Orthopedics-Online

Metatarsal fracture healing

cure

Which type of therapy is most useful always depends on the type and severity of the fracture. The localization of the fracture, i.e. which metatarsal bones are affected and how many, must always be taken into account when deciding on therapy. On the fifth metatarsal there is a risk of a "wrong joint", a so-called pseudarthrosis, develops higher than with fractures of the other metatarsal bones, so that surgery is often necessary here.

Surgery is often necessary even if multiple bones of the metatarsus are fractured. But there is also the option of conservative therapy. A prerequisite for this is that the individual fracture pieces are not shifted too much against one another. In the event of a shift, you can first try to manually bring the pieces of bone into their correct position (so-called repositioning). Often, however, this is not possible in a satisfactory manner, so that if the patient is moved, surgery usually occurs.

Otherwise, the conservative therapy a plaster used on the foot for a period of time calm down and also to one discharge leads. Alternatively, a Special shoe or tape can be used to achieve the same effects. In order to ensure relief, the person concerned must go with Forearm crutches to run. Immobilization is usually done for six weeks maintained. In addition, due to immobility and the associated risk of formation of Blood clots one in the lower leg veins Thrombosis prophylaxis recommended.

Is a swelling present, it can go through Elevation and cooling be counteracted. In individual cases, a Lymphatic drainage be useful. Usually there is another one afterwards physiotherapy prescribed to prevent other muscle groups from regressing.

The Load increased slowly become. If the patient's bone healing slows down or does not occur at all, the frequency can be reduced Ultrasonic are used. This stimulates the process of Bone healing on. This procedure is often used when an operation cannot be performed.

Operative therapy

If the decision to have surgery is made, there is also here multiple therapy options. During the operation the bone back in his correct anatomical position brought to ensure optimal healing and a future full load.

Is the Broken base of fifth metatarsal, a so-called "Jones fracture' (Fracture of the 5th metatarsal bone) so you can have one Implant the screwthat can be used during a minor procedure. First you lead a small one wire into the metatarsal bone so that it can be returned to its normal position. This wire, also called Kirschner wire referred to as using a guide rail, the screw can now be inserted into a previously prepared canal. The screw derives the force from the tendon the fibula short muscle across the fracture, which allows the bone to heal better. By just a lot small skin incision the risk of a later wound infection is very low.

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Athletes (joggers, soccer players, etc.) are particularly often affected by diseases of the foot. In some cases, the cause of the foot discomfort cannot be identified at first.
Therefore, the treatment of the foot (e.g. Achilles tendonitis, heel spurs, etc.) requires a lot of experience.
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Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

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However, there is one Debris break With many small fracture fragments before, you cannot insert a screw alone, you have to insert a so-called open plate fixation carry out. Here the small bone parts are brought back into their correct position and then a Plate inserted with screwsthat is supposed to keep the individual fragments in the correct position.

At a Joint fracture become the individual Joints in also means Screws returned to their original anatomical position.

One has very complicated fractures, such as a Dislocated fractureso is one surgery soon advised. Of the Access route will be here over the Back of the foot be chosen here too Screws and wires introduced to ensure the original joint position again. In this case the Foot immobilized for at least eight weeks become. After the period of rest can be in a second surgical procedure the screws and wires are removed again and begin building a slow load. When a Full load can be achieved again depends on that Degree of joint destruction and cannot be said in general terms. In individual cases it is also necessary to insert a holding system from the outside through the skin for stabilization, which immobilizes the joint or the fracture. This procedure is also called External fixator. This will be removed again after several weeks, but further surgical treatment can be carried out afterwards.

The operations can be performed in more local, as well as in general anesthetic respectively. This will depend on the patient and the respective previous illnesses individually decided.

Possible Complications during or after the various procedures are among others Bleeding or secondary bleeding, Infections the wound with impaired wound healing or Injuries to neighboring structures (annoy, Vessels, Tendons etc.) within the operating area. However, when making a decision to have surgery that should be made by a doctor, who is The benefits are usually far greater than the possible risks, because the fracture results in an incorrect load, sometimes with large ones Pain and also one Tissue damage due to the anatomically incorrect fracture fragments themselves.

forecast

The forecast metatarsal fracture is mostly relative Well. Usually the fracture can be treated in such a way that it heals easily and after a reasonable rest time and then Advanced training can be stressed normally again.

Is a Joint involvedso it can become a arthrosis, so one Joint wear come, come as a result of the injury. Symptoms here are like more stress-dependent pain, Joint effusion or deformities of the affected joints can be expected and treated accordingly. If the position of the individual bones and joints is not restored according to their original anatomical location, this can lead to Malposition of the forefoot, and movement restrictions in the flexion / extension and rotation of the foot.

Be at the fracture Cartilage parts injured, so are Arthrosis more likelyso that a Joint stiffening might be necessary.

Furthermore, the metatarsal fracture is healed depending on the damage to the surrounding soft tissue before an operation. The pressure within a closed soft tissue jacket increases so much that the tissue no longer adequately supplied with blood is, so can a so-called Division of compartments become necessary to save the tissue.