Jones Fractures-Plating and IM Screws: Technique of ORIF Jones Fractures, Reduction, Deciding Proper Screw Size, and Plating Options

It has been over 110 years since the Jones fracture was originally described, and in the modern era the clinical management of this entity continues to improve. With respect to the anatomy, the vascular implications driving union abnormalities are well understood. However, optimizing the clinical outcome depends on identifying the correct orthopedic intervention. Intramedullary fixation has proven to be a reliable repair method, with both strong clinical outcomes and a relatively simple operative method. Though, when considering the elite athlete, there is a well-documented complication rate. Plating has been useful in cases of severe communition, however the lateral hook plate has been shown to be biomechanically inferior compared to the intramedullary screw. In our study we will investigate the history of the Jones fracture, and analyze the methodology that drives the modern day operative algorithm. Furthermore, we will discuss the indications and techniques for plating and intramedullary fixation.