Multiple Surgical Treatment of Recurrent Fifth Metatarsal Stress Fracture

Miroslav Haspl, Damir Starcevic, Nenad Medancic and Marko Pecina

Department of Orthopaedic Surgery, Akromion, Special Hospital for Orthopaedic Surgery, Croatia
Department of Orthopaedic Surgery, School of Medicine, University of Zagreb, Croatia

^*Correspondance to: Miroslav Haspl 

 PDF  Full Text DOI: 10.25107/2474-1647.1925

Abstract

Jones’ refracture after surgical treatment represents great challenge for surgeon. Purpose of this article is to review surgical options for treating this injury and analyze extrinsic factors which predict possible refracture. We are presenting the case of a young professional soccer player with repeated Jones’ fracture of the fifth metatarsal who was treated surgically two times with malleolar screw fixation. After second refracture authors performed new surgical refixation with malleolar screw and autologous cancellous bone transplantation. Seven months after surgery patient returned to professional soccer and remains symptom free for next 7 years. In case of a repeated Jones’ fracture of the fifth metatarsal bone, refixation should be performed with refreshing the site of fracture and utilizing bone grafting with autologous cancellous bone. Premature return to sport activity, cavovarus feet, curved fifth metatarsal bone, weak toe-grip strength, increased body mass index (BMI) and lower vitamin D levels are risk factors for refracture and they should be considered and corrected if possible.

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Cite the article

Haspl M, Starcevic D, Medancic N, Pecina M. Multiple Surgical Treatment of Recurrent Fifth Metatarsal Stress Fracture. Clin Surg. 2018; 3: 1925.