- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04037540
Comparison of Conservative and Operative Treatment of Jones Fracture
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The study deals with the topic of treatment of Jones fracture, comparing surgical and conservative approach. The fracture occurs especially in highly active individuals.
The study proposes a supposition of recommending the active operational approach, which shortens the period of healing by 6 weeks, limitation of physical activity by 4 weeks, and sick leave by 2 months. It also completely eliminates the need to perform a rigid fixation of the extremity for 8-12 weeks.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Moravian-Silesian Region
-
Ostrava, Moravian-Silesian Region, Czechia, 70852
- University Hospital Ostrava
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Jones fracture
Exclusion Criteria:
- combined injury
- recurring injury
- diabetes mellitus
- chronic renal insufficiency
- osteopathy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Operational approach
The patients enrolled in this arm underwent surgical treatment of the Jones fracture.
|
Operational approach was used to treat the Jones fracture in patients randomized into the respective study arm.
|
Experimental: Conservative approach
The patients enrolled in this arm were treated conservatively, using fixation of the injured extremity.
|
Conservative approach was used to treat the Jones fracture in patients randomized into the respective study arm.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The American Orthopaedic Foot & Ankle Society (AOFAS) score - 6 weeks
Time Frame: 6 weeks
|
The improvement in The American Orthopaedic Foot & Ankle Society (AOFAS) score from the baseline was observed at 6 weeks after injury on a scale of 0-100.
|
6 weeks
|
AOFAS score - 12 months
Time Frame: 12 months
|
The improvement in The American Orthopaedic Foot & Ankle Society (AOFAS) score from the baseline was observed at 12 months after injury on a scale of 0-100.
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Signs of healing on X-ray at 6 weeks
Time Frame: 6 weeks
|
The presence or absence of signs of healing on X-ray were observed at 6 weeks after injury.
|
6 weeks
|
Signs of healing on X-ray at 12 months
Time Frame: 6 weeks
|
The presence or absence of signs of healing on X-ray were observed at 12 months after injury.
|
6 weeks
|
Extremity loading
Time Frame: 6 weeks
|
The ability to load the injured extremity was measured in per cent of full loading.
|
6 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Jiří Demel, MD, University Hospital Ostrava
- Study Director: Leopold Pleva, Ass.Prof.,MD,CSc., University Hospital Ostrava
Publications and helpful links
General Publications
- Dameron TB Jr. Fractures and anatomical variations of the proximal portion of the fifth metatarsal. J Bone Joint Surg Am. 1975 Sep;57(6):788-92.
- Kavanaugh JH, Brower TD, Mann RV. The Jones fracture revisited. J Bone Joint Surg Am. 1978 Sep;60(6):776-82.
- Landorf KB. Clarifying proximal diaphyseal fifth metatarsal fractures. The acute fracture versus the stress fracture. J Am Podiatr Med Assoc. 1999 Aug;89(8):398-404. doi: 10.7547/87507315-89-8-398.
- Malkus T, Soukup B. [Jones fracture.]. Acta Chir Orthop Traumatol Cech. 1999;66(1):15-21. Czech.
- Marshall PD, Evans PD, Richards J. Laboratory comparison of the cannulated Herbert bone screw with ASIF cancellous lag screws. J Bone Joint Surg Br. 1993 Jan;75(1):89-92. doi: 10.1302/0301-620X.75B1.8421045.
- Mindrebo N, Shelbourne KD, Van Meter CD, Rettig AC. Outpatient percutaneous screw fixation of the acute Jones fracture. Am J Sports Med. 1993 Sep-Oct;21(5):720-3. doi: 10.1177/036354659302100514.
- Nunley JA. Fractures of the base of the fifth metatarsal: the Jones fracture. Orthop Clin North Am. 2001 Jan;32(1):171-80. doi: 10.1016/s0030-5898(05)70200-5.
- Pietropaoli MP, Wnorowski DC, Werner FW, Fortino MD. Intramedullary screw fixation of Jones fractures: a biomechanical study. Foot Ankle Int. 1999 Sep;20(9):560-3. doi: 10.1177/107110079902000904.
- Quill GE Jr. Fractures of the proximal fifth metatarsal. Orthop Clin North Am. 1995 Apr;26(2):353-61.
- Rosenberg GA, Sferra JJ. Treatment strategies for acute fractures and nonunions of the proximal fifth metatarsal. J Am Acad Orthop Surg. 2000 Sep-Oct;8(5):332-8. doi: 10.5435/00124635-200009000-00007.
- STEWART IM. Jones's fracture: fracture of base of fifth metatarsal. Clin Orthop. 1960;16:190-8. No abstract available.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- FNO-KUCH-01-Jones
- CZ.02.1.01/00/00/17_049/00084 (Other Grant/Funding Number: Ministry of Education of the Czech Republic)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Fracture of Fifth Metatarsal Bone
-
Zimmer BiometTerminatedNonunion of Fracture of Fifth MetatarsalUnited States
-
Sheffield Teaching Hospitals NHS Foundation TrustCompletedClosed Fracture of Base of Fifth Metatarsal BoneUnited Kingdom
-
Jatupon KongtharvonskulPolice General HospitalCompletedAcute Closed Fracture of Proximal Fifth Metatarsal (Zone II)Thailand
-
Heinrich-Heine University, DuesseldorfTerminatedFifth Metacarpal Neck FractureGermany
-
Brooke Army Medical CenterUniformed Services University of the Health Sciences; The Geneva FoundationRecruitingMetatarsal Stress Fracture | Stress Fracture of TibiaUnited States
-
Ostfold Hospital TrustOslo University Hospital; University Hospital, AkershusRecruiting
-
Hallym University Kangnam Sacred Heart HospitalUnknownTreatment | Metatarsal FractureKorea, Republic of
-
Balgrist University HospitalRecruitingStress Fracture Metatarsal | Lower Limb Fracture | Stress Fracture Foot | Stress Fracture Ankle | Stress Fracture of TibiaSwitzerland
-
Sohag UniversityCompletedDisplaced Metatarsal Neck FractureEgypt
Clinical Trials on Operational approach
-
University Hospital, BrestNot yet recruiting
-
University Hospital, BordeauxCompletedPatient Centred CareFrance
-
Sahlgrenska University Hospital, SwedenVastra Gotaland RegionRecruitingMuscle Weakness | Muscle Atrophy | Hip Osteoarthritis | Arthroplasty Complications | Muscle InjurySweden
-
University of Sao Paulo General HospitalUniversity of Campinas, BrazilUnknown
-
Iuliu Hatieganu University of Medicine and PharmacyEmergency County Hospital Cluj-NapocaCompleted
-
Florida Orthopaedic InstituteOrthopaedic Trauma AssociationCompletedTibial FracturesUnited States
-
Medacta USAMedacta International SACompletedOsteoarthritisUnited States
-
Seoul National University Bundang HospitalCompletedArthroplasty, Replacement, HipKorea, Republic of
-
Sorlandet Hospital HFUnknown
-
Fraser Orthopaedic Research SocietyCompletedINfrapatellar Versus SUprapatellar Reamed Intramedullary Nailing for Fractures of the Tibia (INSURT)Tibial Fractures | Anterior Knee Pain SyndromeCanada, Spain