Background: Several methods have been used to treat pediatric Jones fractures, but there has been no consensus about the optimum method. The purposes of this study were to compare the clinical outcomes between compression screw and non-weight-bearing techniques used in pediatric Jones fractures and clarify the most suitable treatment option for this population.
Methods: Twenty-one patients who presented with Jones fractures between January 2015 and June 2021 were analyzed retrospectively. They were divided into the compression screw group (n=10) and cast immobilization (n=11) group. The following parameters were compared between them: demographic data; times to radiographic union, full weight bearing, and return to daily life; and the American Orthopaedic Foot and Ankle Society (AOFAS) foot scores at 3 months postoperatively and the final follow-up.
Results: The two groups did not differ significantly with respect to age, sex, laterality, and preoperative displacement. The mean immobilization time and times to radiographic union, full weight bearing, and return to daily life were significantly shorter in the compression screw group than in the cast immobilization group. The AOFAS scores at the final follow-up did not differ significantly between the two groups. One case of refracture and delayed union each were observed in the non-weight-bearing cast group. However, no patients experienced nonunion.
Conclusions: Compression screw and non-weight-bearing cast techniques are effective methods for treating pediatric Jones fractures. The complication rate was lower in pediatrics than in adults. However, compared with the non-weight-bearing cast technique, the compression screw technique has the advantages of a shorter radiographic union time, shorter immobilization times, and earlier return to full weight bearing and daily life. We recommend compression screw fixation for widely displaced fractures and school-age and active adolescents to avoid delays in healing, nonunion, disruption to daily living, and time off school.
Level Of Evidence: Level III.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.injury.2023.111213 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Modified chevron osteotomy for the treatment of hallux valgus with unison bioabsorbable screws: Biomechanical research and clinical applications.
J Biomech
January 2025
School of Mechanical and Aerospace Engineering, Jilin University, Changchun 130025 PR China.
Researchers have modified PLA materials to enhance their mechanical properties and meet the clinical requirements. However, the strength and stiffness of PLA are still significantly lower than those of metals. Building on the established chevron clinical procedure and considering the mechanical characteristics of PLA screws, we devised a modified chevron osteotomy (MCO) based on a load-reducing structure with the aim of reducing the load on the screws.
View Article and Find Full Text PDFFemoral neck system (FNS) versus 4 cannulated compression screws (CCSs) in the treatment of young patients with Pauwels type III femoral neck fracture: a retrospective comparative study.
J Orthop Surg Res
January 2025
Department of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning Province, China.
Objective: This study aimed to evaluate the clinical effectiveness of the femoral neck system (FNS) compared to four cannulated compression screws (CCSs) for managing Pauwels type III femoral neck fractures in young patients.
Methods: A retrospective analysis was conducted on young patients with Pauwels type III femoral neck fractures treated at our hospital from January 2021 to December 2022. Patients were categorized into two groups based on their respective internal fixation methods: the FNS group (32 cases) and the CCSs group (41 cases).
Association between final local kyphosis angle and residual back pain in traumatic vertebral fractures at the thoracolumbar junction with posterior stabilization using percutaneous pedicle screws.
J Spine Surg
December 2024
Department of Orthopedic Surgery, Toyama Prefectural Central Hospital, Toyama City, Japan.
Background: There is no consensus on the association between final local kyphosis and residual back pain (RBP) after traumatic vertebral fracture. The aim of this study was to investigate whether there is an association between the final local kyphosis angle and RBP in patients with traumatic vertebral fractures at the thoracolumbar junction who underwent single posterior surgery with percutaneous pedicle screws and implant removal after fracture healing. A second goal was to determine the optimal cut-off value for the final local kyphosis angle with and without RBP.
View Article and Find Full Text PDFBiomechanical simulation of bed turning post-acetabular fracture fixation.
Sci Rep
January 2025
Department of Orthopaedic, South China Hospital of Shenzhen University, Shenzhen, 518116, Guangdong, China.
Before patients begin out-of-bed exercises following internal fixation surgery for acetabular fractures, turning over in bed serves as a crucial intervention to mitigate complications associated with prolonged bed rest. However, data on the safety of this maneuver post-surgery are limited, and the biomechanical evidence remains unclear. This study aims to introduce a novel loading protocol designed to preliminarily simulate the action of turning over in bed and to compare the biomechanical properties of two fixation methods for acetabular fractures under this new protocol.
View Article and Find Full Text PDFComparative Outcomes Between Three Different Techniques in the Fixation of Ulnar Styloid Fractures.
Handchir Mikrochir Plast Chir
January 2025
Hand Surgery, Baltalimani Special Hospital for Bone Diseases, Istanbul, Turkey.
Purpose: This study aims to compare the clinical and radiological outcomes of three different techniques used in the surgical treatment of ulnar styloid fractures.
Material And Method: Ulnar styloid fractures treated surgically between 2012 and 2022 were evaluated retrospectively. There were three groups in the study: Group I (Kirschner wire, N= 19), Group II (tension band, N= 27) and Group III (headless compression screw, N= 25).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!