Cargando…

Designing a Prognostic Scoring System for Predicting the Outcomes of Proximal Fifth Metatarsal Fractures at 20 Weeks

BACKGROUND: Fractures of the proximal fifth metatarsal bone are among the most common fractures observed in the foot and their classification and management has been subject to much discussion and disagreement. In this study, we aim to identify and quantify the effect of possible predictors of the o...

Descripción completa

Detalles Bibliográficos
Autores principales: Tahririan, Mohammad Ali, Momeni, Amir, Moayednia, Amir, Yousefi, Elham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shiraz University of Medical Sciences 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4359929/
https://www.ncbi.nlm.nih.gov/pubmed/25821289
_version_ 1782361491293339648
author Tahririan, Mohammad Ali
Momeni, Amir
Moayednia, Amir
Yousefi, Elham
author_facet Tahririan, Mohammad Ali
Momeni, Amir
Moayednia, Amir
Yousefi, Elham
author_sort Tahririan, Mohammad Ali
collection PubMed
description BACKGROUND: Fractures of the proximal fifth metatarsal bone are among the most common fractures observed in the foot and their classification and management has been subject to much discussion and disagreement. In this study, we aim to identify and quantify the effect of possible predictors of the outcome of the treatment of proximal fifth metatarsal fractures. METHODS: Patients with established proximal fifth metatarsal fractures were enrolled in this prospective cohort and the outcome of their treatment was assessed using the AOFAS mid foot scale at 6 and 20 weeks. RESULTS: 143 patients were included in the study. Our study showed that displacement, weight and type III fractures were significant independent predictors of poor outcome at 6 weeks while at 20 weeks in addition to these factors, gender and diabetes mellitus were also shown to be significant independent predictors of poor outcome. A scoring system was designed by assigning weight to these factors and it was shown to be a strong predictor of outcome at 20 weeks. CONCLUSION: We recommend that our scoring system would help surgeons to decide whether patients’ prognostic factors are significant enough for him/her to opt for a surgical approach to treatment rather than a conservative approach
format Online
Article
Text
id pubmed-4359929
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Shiraz University of Medical Sciences
record_format MEDLINE/PubMed
spelling pubmed-43599292015-03-27 Designing a Prognostic Scoring System for Predicting the Outcomes of Proximal Fifth Metatarsal Fractures at 20 Weeks Tahririan, Mohammad Ali Momeni, Amir Moayednia, Amir Yousefi, Elham Iran J Med Sci Original Article BACKGROUND: Fractures of the proximal fifth metatarsal bone are among the most common fractures observed in the foot and their classification and management has been subject to much discussion and disagreement. In this study, we aim to identify and quantify the effect of possible predictors of the outcome of the treatment of proximal fifth metatarsal fractures. METHODS: Patients with established proximal fifth metatarsal fractures were enrolled in this prospective cohort and the outcome of their treatment was assessed using the AOFAS mid foot scale at 6 and 20 weeks. RESULTS: 143 patients were included in the study. Our study showed that displacement, weight and type III fractures were significant independent predictors of poor outcome at 6 weeks while at 20 weeks in addition to these factors, gender and diabetes mellitus were also shown to be significant independent predictors of poor outcome. A scoring system was designed by assigning weight to these factors and it was shown to be a strong predictor of outcome at 20 weeks. CONCLUSION: We recommend that our scoring system would help surgeons to decide whether patients’ prognostic factors are significant enough for him/her to opt for a surgical approach to treatment rather than a conservative approach Shiraz University of Medical Sciences 2015-03 /pmc/articles/PMC4359929/ /pubmed/25821289 Text en © 2015: Iranian Journal of Medical Sciences This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Tahririan, Mohammad Ali
Momeni, Amir
Moayednia, Amir
Yousefi, Elham
Designing a Prognostic Scoring System for Predicting the Outcomes of Proximal Fifth Metatarsal Fractures at 20 Weeks
title Designing a Prognostic Scoring System for Predicting the Outcomes of Proximal Fifth Metatarsal Fractures at 20 Weeks
title_full Designing a Prognostic Scoring System for Predicting the Outcomes of Proximal Fifth Metatarsal Fractures at 20 Weeks
title_fullStr Designing a Prognostic Scoring System for Predicting the Outcomes of Proximal Fifth Metatarsal Fractures at 20 Weeks
title_full_unstemmed Designing a Prognostic Scoring System for Predicting the Outcomes of Proximal Fifth Metatarsal Fractures at 20 Weeks
title_short Designing a Prognostic Scoring System for Predicting the Outcomes of Proximal Fifth Metatarsal Fractures at 20 Weeks
title_sort designing a prognostic scoring system for predicting the outcomes of proximal fifth metatarsal fractures at 20 weeks
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4359929/
https://www.ncbi.nlm.nih.gov/pubmed/25821289
work_keys_str_mv AT tahririanmohammadali designingaprognosticscoringsystemforpredictingtheoutcomesofproximalfifthmetatarsalfracturesat20weeks
AT momeniamir designingaprognosticscoringsystemforpredictingtheoutcomesofproximalfifthmetatarsalfracturesat20weeks
AT moayedniaamir designingaprognosticscoringsystemforpredictingtheoutcomesofproximalfifthmetatarsalfracturesat20weeks
AT yousefielham designingaprognosticscoringsystemforpredictingtheoutcomesofproximalfifthmetatarsalfracturesat20weeks