Effect of Weight-Bearing in Conservative and Operative Management of Fractures of the Base of the Fifth Metatarsal Bone.

Background. There is no established principle regarding weight-bearing in conservative and operative management of fifth metatarsal base fractures. Methods. We reviewed 86 patients with acute fifth metatarsal base fractures. Conservatively treated late or early weight-bearing patients were assigned...

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Publicado en:BioMed Research International Vol. 2017; pp. 1 - 7
Autores principales: Park, Jae-Yong, Kim, Hyong-Nyun, Hyun, Yoon-Suk, Park, Jun-Sik, Kwon, Hwan-Jin, Kang, Sae-Hyun, Kim, Gab-Lae
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 12/26/2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 12/26/2017
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      pub: Wiley-Blackwell
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        10.1155/2017/1397252
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        atl: Effect of Weight-Bearing in Conservative and Operative Management of Fractures of the Base of the Fifth Metatarsal Bone.
      aug:
        au:
          Park, Jae-Yong
          Kim, Hyong-Nyun
          Hyun, Yoon-Suk
          Park, Jun-Sik
          Kwon, Hwan-Jin
          Kang, Sae-Hyun
          Kim, Gab-Lae
        affil: Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Republic of Korea
      sug:
        subj:
          Weight-Bearing
          Metatarsal Bones Pathology
          Fractures Therapy
          Human
          Visual Analog Scaling
          Bone Resorption
          Treatment Outcomes
          Scales
          Fractures Surgery
      ab: Background. There is no established principle regarding weight-bearing in conservative and operative management of fifth metatarsal base fractures. Methods. We reviewed 86 patients with acute fifth metatarsal base fractures. Conservatively treated late or early weight-bearing patients were assigned to Group A or C, respectively. Operatively treated late or early weight-bearing patients were assigned to Group B or D, respectively. Results were evaluated by clinical union, bone resorption, and the American Orthopaedic Foot and Ankle Society (AOFAS) and Visual Analogue Scale (VAS) scores. Results. All 4 groups had bone union at a mean of 6.9 weeks (range, 5.1–15.0). There were no differences between the groups in the AOFAS and VAS scores. In the early weight-bearing groups, there were fewer cases of bone resorption, and the bone unions periods were earlier. Conclusions. Early weight-bearing may help this patient population. Moreover, conservative treatment could be an option in patients with underlying diseases.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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