Comparative study of surgical and conservative treatments for fifth metatarsal base avulsion fractures (type I) in young adults or athletes

Wu, Guangjie; Li, Bing; Yang, Yunfeng

doi:10.1177/2309499017747128

Cited by 26 publications

(55 citation statements)

References 24 publications

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“…Thereafter, upon excluding the duplicates and applying the inclusion criteria, a total of 11 studies were retained. In the included studies, four were randomized controlled trials [10,[47][48][49], whereas seven were non-randomized retrospective trials [2,[50][51][52][53][54][55].…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies analyzed the influence of operative and non-operative interventions on the rate of non-union of the fifth metatarsal base fracture [2,10,[47][48][49][50][51][52]54]. Here, five studies…”

Section: Resultsmentioning

confidence: 99%

“…reported significant (p<0.05) reduction in rate of non-union [2,47,48,51,52], and three reported non-significant (p>0.05) reduction for the operated group as compared to non-operated group [10,49,54]. One study reported no difference between the operated and non-operated group [50].…”

Section: Plos Onementioning

confidence: 99%

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Comparison of operative and non-operative management of fifth metatarsal base fracture: A meta-analysis

Wang

et al. 2020

PLoS ONE

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Fracture to fifth metatarsal's base is one the most common injury experienced at the foot. Studies have for long debated the use of operative and non-operative interventions for the management of the fracture, especially owing to its peculiar vasculature. However, to date, no attempt has been made to synthesize the evidence comparing the efficacy of operative and non-operative interventions for managing the fifth metatarsal's base fracture. To metastatistically compare the effects of operative and non-operative management of fifth metatarsal base fracture. A systematic identification of literature was performed according to PRISMA guidelines on four academic databases: MEDLINE, Scopus, EMBASE, and CENTRAL. A meta-analysis evaluated the influence of operative and non-operative interventions on rate of non-union, mean duration of union, duration of return to activity, duration of return to sport, visual analog scale, and the American orthopedic foot & ankle scale. Out of 1,170 records, 11 articles including 404 participants (mean age: 29.8 ± 7.4 years) were included in this review. This systematic review presents a 1b level of evidence supporting the use of operative interventions for enhancing fracture union as compared to non-operative interventions. The meta-analysis reveals beneficial effects for operative interventions by demonstrating medium to large effect reduction of rate of non-union (Hedge's g:-0.66), duration of union (-1.7), duration of return to activity (-2.07), visual analog scale (-0.86), and enhancement of the American orthopedic foot & ankle scale score (0.73) as compared to non-operative intervention. The current systematic review and meta-analysis recommend the use of operative interventions for managing the fifth metatarsal's base fracture. The review reports beneficial effects of operative interventions as compared to non-operative interventions for reducing the rate of non-union, duration of union, duration of return to activity, duration of return to sport, visual analog scale, and increasing the American orthopedic foot & ankle scale score.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Comparison of operative and non-operative management of fifth metatarsal base fracture: A meta-analysis

Wang

et al. 2020

PLoS ONE

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“…Wu et al [29] zeigten im Vergleich von 21 operativ gegenüber 20 konservativ versorgten Avulsionsfrakturen, dass eine schnellere Rückkehr zur Vollbelastung und auch zur Arbeit bei operativ versorgten Patienten besteht, wobei beide Gruppen die ersten 6 Wochen eine Entlastung durchführten.…”

Section: Mittelfußfrakturen Des 5 Strahlsunclassified

Möglichkeiten und Grenzen der konservativen Therapie: Fuß und Sprunggelenk

Geerling

Ellwein

Lill

2018

Trauma Berufskrankh

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“…The fifth metatarsal fractures is one of the most familiar metatarsal fractures, with 6.7 fractures reported for every 10,000 people. [ 1 , 2 ] The fracture of the proximal fifth metatarsal is not only owing to the direct injuries in this area, but also to the inverted injuries with plantar flexion. These fractures can lead to serious incidence rate, especially in athletes, the time of competition is obviously shortened, and refracture, sometimes it cannot resume sport.…”

Section: Introductionmentioning

confidence: 99%

Surgical versus conservative management of fifth metatarsal fractures in adults

Li²,

Xie³

et al. 2020

Medicine

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Background: At present, the treatment of base fractures of the fifth metatarsal, especially the area I fractures, is still a controversial topic. The objective of our work was to assess the radiological and clinical outcomes of displaced avulsion fractures of the fifth metatarsal base after treated with conservative treatment or intramedullary screw. Methods: All of the fifth metatarsal fractures patients underwent surgery by the senior authors in our hospital from January 2017 to December 2019 were reviewed. Institutional Review Board in the Subsidiary Hospital of Guizhou Medical University approved this study. Patients with the following conditions can be included: the displaced avulsion fracture of fifth metatarsal base; aged 18 to 40 years; a completed medical history; the patients were followed up for at least 6 months. Patients with the following conditions will be excluded: follow-up less than 6 months; open fracture; pathological fracture; osteoporotic fracture; patients have the history of ankle or foot surgery. Radiographs were taken at 1, 3, 6 and 12 months in outpatient follow-up. The following outcomes were assessed in the follow-up: functional outcomes, the score of patient satisfaction, as well as the motion range, and complications. All the statistical analyses were implemented via applying the software of SPSS Version 12 (SPSS Inc, Chicago, IL). Results: We hypothesized that there was no remarkable difference between two groups in the outcomes after operation. Trial registration: This study protocol was registered in Research Registry (researchregistry6024).

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Comparative study of surgical and conservative treatments for fifth metatarsal base avulsion fractures (type I) in young adults or athletes

Abstract: In young adults or athletes with displaced avulsion fractures of fifth metatarsal base zone I, closed reduction and percutaneous screw fixation provides anatomical stable fixation and early mobilization.

Cited by 26 publications

References 24 publications

Comparison of operative and non-operative management of fifth metatarsal base fracture: A meta-analysis

Comparison of operative and non-operative management of fifth metatarsal base fracture: A meta-analysis

Möglichkeiten und Grenzen der konservativen Therapie: Fuß und Sprunggelenk

Surgical versus conservative management of fifth metatarsal fractures in adults

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