Fractura de Jones

Tratamiento quirúrgico

Resumen

The objective of this article is to describe Jones fractures, to stablish diagnosis guidelines, and to choose different therapeutical options according to the case to treat. 13 patients that presented Jones fracture and were operated in the orthopedic and Traumatology service of British Hospital of Buenos Aires during 2003, have been retrospectively evaluated (13 foots). Fractures have been surgically treated only in active working patients and people who occasiona lly practiced sports (footba ll and tennis). All the patients were operated in dorsal decubitus, percuta neously, with local a nesthesia, and radioscopic control. Clinical and radiological consolidation was observed en 100% of patients. The average for returning to a sedentary working activity was 14 days. All the patients restarted the usual sports activities (football and tennis) on an average of 9 weeks. Neither local com plications of de wound, no consolidation delays were observed. There were no refractures during the first year of follow up. The results we obtained we this treatment were very satisfactory, because all the treated fractures have consolidate and we haven't observed relevant complications in this serie. We considerate initial internal fixation with an endomedullary screw is the treatment of choice on this kind of fractures, because this allows not only a fast returning to work an sport activities, but also a decreasing non- union rate.