12/12/2023 0 Comments Displaced 5th metatarsal fractureA logistic regression analysis will be used to investigate possible associations between patient characteristics and failed conservative treatment. The percentages of delayed union and nonunion among the two groups will be calculated and statistically compared via chi-square statistics. If 118 patients are included in each group, sufficient power is expected to be reached, depending on the age distribution of patients. The secondary outcomes will be the percentage of primary conservative treatment failure, the need for secondary operative treatment, complications (infection and hardware failure), and functional outcomes. The primary outcome will be the differences in percentages of delayed union and nonunion between the two groups. Patients who experienced a Dancer’s fracture in the period of 2012 to 2021 will be included and divided into 2 cohorts-the conservative (2012-2015) and operative (2016-2021) treatment cohorts. Methods: A retrospective comparative cohort study will be conducted in a level II trauma center (Zaandam Medical Center). Objective: The objective of the study is to compare differences between outcomes (delayed union and nonunion) of conservative and operative treatments for Dancer’s fractures. To investigate whether our hypothesis holds true that primary surgical treatment is beneficial, a retrospective study was designed. In our institution, treatment has changed over the years from predominantly conservative treatment to mostly operative treatment. However, we often see healing problems, such as delayed union and nonunion, when Dancer’s fractures are treated nonoperatively, resulting in a need for secondary intervention. Conservative therapy while wearing a cast and operative treatment have been used as preferred modes of treatment in the limited literature available. Online Journal of Public Health InformaticsĮmail: Fifth metatarsal fractures are one of the most common foot fractures, and 11% to 25% of such fractures are Dancer’s fractures (distal spiral fractures).Asian/Pacific Island Nursing Journal 11 articles.JMIR Bioinformatics and Biotechnology 35 articles.JMIR Biomedical Engineering 69 articles.Journal of Participatory Medicine 80 articles.JMIR Perioperative Medicine 91 articles.JMIR Rehabilitation and Assistive Technologies 206 articles.JMIR Pediatrics and Parenting 287 articles.Interactive Journal of Medical Research 315 articles.JMIR Public Health and Surveillance 1176 articles.Journal of Medical Internet Research 7628 articles.
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