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Treatment of Fifth Metatarsal Zone 3 Fractures
Sponsor: Ostfold Hospital Trust
Summary
The fifth metatarsal is one of the bones where stress fractures can occur. Current literature provides support for both operative and non-operative treatment, but is mostly based on retrospective studies. One small randomized controlled trial reported faster recovery in the surgery group, but this study is probably subject to selection bias as well as underpowered design. There is a need to strengthen the knowledge base regarding treatment of stress fractures in the fifth metatarsal. This study seeks to answer whether osteosynthesis with an intramedullar screw fixation gives faster painfree weight bearing compared to non-operative treatment with a walking boot.
Official title: Treatment of Fifth Metatarsal Zone 3 Fractures - A Prospective, Randomized, Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
100
Start Date
2021-04-10
Completion Date
2030-03-31
Last Updated
2024-04-29
Healthy Volunteers
No
Conditions
Interventions
Operative
Intramedullary screw fixation
Walking boot orthosis
Non-operative treatment with walking boot orthosis for six weeks. The non-operative study arm will use walking boot orthosis only. The operative study arm will use walking boot orthosis as adjuvant treatment.
Locations (3)
Østfold Hospital Trust
Grålum, Norway
Akershus University Hospital
Lørenskog, Norway
Oslo University Hospital
Oslo, Norway