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Fibrous nonunion fifth metatarsal - to operate or not to operate?

Discussion in 'Ask your questions here' started by Sharon15, Mar 23, 2018.


Should nonunion fmf be operatied on

  1. Yes, do it sooner

    0 vote(s)
  2. Probably, but can be operated on at any time

    0 vote(s)
  3. No, not necessary

    0 vote(s)
  1. Sharon15

    Sharon15 New Member

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    Hello I had a long oblique fracture of the fifth metatarsal 5 months ago. Displaced but not enough to require immediate surgery. It was treated with a hard soled boot, and I was told it was "healing slowly." It has not healed, now has a fibrous union and some very small bony bridges.
    I can walk and run somewhat on the foot. I feel a little pain after running, but nothing urgent. One doc I have consulted recommends surgery, another doc says not really necessary unless it's hurting. But I am concerned as to how long I can live with this, or is it going to just fracture again. Or, will the bony bridges break?

    I feel like if I am to get the surgery, better to get it sooner than later. However, how do I really know if it's necessary?
  2. Craig Payne

    Craig Payne Super Moderator

    Get surgery now
    Jeffvc likes this.
  3. Roger Robinson

    Roger Robinson New Member


    I had a Jones fracture of the 5th metatarsal playing football.
    Very Minimal Displacement and Similar treatment to you.

    After 6 weeks I was told I had partial union, after 10 weeks I've been told I have fibrous non-union.

    Very little pain through out in fact I'd say no pain at all in the last ~3 weeks.

    I've been advised it should be fine, and I should even be able to play football again.

    How did yours go ?
    Is playing footy with a fibrous non-union of the 5th metatarsal a possibility ?

    Should I ask for another xray in say 2-3 months.

    I wouldn't want an operation now if this is the way to go as its the start of the summer.
    I'd rather enjoying spending summer with the kids and cycling, if I had to think about surgery it would be over winter ie 3 months away.

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