Evidence map›Paper›PMID 40321481›Full record

ArticleIndian journal of orthopaedics2025

Base of Fifth Metatarsal Fractures: A Meta-analysis of Plate Fixation.

Keenan Horani, Christopher J Thang, Sean O'Leary, Ariadna Robledo, Cory F Janney, John C Hagedorn, Daniel C Jupiter, Vinod K Panchbhavi, Jie Chen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Indian journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Keenan Horani *John Sealy School of Medicine, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX 77555 USA.
Christopher J Thang *John Sealy School of Medicine, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX 77555 USA.
Sean O'Leary *John Sealy School of Medicine, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX 77555 USA.ORCID 0000-0003-3650-705X
Ariadna Robledo *Department of Neurosurgery, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX 77555 USA.
Cory F JanneyDepartment of Orthopaedic Surgery, Naval Medical Center San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 USA.
John C HagedornDepartment of Orthopaedic Surgery and Rehabilitation, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX 77555-0165 USA.
Daniel C JupiterDepartment of Orthopaedic Surgery and Rehabilitation, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX 77555-0165 USA.
Vinod K PanchbhaviDepartment of Orthopaedic Surgery and Rehabilitation, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX 77555-0165 USA.
Jie ChenDepartment of Orthopaedic Surgery and Rehabilitation, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX 77555-0165 USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Base of fifth metatarsal fractures are treated according to fracture zones. Proximal tuberosity avulsions (zone 1) are typically treated conservatively, while proximal metaphyseal-diaphyseal junction fractures (zone 2) or proximal diaphyseal fractures (zone 3) are usually treated with intramedullary screw fixation. Methods: We performed a systematic review and meta-analysis of plate fixation of base of fifth metatarsal fractures by zones to estimate mean time to union, mean time to return to daily activities, mean 1-year American Orthopaedic Foot and Ankle Society (AOFAS) score, and complication rate. Outcomes were pooled to determine aggregate outcomes if standard errors were included and there were at least 2 studies. Results: Six studies examined zone 1 and 2 fractures treated with plate fixation. Zone 1 fractures had a mean of 6.88 weeks union time, 11.34 weeks to return to daily activities, 1-year AOFAS score of 94.91, and 5.97% complications. Zone 2 fractures had a mean of 7.0 weeks union time and 20.45% complications. Conclusion: Zone 1 and 2 plate fixation demonstrated union rates comparable to those for traditional fifth metatarsal base fracture management. Level of Clinical Evidence: Level 3, Prognostic. Supplementary Information: The online version contains supplementary material available at 10.1007/s43465-025-01383-9.

Indexed as

Foot injuriesFracture fixationJones fractureMetatarsal bonesMetatarsal fracturesPlantar platingPostoperative outcomes

Identifiers

PMID40321481
PMCPMC12043550

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.