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The jones fracture classification, management, outcome, and complications: a systematic review

Benjamin John Floyd Dean, Alpesh Kothari, Harpal Uppal, Raghubir Kankate
Foot & Ankle Specialist 2012, 5 (4): 256-9

BACKGROUND: The Jones fracture has been a topic of controversy ever since being first described by Sir Robert Jones himself in 1902. The aim of this review is to summarize the classification, management, outcome, and complications of this particular injury.

METHODS: The authors conducted a systematic review of the scientific literature regarding the Jones fracture.

RESULTS: There was no consistent approach to the Jones fracture classification. The rate of nonunion with nonoperative treatment is high in both acute and chronic cases. Surgical intervention reduces the incidence of nonunion, but the complication rate of surgery is high.

CONCLUSIONS: Surgical intervention for the acute Jones fracture should be reserved for the athletic individual because there is a clear advantage in terms of time to return to sporting activity. Nonoperative treatment remains a viable alternative to surgery in all acute and delayed cases, providing there is no established nonunion and the patient is aware of the implications.

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