, 6 months, 12 months, 2 years FAAM, SF-36, VAS,Complications 6 months, 12 months, 2 years Record of any complication that occurs | — |
Countries
Thailand
Contacts
Public ContactChamnanni Rungprai
Phramonkutklao collage of medicine
Outcome results
None listed