5th metatarsal fracture

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mrs catlover
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Joined: Sun Jul 11, 2010 12:14 pm
Gender: Female

5th metatarsal fracture

Postby mrs catlover » Sun Jul 11, 2010 12:42 pm

I have a 5th metatarsal fracture and it hasn't healed yet. I have been in a cast for 8 weeks with no improvement.I'm diabetic is this why it is taking so long to heal? My orthopedist wants to operate to remove the peice of bone at the base that is not moving back into place. What do you suggest? I am also insulin dependant diabetic

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Tom Plamondon PA-C
Physician Assistant
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Joined: Fri Oct 31, 2008 8:55 am
Gender: Male

Re: 5th metatarsal fracture

Postby Tom Plamondon PA-C » Mon Jul 19, 2010 9:40 am

Diabetes can delay or impair fracture healing so excellent control with insulin (in your case) is important.
Also, with the nature of this fracture - base of the metatarsal fracture - a fair number of patients show poor healing (non union)...independent of co morbidities (e.g. diabetes). Therefore surgical fixation of the fracture is sometimes needed.

Post operatively, it will be important to not only assess fracture healing and bony alignment but to monitor incision site healing.

Also, you will need to have a pre operative evaluation to assess your heart and lung condition prior to have surgery.

All in all, not surprising that the bone is not healing after 8 weeks but there are often performed surgical procedures to fix the bone.

Take care.
Tom Plamondon PA-C, PT

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