Document Detail


Outpatient percutaneous screw fixation of the acute Jones fracture.
MedLine Citation:
PMID:  8238714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nine patients (8 men and 1 woman, ranging in age from 17 to 22 years) who sustained a Jones fracture were treated with percutaneous intramedullary screw fixation as outpatients. All of the patients were varsity athletes. Seven were Division I scholarship athletes. Beginning at 7 to 10 days after surgery, all patients were allowed weightbearing as tolerated with a CAM walker. Stationary bicycling, swimming, and Stairmaster were allowed at 2 to 3 weeks. The average return to running was 5.5 weeks (range, 3 to 10). The average return to full competition was 8.5 weeks (range, 7 to 12). No perioperative or postoperative complications occurred. Average followup was 2.5 years. All fractures attained clinical and radiographic union. We believe that outpatient percutaneous intramedullary screw fixation of the acute Jones fracture is a reasonable alternative for those active patients who would have difficulty with a non-weightbearing cast and crutches or who desire an expeditious return to activities. Time restraints are particularly critical for in-season or preseason athletes. With the outpatient screw fixation method, our patient population had predictable healing, and they returned to full sports participation within 12 weeks.
Authors:
N Mindrebo; K D Shelbourne; C D Van Meter; A C Rettig
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of sports medicine     Volume:  21     ISSN:  0363-5465     ISO Abbreviation:  Am J Sports Med     Publication Date:    1993 Sep-Oct
Date Detail:
Created Date:  1993-12-16     Completed Date:  1993-12-16     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7609541     Medline TA:  Am J Sports Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  720-3     Citation Subset:  IM    
Affiliation:
Methodist Sports Medicine Center, Indianapolis, IN 46202.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Ambulatory Surgical Procedures
Athletic Injuries / pathology,  rehabilitation,  surgery*
Basketball / injuries
Bone Screws*
Female
Football / injuries
Fracture Fixation, Internal / instrumentation,  methods*
Fracture Healing
Fractures, Bone / pathology,  rehabilitation,  surgery*
Humans
Male
Metatarsal Bones / injuries*,  pathology
Physical Therapy Modalities
Running / injuries
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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