doi no.: 05-2016-44975451, DOI Link :: http://doi-ds.org/doilink/10.2020-13992563/

Dr. Ranjit Kumar Dutta¹

Affiliation :

1. B.B.S., M.S (Ortho), Dip. In Sports Med. (JU), Associate professor, Department of Orthopedic Surgery, Jagannath Gupta Institute of Medical science & Hospital, 137, K.P. Mondal Road, Buita, Budge Budge, Kolkata – 700137, duttaranjitkumar1952@gmail.com

ABSTRACT

Fifth metatarsal base fracture is a common foot injury in young adults and athletes. This study was done to compare between conservative and surgical treatment in displaced avulsion fracture of fifth metatarsal base in young adults and athletes. Forty-eight patients with displaced fifth metatarsal base avulsion fracture were selected by randomization. Four (8.33%) patients were lost to follow up. Conservative group were immobilized with below knee P.O.P. cast, while operative group were treated by closed reduction and fixation with percutaneous screw or tension band wiring. All patients were followed up at 3 months, 6 months and 12 months. All cases had primary union except for 4 (Four) patients from conservative group and 1 (one) patient from operative group. In conservative group 2 patients results in mal union and 2 with frequent mild to moderate plantar pain. There was non-union of one patient from operative group. The result was better in operative group at 6 months after treatment, but there was no significant difference at 3 months and 12 months. The average time of full weight bearing and returning to work was significantly shortened in operative group than conservative group.

Keywords: Avulsion fractures, closed reduction, conservative treatment, fifth metatarsal base fixation

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