{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:03:03Z","timestamp":1777615383072,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T00:00:00Z","timestamp":1602028800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Jones fractures remain a challenging treatment entity in orthopaedics. Biomechanical stresses, including increased fifth metatarsal (5MT) lateral angle deviation (MLAD), are associated with increased fracture and refracture rates. Current fixation techniques produce good outcomes; however, they do not address metatarsal morphology, which can predispose to refracture. This study describes a novel surgical technique and case series utilizing intramedullary screw fixation and distal metatarsal corrective osteotomy for the management of Jones fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case series was undertaken, including 22 consecutive Jones fracture patients operated on by a single surgeon. Patient demographics, imaging, and operative information were obtained, with return to sport\/previous function and radiological outcomes, including fracture union being the outcomes of interest. The surgical technique utilizes a distal osteotomy of the 5MT followed by retrograde guidewire and drilling utilizing the osteotomy. A cannulated screw is passed antegrade along the entire length of the 5MT with manual MLAD correction. Autograft or bone substitute (Augment) was then injected at the fracture site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Median age was 30 years (Q1, Q3: 18, 49 years). Median time from injury to operation was 13 weeks (Q1, Q3: 9, 30 weeks), and clinical follow-up period was 37 months (Q1, Q3: 14, 74 months). Radiological union was achieved at a median of 12 weeks (Q1, Q3: 8, 15 weeks) with clinical union at 11 weeks (Q1, Q3: 8, 14 weeks). All but one patient returned to preinjury functional levels, including 6 professional athletes who returned to preinjury national competition. No refractures were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The technique described in this study is a viable and safe means of managing Jones fractures. The technique may be particularly useful in patients with excessive MLAD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Levels of Evidence<\/jats:title>\n                    <jats:p>Level IV: Retrospective case series<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1938640020953029","type":"journal-article","created":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T05:18:04Z","timestamp":1602047884000},"page":"354-360","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Jones Fracture Treatment: A Novel Surgical Technique and Case Series"],"prefix":"10.1177","volume":"15","author":[{"given":"Thomas J.","family":"Ryan","sequence":"first","affiliation":[{"name":"John Hunter Hospital, New Lambton Heights, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth M.","family":"Tarrant","sequence":"additional","affiliation":[{"name":"John Hunter Hospital, New Lambton Heights, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9153-3176","authenticated-orcid":false,"given":"Ethan J.","family":"Fraser","sequence":"additional","affiliation":[{"name":"John Hunter Hospital, New Lambton Heights, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"O\u2019Sullivan","sequence":"additional","affiliation":[{"name":"John Hunter Hospital, New Lambton Heights, New South Wales, Australia"},{"name":"Lingard Private Hospital, Merewether, New South Wales, Australia"},{"name":"Newcastle Private Hospital, New Lambton Heights, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,7]]},"reference":[{"key":"bibr1-1938640020953029","volume":"35","author":"Jones R","year":"1902","journal-title":"Ann Surg"},{"key":"bibr2-1938640020953029","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0796"},{"key":"bibr3-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1177\/107110079201300306"},{"key":"bibr4-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508314401"},{"key":"bibr5-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.04.017"},{"key":"bibr6-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.08.008"},{"key":"bibr7-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713507903"},{"key":"bibr8-1938640020953029","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.1216"},{"key":"bibr9-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717746121"},{"key":"bibr10-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504264929"},{"key":"bibr11-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715623041"},{"key":"bibr12-1938640020953029","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200907000-00006"},{"key":"bibr13-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2138-8"},{"key":"bibr14-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715625290"},{"key":"bibr15-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280051901"},{"key":"bibr16-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400610"},{"key":"bibr17-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1177\/2325967115603654"},{"key":"bibr18-1938640020953029","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0222-7"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640020953029","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1938640020953029","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640020953029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:31:19Z","timestamp":1777411879000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1938640020953029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,7]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1177\/1938640020953029"],"URL":"https:\/\/doi.org\/10.1177\/1938640020953029","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,7]]}}}