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jones surgery 2 wks post

Discussion in 'Ask your questions here' started by snyder1, Sep 5, 2010.

  1. snyder1

    snyder1 New Member


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    Hi,

    I got a jones fracture pivoting hard during a run, and I decided to get the surgery right away rather than wait and wait for it to heal, as many seem to do. So, I had the surgery about 2 weeks ago. My doctor originally told me I'd have to be completely not weight bearing for 6 weeks, but I've read that its common that you can walk with a boot not long after surgery. How do I know when I can walk on it? If I try and it hurts will I do irreparable damage? If it doesn't hurt, will it still slow the healing process more?

    Also, I've seen the picture of the screw my surgeon put in, and it is positioned differently than many I've seen online. It sits sorta close to the bone on the left edge. Is that ok? Did he mess up? All the others I've seen the screw seems to go down the middle or diagonally. Mine is staight but close to the bone. Someone please tell me my surgeon didn't screw up (no pun intended).

    Thank you,
    ALan
     
  2. FootDoc

    FootDoc New Member

  3. snyder1

    snyder1 New Member

    I realize what the placement is supposed to look like per what you sent and what I've seen on the internet, but my placement is much closer to the bone. What implications does this have?

    Alan
     
  4. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS-ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ***************************************************
    The whole tissue is bone, so I assume that you mean "closer to the cortex" rather than "closer to the bone." Are you saying that the screw was place in the cortex instead of the medullary canal or that the screw was so narrow that it was notably off-center in the medullary canal? There are different types of screws which might be selected, but normally the screw fills most of the width of the medullary canal. I don't know how yours was placed or whether it will suffice, but if you have concerns which are not satiated by your own doctor's explanation, have a consultation with another doctor.
     
  5. Unregistered

    Unregistered Guest

    if i scan the x-ray and send it to you, will you be able to give me a better idea?
     
  6. Unregistered

    Unregistered Guest

    I'm saying it appears the screw is closer to the cortex. It seems to be straight but not in the middle section you mentioned. What implications might this have if the screw is indeed in or near the cortex?
     
  7. Unregistered

    Unregistered Guest

    could it be just the angle of the x-ray which is making it appear to be closer to the cortex? It does not seem to be a straight on picture. It's the x-ray given to me immediately upon me waking up from surgery. Seems like its taken from an angle.
     
  8. FootDoc

    FootDoc New Member

    If you wish to post your x-rays here, I will view them and may comment as to whether I think I would have done it that way, but I will not get into acting as a second opinion doctor and commenting upon the efficacy of your treatment or its likely results. That is the purview of only an examining doctor.
     
  9. snyder

    snyder Guest

    I working on posting the x-ray, but will you answer these two questions, please:

    Would the x-ray taken at an angle possibly give the perception of the screw being close to the cortex?

    Will taking Calcium supplements at all expedite my healing? special diets that will make an impact on the healing process?

    Thanks,
    Alan
     
  10. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS-ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ***************************************************
    Very possibly. The best views for evaluation of such a screw placement would be an AP (dorsal-plantar view) and a lateral (side view)

    A certain amount of of calcium as well as other nutrients is required for bone healing. I know of no evidence which concludes that more is better. Most American diets are sufficient in most nutrients. If you have a deficiency, then supplements may be appropriate but are generally not held to be as good as those derived from a good diet.
     
  11. snyder1

    snyder1 New Member

    Doc,

    i had the jones fracture foot surgery, and have had it x-rayed 6 weeks later--bone has totally healed. However, though I can walk, it sorta with a limp and it hurts a lot. It feels like I can feel the screw or something.

    How soon is too soon to consider getting the screw removed? If I do, will I be able to walk with the bone that has grown back? will bone grow back where the screw currently is? I'm about to start a new job in a couple weeks and I want to take care of it asap. What is recovery like for removal of the screw? Do I go under total anasthesia again?
     
  12. Unregistered

    Unregistered Guest

    What did your doctor say when you asked him these questions?
     
  13. alansnyder1

    alansnyder1 Guest

    don't give me that.

    I want some information about screw removal. can I walk after that surgery? how long is the recovery time? will the rest of the bone grow back?
     
  14. Unregistered

    Unregistered Guest

    I also had a Jones fracture on Aug 15, 2010. After 2 weeks on a plaster cast and 4 weeks on a walker boot (both under non-weight bearing conditions), the X-rays revealed non-union. I underwent surgery on Oct 7, 2010 (almost a week ago) and was placed on an open plaster cast for 2 weeks until the stitches are due to be removed on Oct 20. My orthopedic doctor will then give me a closed plaster cast for another 2 weeks and then a walker boot for 2 additional weeks. Thus, I still see ahead of me about 6-8 more weeks of the same (with the last 2 perhaps partial weight bearing).
    I asked my doctor whether the screw would have to be removed at some point, and he told me that it is common practice to leave the screw in, unless there is a failure (e.g. non union). He indicated that titanium screws can stay in for 15-20 or more years. Many professional soccer players have had the same surgery and I have read that the screw is never removed.
    Is the feeling you are having painful or just a sensation of having the hardware in?
     
  15. Unregistered

    Unregistered Guest

    The pain has lessened, but when I walk, I can feel the hardware and my stride isn't quite right--sorta like a little limp. If I try to stand on my tippy toes, I can feel the screw digging in and then it's painful again. I just wonder if the screw is taken out if I can walk on 1/2 a bone and if the rest of the bone will eventually grow back. I'm gonna give it a little more time--it's been about 10 weeks, and then I'll go back and talk about screw removal with the doctor. Thanks for your info.

    Alan
     
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