| چکیده انگلیسی مقاله |
Objectives: Metatarsal fractures account for 5-6% of all fractures presenting to emergency care centers with 68% being fifth metatarsal (5MT) fractures. While most heal uneventfully, non -:union: is one of the most common complications regardless of treatment modality. Predicting the risk for non-:union: would potentially change treatment decisions thus lowering burden on patients and the healthcare system. The aim of this study was to identify factors associated with non -:union: in 5MT fractures.Methods: In this retrospective case-control study, 731 patients met inclusion criteria. Radiographs and clinical documentation were utilized to determine fracture characteristics and final healing status. 547 were assigned to the :union: group and 184 to the non-:union: group. Patients’ data were gathered and analyzed using machine learning methods, as well as Mann-Whitney U, Pearson R chi-square test, and multivariable logistic regression analysis. P<0.05 was considered statistically significant.Results: The overall radiographic non-:union: rate was 25.2%. The highest incidence of non-:union: was observed for Zone 3 fractures (31.2%). Fracture displacement (P=0.03) was found to have an independent correlation with healing. Several chronic conditions such as osteoporosis (P=0.03), irritable bowel syndrome (P=0.01), cardiovascular disease (P=0.01) and sleep apnea (P=0.03), were found to have an independent correlation with healing. Beta-blockers (P=0.047) and topical steroids (P=0.04) were also found to be associated with 5MT non:union:.Conclusion: In this study, we identified several non-traditional factors associated with 5MT fracture non-:union: that warrant further consideration and may assist clinicians during the decision-making process. The relationship between non-fracture related factors with non-:union: needs to be further examined via larger clinical studies before causality can be determined and designation of those variables as risk factors. Level of evidence: III |
| نویسندگان مقاله |
| Alexandra Flaherty
Foot & Ankle Research and Innovation Laboratory (FARIL),
Department of Orthopaedic Surgery, Massachusetts General
Hospital, Harvard Medical School, MA, USA
| Emma Tomlinson
Foot & Ankle Research and Innovation Laboratory (FARIL),
Department of Orthopaedic Surgery, Massachusetts General
Hospital, Harvard Medical School, MA, USA
| Bradley Weaver
Foot & Ankle Research and Innovation Laboratory (FARIL),
Department of Orthopaedic Surgery, Massachusetts General
Hospital, Harvard Medical School, MA, USA
| Bardiya Akhbari
Foot & Ankle Research and Innovation Laboratory (FARIL),
Department of Orthopaedic Surgery, Massachusetts General
Hospital, Harvard Medical School, MA, USA
| Christopher DiGiovanni
Foot & Ankle Research and Innovation Laboratory (FARIL),
Department of Orthopaedic Surgery, Massachusetts General
Hospital, Harvard Medical School, MA, USA - Foot and Ankle Division, Department of Orthopaedic
Surgery, Massachusetts General Hospital, Newton Wellesley
Hospital, Harvard Medical School, MA, USA
| Soheil Ashkani-Esfahani
Foot & Ankle Research and Innovation Laboratory (FARIL),
Department of Orthopaedic Surgery, Massachusetts General
Hospital, Harvard Medical School, MA, USA - Foot and Ankle Division, Department of Orthopaedic
Surgery, Massachusetts General Hospital, Newton Wellesley
Hospital, Harvard Medical School, MA, USA
| Lorena Bejarano-Pineda
Foot & Ankle Research and Innovation Laboratory (FARIL),
Department of Orthopaedic Surgery, Massachusetts General
Hospital, Harvard Medical School, MA, USA - Foot and Ankle Division, Department of Orthopaedic
Surgery, Massachusetts General Hospital, Newton Wellesley
Hospital, Harvard Medical School, MA, USA
| John Kwon
Foot & Ankle Research and Innovation Laboratory (FARIL),
Department of Orthopaedic Surgery, Massachusetts General
Hospital, Harvard Medical School, MA, USA - Foot and Ankle Division, Department of Orthopaedic
Surgery, Massachusetts General Hospital, Newton Wellesley
Hospital, Harvard Medical School, MA, USA
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