The intricate structure of the foot renders it susceptible to fractures, each of the 26 bones present with distinctive characteristics:
- Non-displaced: The bone fractures but remains in situ.
- Displaced: The bone breaks into two pieces that diverge.
- Comminuted: Multiple breaks occur within the bone.
- Open fracture: The bone penetrates the skin upon fracturing.
Should a foot injury occur, Dr. Kamel would order X-rays to discern potential fractures. While X-rays suffice for most fractures, subtler ones may necessitate CT or MRI scans. Surgical intervention is tailored to the fracture's severity and nature, guided by the overarching objectives of restoring bone alignment, stability, and function, thereby reducing persistent pain, deformity, and arthritis risks.
Diagnosis
Displaced fractures, especially those encroaching upon joints with disrupted joint surfaces, typically warrant surgery to mitigate future complications like pain, swelling, and deformity. Surgical consideration may extend to non-displaced or minimally displaced fractures if instability is anticipated. Specific fractures, like the Jones fracture, frequently necessitate surgical intervention, particularly for individuals desiring early return to activity. However, surgical risks versus benefits are carefully weighed, with non-surgical treatment considered for individuals with pre-existing conditions or increased surgical risks.
Treatment
Foot fracture surgery entails incisions over the affected bone, enabling realignment and stabilization using implants such as pins, wires, screws, and plates. Percutaneous fracture fixation, a minimally invasive approach, employs smaller incisions, reducing tissue trauma, blood supply disruption, and postoperative discomfort.
Recovery
Post-surgery, foot elevation aids in pain and swelling reduction. Typically, non-weight-bearing status is advocated for 1-3 months, varying based on injury severity. Range-of-motion exercises and physical therapy commence weeks after surgery.. Regular follow-ups gauge fracture healing progress, dictating weight-bearing initiation and progression. Full activity may take 3-6 months or longer, with optimal recovery expected within a year.
Risks and Complications
Inherent surgical risks encompass anesthesia-related complications, infections, nerve and vessel damage, and blood clots. To mitigate clotting risks, postoperative blood thinners may be prescribed. Potential complications entail wound breakdown, nonunion, malunion, implant failure, persistent pain, motion loss, and arthritis, exacerbated by smoking.
Unveiling the intricacies of foot fracture surgery underscores the significance of tailored interventions, meticulous postoperative care, and collaborative patient-surgeon dialogue in facilitating optimal recovery and long-term foot function.
Make An Appointment
If you're experiencing any foot or ankle conditions, we’re here to help. Schedule an appointment today to get the care you need.