Description
OUTCOME OF REVISION SURGERY FOR REFRACTURES AND NONUNIONS OF JONES FRACTURE FOLLOWING INTRAMEDULLARY SCREW FIXATION IN ATHLETES.
Objectives: Refractures and nonunions of Jones fracture following intramedullary screw fixation were relatively rare complications and commonly require revision surgery to return to the original sport in athletes. However, little be known for the effectiveness of revision surgery for refractures and nonunions of Jones fracture following intramedullary screw fixation in athletes. The purpose of this study is to clarify the outcomes of revision surgery for refractures and nonunions of Jones fracture following intramedullary screw fixation in athletes.
Methods: The authors retrospectively analyzed 7 athletes (7 men, mean age 20.4 years, mean follow-up 42.1 months, 5 refractures and 2 nonunions) who underwent revision surgery for refractures and nonunions of Jones fracture following intramedullary screw fixation between April 2011 and August 2021. In all cases, revision surgery was performed by revision intramedullary screw fixation using a larger and/or longer Herbert screw without additional procedures such as debridement of the nonunion site and bone grafting. The minimum follow-up period was 2 years. Outcome measures included time to obtain bone union, time to the original sport at the preinjury level and treatment failures/complications.
Results: Bone union was obtained in all cases, enabling all patients to return to the original sport at the preinjury level. The mean time to obtain bone union was 13.1 weeks, and the mean time to return to the original sport was 15.1 weeks (Table). There were no treatment failures/complications.
Conclusions: The present findings suggest that revision intramedullary screw fixation using a larger and/or longer Herbert screw is an effective treatment for refractures and nonunions of Jones fracture following intramedullary screw fixation in athletes.
