Treatment of Jones fracture: operative versus non operative treatment

INTERVENTION: Prospective study with randomisation of type II Jones Fractures into operative versus non‐operative groups. Non‐surgical treatment group patients will be placed in a short leg (below knee) non weight bearing cast for 6‐8 weeks, followed by a weight bearing cast for an additional 6‐8 weeks. Surgical treatment group patients will undergo open reduction and internal fixation of the fracture with intramedullary screw. All patients will be given follow up appointments at 2,4,8,12, and 16 week intervals. Radiographs will be similarly scheduled for 4, 8,12 and 16 week intervals to assess fracture healing. Final AOFAS score, radiological assessment and patient satisfaction score at 16 weeks will be used as outcome measures and the two groups will be compared. CONDITION: Injury, Occupational Diseases, Poisoning: Jones fracture ; Injury, Occupational Diseases, Poisoning ; Jones fracture PRIMARY OUTCOME: American ankle and foot scoring system visual analogue scale for patient satisfaction, radiological analysis re time to unite. SECONDARY OUTCOME: Not provided at time of registration INCLUSION CRITERIA: All patients with Jones fracture of 5th metatarsal