The bone graft is shaped like a pencil eraser, only slightly larger. In order to promote healing, a small bone graft is taken from your heel bone though a 1-3cm incision on the outside of your heel.The fracture is identified and soft tissue stuck in the fracture is cleaned out.An incision is made over the top of the 5th metatarsal bone on the outside of your foot, the incision may be anywhere from 3-5cm long to view the fracture.You may be placed on your side for the duration of the operation, to give your surgeon a better view of your fracture site on the outside of your foot.īelow are the steps that follow while you are under anesthesia: The Jones fracture surgery will begin as any foot surgery does, you can read about this on our detailed Pre Surgical Preparation page. What happens during the Jones fracture surgery? We use this approach because it produces the best chance for healing and in our experience it has the fewest complications out of any procedure we’ve tried, even for tough Jones fractures. The technique we use now is practiced by many surgeons in the United States, and is based on evidence from the most up to date medical literature. If you speak to several different doctors, each doctor may give you a different plan for fixing your Jones fracture.Īt the Foot and Ankle Center of Washington we have tried multiple approaches, and we have been around long enough to see many approaches wax and wane in popularity among surgeons. There are many different approaches to a Jones fracture surgery, and each surgeon chooses to perform a version that is appropriate for the fracture, and they are comfortable with. How do you choose what Jones fracture surgery to use? About half of all Jones fractures can be treated without surgery, and we will try everything possible to avoid surgery. Surgery is only recommended for Jones fractures that have not healed with conservative treatment or whose livelihood depends on a swift recovery. Who should have surgery on Jones fractures? They also have a higher chance of needing surgery. This fracture requires a longer time non-weight bearing and in a cast. The Jones fracture tends to be difficult to heal. The Jones fracture occurs in an area of the 5th metatarsal bone where there is very minimal blood flow, making it prone to healing slowly, or not at all. The blood supply dictates how well a fracture will heal, and in the case of the Jones fracture, poor blood supply can cause significant difficulties. This motion is very common in sports like football, soccer and basketball, though it can happen in any variety of low and high velocity activities.įor any fracture to heal properly, there must be a steady reliable blood supply to the fractured area. One of the most common activities known to cause the Jones fracture is a sports maneuver called “cutting”, which is a sudden change in direction with one foot firmly planted on the ground. This is the direct cause of the Jones fracture. When you move suddenly, or step improperly the muscle and tendon place force on the base of the 5th metatarsal, which can be so strong it breaks the bone partially or fully. The tendon of the peroneus brevis muscle in your leg attaches to the base of your 5th metatarsal bone. Jones fractures can be very frustrating because they can be caused by anything from missing a step when walking down a flight of stairs, to sports activities or vehicle accidents.
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