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Outpatient percutaneous screw fixation of the acute Jones fracture

Methodist Sports Medicine Center, Indianapolis, Indiana

K. Donald Shelbourne, MD

Methodist Sports Medicine Center, Indianapolis, Indiana

Charles D. Van Meter, MD

Methodist Sports Medicine Center, Indianapolis, Indiana

Arthur C. Rettig, MD

Methodist Sports Medicine Center, Indianapolis, Indiana

Nine patients (8 men and 1 woman, ranging in age from 17 to 22 years) who sustained a Jones fracture were treated with percutaneous intramedullary screw fixation as outpatients. All of the patients were varsity athletes. Seven were Division I scholarship athletes. Beginning at 7 to 10 days after surgery, all patients were allowed weightbearing as tolerated with a CAM walker. Station ary bicycling, swimming, and Stairmaster were allowed at 2 to 3 weeks. The average return to running was 5.5 weeks (range, 3 to 10). The average return to full competition was 8.5 weeks (range, 7 to 12). No periop erative or postoperative complications occurred. Aver age followup was 2.5 years. All fractures attained clin ical and radiographic union. We believe that outpatient percutaneous intramedullary screw fixation of the acute Jones fracture is a reasonable alternative for those active patients who would have difficulty with a non- weightbearing cast and crutches or who desire an expeditious return to activities. Time restraints are par ticularly critical for in-season or preseason athletes. With the outpatient screw fixation method, our patient population had predictable healing, and they returned to full sports participation within 12 weeks.

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