![]() Will my bone healing be affected if I try non-operative treatment first? I have a Zone 2 fracture of the base of the fifth metatarsal. A high-arched foot or a heel that turns in can put extra pressure on the fifth metatarsal and may require other surgical procedures to change the architecture of the foot. Or re-fracture due to the shape of their foot. Some patients may be at greater risk for poor healing Another rare but serious complication is a re-fracture after fixation. The metatarsal fracture may not heal and can become a nonunion. Some complications can result in the need for repeat surgery. Risks and ComplicationsĪll surgeries come with possible complications, including the risks associated with anesthesia, infection, damage to nerves and blood vessels, and bleeding or blood clots. The screw is not usually removed unless it causes discomfort. Some fractures may require bone grafting and have longer recoveries. You can expect to return to full activity 3-4 months after a typical fracture. Weightīearing in a removable walking boot is allowed after that. This could last as long as six weeks (sometimes longer based on healing and other factors such as diabetes). Lengthy healing times and risk of refracture may be reasons for surgical repair in these fractures.įor the first 7-14 days after surgery, you may be allowed to bear weight through your heel but typically not through the front of your foot. These typically are stress fractures,Īnd may be associated with symptoms prior to the fracture, or with minimal trauma that still results in a fracture. Zone 3 fractures happen at the junction of the wide portion of the bone with the shaft of the fifth metatarsal.Surgery is common for theseįractures due to the risk for delayed healing or reinjury. ![]() They also are at risk of refracture even after healing. These fractures are known to have a higher chance of not healing (nonunion). They occur at the intersection between the base and the shaft of the fifth metatarsal. Zone 2 fractures are known as Jones fractures.These fractures typically are treated without surgery using a cast, boot, or hard-soled shoe and tend to heal within 6-8 weeks. Zone 1 fractures are avulsion or chip fractures that occur at the tip of the base of the fifth metatarsal.The base of the fifth metatarsal is divided into three fracture zones.
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