Surgery For Delayed Union 5th Metatarsal?


Apr 28, 2015

Seen consultant today, an actual genuine foot and ankle one as opposed to the spinal one I was apparently seeing (go figure..but it's the UK and you see who you see..)  Anyway, I fractured my metatarsal, midshaft, spiral, minimal displacement on 17 Dec 2014.  Done all I should, rested (no boot offered), on crutches etc, off work for 6 weeks.  STILL not showing any callus although bone is closer together than it was.  Consultant today says he thinks I ought to have pins and plate in.  Q scared at this..as not over painful now, although can't walk for miles, painful, and couldn't run (I was a big walker and used to run a bit too)  Officially a delayed union...should I have op or will it cause more problems.  If I have it it's back to square one..and worse as foot was never very painful when I did it, and I imagine will be painful having pins and plates in.

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hi new member here I have a fracture on my fifth metacarpal shaft , and is in a delayed union position , has anybody else had this for a fracture ?

​any help would be appreciated

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Well, that shoe didn't work, so my husband ordered an air cast. That sort of helped. I would say I didn't sleep for 6 weeks. At the 6 week mark, still in pain, I went to a different ankle/foot surgeon, who, we think because we were going to pay cash, that MAYBE he didn't want to touch my foot for fear of non payment? Or he was an idiot. The x-rays looked exactly the same, big old piece still broken off. We asked about it. He said there was nothing to be done and basically suck it up and start wearing a shoe. We, husband and I, were like, "okay he's the doctor." However, I could not get into a shoe without quite a bit of pain and walking wasn't happening.

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The bone itself is healing fine. I can feel the pin though. I still have pain, not as bad though. But my foot is still very swollen I would say my foot is a constant annoyance though. I cannot fit into a pair of shoes. I've tried wide shoes, they cramp my toes.. and I've gotten 2 ingrown toenails in the last 2 weeks trying. Those are very painful! I put a pair of slippers on and could feel it cramming my toes, and next day.. my toe was red and swollen again from being cramped.

I don't know what to do. My foots feels pretty good when it is wrapped and in the air cast. The broken one is also about 1/2"- 1" wider than the other right now, than my good foot. I still have no ankle.. very swollen.

Any suggestions?? Is this pretty normal? I really don't want any more ingrown toenails from shoes though.

I can wear flip flops but boy does my foot feel irritated after about an hour. I go back to see my doctor, whom I really like, next week.

When he presses on the broken part, it doesn't hurt. I can move it certain ways. But if he pushes up from the bottom.. that's bad. I can't stand on my tippy toes either. I feel like a mess.

Deb

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