Comparative Outcomes of Cast and Removable Support in Fracture Fifth Metatarsal Bone: Systematic Review and Meta-Analysis

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Kwanchai PituckanotaiJatupon Kongtharvonskul

Abstract

Fractures of the metatarsals account for 35% of all foot fractures. Conservative management of fractures proximal to the metaphyseal-diaphyseal junction of the fifth metatarsal bone (pseudo-Jones) is protected weightbearing. The methods of protected weightbearing include a short-leg cast and splint (boot cast, Jones bandage, and elastic bandage). However, no consensus has yet been reached regarding which method is most suitable. We conducted a systematic review and meta-analysis to compare the outcomes of a short-leg cast and splint for pseudo-Jones metatarsal fractures. We searched the PubMed and Scopus databases up to October 29, 2016. Five of 104 studies (3 comparative studies and 2 randomized controlled trials; n = 246 patients) were eligible. Of the studies, 3, 5, and 4 were included in pooling of early (within 1 month) and last follow-up foot function scale scores and fracture nonunion, respectively. The unstandardized mean difference of early (within 1 month) and last follow-up foot scores for the short leg cast were -14.58 (95% confidence interval [CI] -24.12 to -5.04) and -3.89 (95% CI -6.30 to -1.49), significantly lower than the scores for the splint (bandage or boot support) for pseudo-Jones fracture of the fifth me...Continue Reading

Citations

Jul 11, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Eric D ShirleyRichard Wayne Kruse
Feb 27, 2020·Foot & Ankle International·Sebastian F BaumbachHans Polzer
May 31, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Shawn KhanDavid Wasserstein
Sep 14, 2019·Journal of Foot and Ankle Research·Peerapong PiyapittayanunJatupon Kongtharvonskul
Feb 6, 2021·Foot and Ankle Clinics·Michelle M Coleman, Gregory P Guyton
Sep 12, 2020·Journal of the American Podiatric Medical Association·Ali TurgutÖnder Kalenderer

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