Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Results of Non-Operative Treatment of the Zone I, II Fifth Metatarsal Base Fracture

제5중족골 제1, 2구역 골절의 비수술적 치료 결과

  • Choi, Young-Nak (Department of Orthopedic Surgery, Asan Medical Center, School of Medicine, Ulsan University) ;
  • Choi, Young-Rak (Department of Orthopedic Surgery, CHA Bundang Medical Center, CHA University) ;
  • Seo, Jeong-Ho (Department of Orthopedic Surgery, Asan Medical Center, School of Medicine, Ulsan University) ;
  • Lee, Ho-Seong (Department of Orthopedic Surgery, Asan Medical Center, School of Medicine, Ulsan University) ;
  • Kim, Sang-Woo (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jeong, Jae-Jung (Department of Orthopedic Surgery, Daejeon St. Mary Hospital, The Catholic University of Korea School of Medicine)
  • 최영낙 (울산대학교 의과대학 서울아산병원 정형외과) ;
  • 최영락 (차의과학대학교 분당차병원 정형외과) ;
  • 서정호 (울산대학교 의과대학 서울아산병원 정형외과) ;
  • 이호승 (울산대학교 의과대학 서울아산병원 정형외과) ;
  • 김상우 (울산대학교 의과대학 울산대학교병원 정형외과) ;
  • 정재중 (가톨릭대학교 의과대학 대전성모병원 정형외과)
  • Received : 2011.10.05
  • Accepted : 2011.11.15
  • Published : 2011.12.15
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Abstract

Purpose: To evaluate the results of conservative treatment of zone I, II $5^{th}$ metatarsal base fracture. Materials and Methods: Between May 2004 and June 2010, a total of 58 patients of zone I, II $5^{th}$ metatarsal base fractures were included in this study. The mean length of follow-up was 13.5 months (12~36 months). All of the patients were treated with full-weight-bearing short leg cast immobilization for 4 weeks and wooden sole shoes for 4 weeks. The results were evaluated about the radiographic union, the midfoot scale of American Orthopaedic Foot and Ankle Society (AOFAS), the tenderness on fracture site and other complications. Results: All patients were able to return to their prior levels of activity. The mean time for union as shown on radiographs was 45.5 days, and the mean midfoot scale of AOFAS was 99.7 points. There were no nonunions or refractures during the follow-up. Conclusion: The conservative treatment with full-weight-bearing short leg cast and wooden sole shoes seems to give good results for zone I, II $5^{th}$ metatarsal base fracture.

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