AANA19 Foot & Ankle Access Pass-Comparison of the Rate of Non-union or Delayed Union in Fifth Metatarsal Fractures Receiving Anti-Inflammatory Medications-Dr. Brandon Barnds, M.D.

Comparison of the Rate of Non-union or Delayed Union in Fifth Metatarsal Fractures Receiving Anti-Inflammatory Medications-Dr. Brandon Barnds, M.D.

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Video Transcription

Video Summary

In this video, a PGY4 medical student discusses a study comparing the rate of non-union or delayed union in fifth metatarsal fractures with and without the use of anti-inflammatory medications. The study aimed to determine if there was a negative effect of NSAIDs on fracture healing. Using a data mining software, the researchers analyzed the Humana Orthopedic Insurance Database and identified two groups of patients with fifth metatarsal fractures: those receiving NSAID prescriptions and those not receiving them. The study found that the rate of delayed non-union or malunion repair was significantly higher in patients who received NSAIDs within 60 days of diagnosis. However, the differences were small, and further research is needed to guide clinical treatment. The study has limitations, including its retrospective nature and reliance on accurate coding. Long-term follow-up beyond 10 years was also lacking.

Asset Caption

Concurrent Scientific Session III: Foot and Ankle 5.3.2019

Keywords

fifth metatarsal fractures

anti-inflammatory medications

NSAIDs

fracture healing

delayed non-union