An orthotic insert is used to support the foot in the area of the fracture and is to be used long term.Wear a stiff soled (rigid soled) shoe for a minimum of three months.The boot can be removed at night, and for gentle movement exercises.Use a boot (CAM walker) for about 2 more weeks.Bloody drainage may be noted through the splint.Expect numbness in the foot for 12-24 hours.There will be moderate swelling of the foot and ankle for approximately three months with a gradual decrease in swelling typically after the first several days. At approximately 2 weeks the sutures will be removed.Ī physical therapy protocol will be initiated to help regain strength and movement.There will be a hard plaster bandage applied to the leg for the first few days after surgery, followed by a CAM boot.In order to stay off your foot, you will need to use crutches, a walker, a wheelchair or a scooter type device called a roll about.You will be non weight-bearing for several days only. Because this injury was acute and without preexisting signs of non-healing or stress injury, the option of nonoperative treatment was discussed, which consists of strict non weight bearing and casting, and which was a successful treatment in this compliant patient. There are several variants of these “difficult to heal” fifth metatarsal fractures including the proximal diaphyseal fracture, that are treated in a similar fashion.Ī Jones fracture noted at the base of the 5th metatarsal. In his review, patients who underwent surgical treatment had a higher rate of healing of the fracture than those who were treated without surgery and with casting. Your Resurgens physician will determine the best course of treatment for your. Carreira performed an extensive study of players at the NFL Combines which was published in Foot and Ankle International in which he reviewed the x-rays of hundreds of players with this injury. Jones fracture treatment can take the form of surgical and non-surgical options. As compared to nonoperative treatment, operative fixation typically speeds the process of healing and recovery, allowing active patients an earlier return to their activities in a shorter amount of time.ĭr. Placement of a screw down the center of the bone provides additional stability and stimulates healing. Nonoperative treatment is not easy, requiring strict nonweightbearing and casting to help ensure success. In many cases, there are two options of treatment, both surgical and nonsurgical, with advantages and disadvantages of each treatment. You can also book an office appointment or a telemedicine visit by calling Dr.
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