Short Leg Walking Plaster Cast Versus Walking Foot Cast for Jones Fracture

Last updated: November 29, 2024
Sponsor: Khyber Medical University Peshawar
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

Walking Foot Plaster Cast

Short Leg Walking Plaster Cast

Clinical Study ID

NCT06687668
KMU/DIR/CTU/2024/010
  • Ages > 18
  • All Genders

Study Summary

This study is an open-label, randomized controlled trial comparing the effectiveness of two plaster cast methods-Short Leg Walking Plaster Cast and Walking Foot Plaster Cast-for treating Jones fractures, a common fracture at the base of the fifth metatarsal in the foot. This trial will be conducted at Lady Reading Hospital Peshawar. The study will evaluate differences in fracture healing and functional outcomes between these two treatment approaches. Findings from this trial may guide more evidence-based treatment protocols for Jones fractures, potentially improving patient mobility and recovery without requiring surgical intervention.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Both genders

  • 18 years and above

  • Jones fractures that are un-displaced or minimally displaced (less than 2 mm)

  • Fractures presented within 7 days of injury

Exclusion

Exclusion Criteria:

  • Significant foot swelling

  • Open fractures

  • Ipsilateral foot, ankle, or lower limb soft tissue pathology or fractures

  • Pathological fractures

Study Design

Total Participants: 122
Treatment Group(s): 2
Primary Treatment: Walking Foot Plaster Cast
Phase:
Study Start date:
November 13, 2024
Estimated Completion Date:
April 30, 2025

Study Description

Jones fractures represent 26.3% of fractures at the base of the fifth metatarsal and are commonly treated conservatively through various weight-bearing casts. The lack of consensus on the optimal casting method for Jones fractures necessitates further study, particularly given the absence of published guidelines. This trial, unique in its randomized and prospective approach within Pakistan, aims to compare Short Leg Walking Plaster Casts and Walking Foot Plaster Casts specifically for Jones fractures.

Patients meeting the inclusion criteria will be randomly assigned to one of the two treatment groups, with the primary endpoints being fracture healing (union) and functional outcomes at six weeks, assessed via radiographs and the American Orthopaedic Foot and Ankle Score (AOFAS). This study seeks to produce robust evidence to inform treatment guidelines, allowing patients, especially in low- and middle-income settings, to continue daily activities with minimal disruption during recovery.

Connect with a study center

  • Lady Reading Hospital, Pakistan

    Peshawar, Khyber Pakhtunkhwa 25000
    Pakistan

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.