Jones fracture7/31/2023 ![]() You will go over these with Mr Malik and compare the before and after images. You will have radiographs taken just before you are seen in clinic. You can do this by massaging cream (E45 for example) into the scar and around the wound area. Scar desensitisation should start as soon as the wound has completely healed. If the right foot has been operated on it will be at least 8 to 10 weeks before any driving is advisable. Short trips can be made outside, within limits of pain and swelling.ĭriving will be permitted for short trips if the left foot has been operated on and you drive an automatic. The shoe is only there to protect your foot incase you stumble. Although this does not mean you can walk on the operated foot. You will require to wear the special post operative shoe for another 4 weeks. Your wound will be checked.Īt this stage if the swelling has subsided sufficiently you will be advised to keep your foot in an elevated horizontal position (50-75% of the time). You will be reviewed at the clinic and your dressings removed. If you have a risk of blood clots please notify Mr Malik who may organise for you to have blood thinning injections as a precaution. To minimise the risk of blood clots please move your foot and ankle at regular intervals. Keep the foot dry and when showering wear a Limbo bag. To minimise risk of infection keep the foot dry and cool. It is strongly advised that during the first two weeks you are house bound. You cannot have your leg elevated sitting in a chair. The same effect can be achieved by lying in a bed or lengthways on a sofa, with pillows behind your back and under your foot. Naturally most people do not have a hospital bed at home. Note – this list is not exhaustive and is meant as a guide In the case of an MIS procedure it may be necessary to proceed to open surgery if during the operation it is felt that a better outcome will be achieved using an open technique.Potential complications of operative treatment to all three types of base of 5th metatarsal fractures include: Please see Complications for more detailed explanation of post surgical complications. These non operative complications apply to all three types of fracture, Avulsion 5th metatarsal base fracture, Acute and Chronic Jones fracture.Ĭomplications can occur as with any type of surgery. Painful non union (the bone fails to heal). ![]() Delayed union (the bone takes a long time to heal).Mal union (the bone heals in an abnormal position).Stress fracture in another bone in the foot due to compensatory mechanisms.Potential complications of non operative treatment applicable include: This swelling will eventually completely subside with time and can take up to 12 months but often goes well before this.It should be borne in mind that complications can result from a condition with or without surgery. The cast is usually worn for a period of around six weeks.Īs with all foot surgery it is normal for swelling to persist for some months after surgery and is completely normal. This will involve the use of crutches, as no weight can be put on the foot during the immobilisation period. Non-surgical treatments include immobilisation using a leg cast. The usual recovery time is around six weeks. There are variations in the technique for this procedure, which typically uses an x-ray in order to guide the screw into the right position. Unless the screw becomes painful, it will be left there after the bone heals, helping the bone to twist and bend. Usually, a surgical procedure to treat a Jones fracture will involve the inserting of a screw into the metatarsal bone. These factors can include how severe the fracture is the overall health of the individual the individual’s age and the individual’s usual level of activity.ĭue to the relatively fast recovery time, and high success rates, many people, including athletes, prefer to take the surgical route in the event of a Jones fracture. Whether a doctor recommends a non-surgical treatment such as immobilisation, or a surgical procedure to treat a Jones fracture, can come down to a range of factors. The Jones fracture is recognised as the most serious of all the fractures which can affect the fifth metatarsal. Some types of fractures which affect the fifth metatarsal are hard to identify. A Jones fracture is usually diagnosed via a physical examination, which is then typically followed with an imaging test such as an x-ray.
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