Department of Trauma Surgery, Rode Kruis Ziekenhuis, Vondellaan 13, 1942 LE Beverwijk, The Netherlands.
Injury. 2010 Jun;41(6):555-62. doi: 10.1016/j.injury.2009.05.035. Epub 2009 Jun 30.
Of all foot fractures the fifth metatarsal fracture is the most common. A complete clinical and radiological assessment is required to select the best treatment option. Nondisplaced tuberosity avulsion fractures can be treated non-operatively. Surgical treatment is indicated when the fracture is displaced more than 2mm or when more than 30% of the cubometatarsal joint is involved. Non or minimally displaced shaft fractures can be treated non-operatively. If the dislocation is more than 3-4mm or the angulation is more than 10 degrees, percutaneous K-wires, plate or screw fixation is indicated. The Jones fracture is known for prolonged healing time and non-union. The indication for surgical treatment of Jones' fractures depends on activity level and Torg classification: type I fractures are treated non-operatively. Type II fractures can be treated non-operatively or operatively, depending on patient activity level. Type III fractures have more complications and should be treated operatively. Several operation techniques have been described.
所有足部骨折中，第五跖骨骨折最为常见。需要进行全面的临床和影像学评估，以选择最佳的治疗方案。无移位的结节撕脱骨折可以非手术治疗。当骨折移位超过 2mm 或累及超过 30%的跖跗关节时，需要手术治疗。无移位或轻度移位的骨干骨折可以非手术治疗。如果脱位超过 3-4mm 或成角超过 10 度，则需要经皮 K 线、钢板或螺钉固定。Jones 骨折的愈合时间长且易发生不愈合。Jones 骨折的手术治疗指征取决于活动水平和 Torg 分类：I 型骨折采用非手术治疗。II 型骨折可根据患者的活动水平选择非手术或手术治疗。III 型骨折并发症较多，应手术治疗。已经描述了几种手术技术。
