An Alternative Surgical Approach to the Jones Fracture

Abstract

Jones fractures of the base of the fifth metatarsal have a high reported nonunion rate. In the athletic population these injuries can lead to prolonged periods out of competition and high recurrence rates. In specific individuals, an underlying anatomic variant in the shape of the fifth metatarsal may predispose to the injury or have a high incidence of recurrence. We describe a corrective osteotomy which addresses the underlying predisposing biomechanics and which aids in achieving fracture union and reducing recurrence. The technique is relatively simple, easy to explain, and is reproducible, requiring no specialised instrumentation. The author’s experience demonstrates the technique to be effective in the general population, and in high demand athletic groups without significant or procedure specific complication. Levels of Evidence: Diagnostic Level IV—case series. See Instructions for Authors for a complete description of levels of evidence.