Khanduja Vikas, Lim C B B, Vemulapalli K K, Lee C M, Banan H
North West Thames Rotation, London.
Br J Nurs. 2006;15(5):282-4. doi: 10.12968/bjon.2006.15.5.20644.
This article aims to assess whether a detachable functional focused rigidity cast can be used as a one-off definitive treatment for proximal 5th metatarsal fractures. A prospective trial was carried out over a 2-year period. Forty-one patients with proximal 5th metatarsal fractures (tuberosity and Jones) were recruited and treated with a detachable focused rigidity cast after appropriate consent. Of the 39 patients with follow-up, six had a Jones fracture and 33 had tuberosity fractures. All 33 patients with tuberosity fractures achieved clinical union within 4-5 weeks (mean of 4.2 weeks). Four of the six patients with Jones fractures achieved clinical union in 8-12 weeks. One achieved union in 14 weeks and one underwent open reduction and internal fixation for delayed union. There were no complications related to the cast. The results support the use of a detachable focused rigidity cast as a one-off definitive treatment of tuberosity fractures of the 5th metatarsal. However, all the Jones fractures and the diaphyseal fractures should be referred to an orthopaedic team for further management.
本文旨在评估可拆卸的功能聚焦刚性石膏能否作为第五跖骨近端骨折的一次性确定性治疗方法。进行了一项为期两年的前瞻性试验。招募了41例第五跖骨近端骨折（结节部骨折和琼斯骨折）患者，并在获得适当同意后用可拆卸的聚焦刚性石膏进行治疗。在39例有随访的患者中，6例为琼斯骨折，33例为结节部骨折。所有33例结节部骨折患者均在4 - 5周内（平均4.2周）实现临床愈合。6例琼斯骨折患者中有4例在8 - 12周内实现临床愈合。1例在14周时实现愈合，1例因延迟愈合接受切开复位内固定术。未发生与石膏相关的并发症。结果支持将可拆卸的聚焦刚性石膏作为第五跖骨结节部骨折的一次性确定性治疗方法。然而，所有琼斯骨折和骨干骨折都应转诊至骨科团队进行进一步处理。
