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Broken ankle ,free floating metatarsal bone - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Five weeks ago, a queen-sized loft bed fell on my ankle. Initial x-rays showed a suspicious "line" on the bottom of my fibula. The ER Dr. thought it was broken but the Radiologist who read them the next day said it wasn't. I couldn't put any weight on it and the pain was a 9 out of 10. When I talked to the treating physician again, she ordered a CAM boot and said that I should see the Ortho Dr. 10 days later, I finally got in to see him. The new x-rays showed that the fibula was definitely broken and that the tendons had snapped another little piece of bone off of the cuboid. Dr. said 4 more weeks in boot. Then today, had a follow-up and thought I'd graduate out of the boot and into a small brace BUT that didn't happen. When the Dr. was examining my foot, he hit a spot (farther up toward the toes) and the pain was horrible!!! He ordered more x-rays. They showed another bone, 5th metetarsal, that was broken and the piece was free-floating. The Dr. said he'd give it a couple more weeks and if it isn't MUCH better, he will do surgery to remove that piece of bone. My question is...can this bone heal without surgery? If it doesn't, and remains free-floating, how much trouble will it cause? Is there ANY other treatment, besides surgery, that will get me back to walking normally?...working normally? Thanks
Doctor :   Let me read the query.
Doctor :   May I know your age?
User :   I'm 51.
Doctor :   Let me brief you.
Doctor :   Since the fractured bone is displaced(free floating), conservative treatment can take a long time to heal, additionally
Doctor :   there are high chances that it can get displaced further leading to deformities.
Doctor :   Hence, the better choice of correcting the fractured and displaced metatarsal is by surgical interventions.
Doctor :   provided you are fit to undergo the surgery.
Doctor :   Have you followed what I have suggested?
User :   I'm extremely healthy otherwise and VERY active. That's why this injury is "killing" me. I want to be done with this sitting around. So, if we do the surgery, what kind of recuperation am I looking at?
Doctor :   The surgery would probably be fixing with a nail pin.
Doctor :   You probably will be under rest for few weeks(not more than 6-8 weeks).
Doctor :   this will also help in healing of the fibular fracture too.
Doctor :   Active physiotherapy will be then started.
Doctor :   You should be better with that.
User :   6 to 8??????????????? Crud!!! I've got a cruise scheduled for Jan 16th! Would it be OK to wait til after to do the surgery?
Doctor :   Since, I have no access to the foot X-rays, I am finding it difficult to answer this question.
Doctor :   Your orthopedician will probably help you in answering with this question.
User :   One last Dr. said that h would take the piece of bone out completely. Would that be wrong?
Doctor :   I probably feel that you need to get this done as soon as possible, if the fracture is not stable.
Doctor :   Since, I am unaware of which bone that is, my opinion on this again will not be of much use.
Doctor :   I would need see the xray films of the foot, to answer this.
User :   OK. Thanks for your help. When your own Dr. is so busy that it's hard to get all your questins answered, it's nice to have somewhere else to come.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
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