Outcomes of Fifth Metatarsal Base Fractures Treated Through Conservative Measures
DOI:
https://doi.org/10.62065/bjhs569Keywords:
Foot, , Fractures,, Metatarsal, ConservativeAbstract
Introduction: A constant change in biomechanics from the proximal to distal part in the fifth metatarsal makes it vulnerable to different pattern of fractures at different locations. Both conservative and surgical options are practised for the treatment of base of 5th metatarsal fractures. Appropriate and adequate treatment of the base of 5th metatarsal fracture, depending upon the zones involved has always been a matter of confusion and debate.
Objectives: The objectives of this study is to evaluate the outcomes of fifth metatarsal base fractures treated through conservative measures.
Methodology: This study is a prospective, observational, cohort, cross sectional study conducted among the patients visiting orthopaedics out-patient department (OPD)/ Emergency with base of 5th metatarsal fractures. The sample size was calculated to be 45 and samples are collected using non probability purposive sampling technique. After data collection, All reports are entered in a predetermined Performa and analysed using SPSS version 21.
Results: Out of 45 patients, 40 (88.9%) patients had zone 1 injury, 4 (8.9%) has Zone 2 injury and only 1 (2.2%) had zone 3 injury. The average VAS score was 7.88 ± 0.61 at presentation, 5.46 ± 0.62 at 6 weeks and 2.31 ± 0.73 at 12 weeks from the date of
trauma. The average AOFAS midfoot score was 25.08 ± 12.89 at presentation, 51 ± 6.08 at 6 weeks and 89 ± 4.83 at 12 weeks from the date of trauma. None had paster related complications, non-union, secondary fracture displacement requiring manipulation or
fracture fixation.
Conclusion: Conservative approaches for treatment of base of 5th metatarsal fractures yield favourable results in the majority of cases. It also mitigates the risks associated with surgical intervention such as infection and hardware complications. The cost-effectiveness and accessibility of conservative management make it an attractive option for patients across diverse healthcare settings.
