Because of the location of the fracture in this bone, a Jones Fracture has a higher likelihood of not healing (a “bad actor”). Placement of a screw down the center of the bone provides additional stability and stimulates healing. Operative fixation typically speeds the process of healing and recovery, allowing active patients an earlier return to their activities in a shorter amount of time. Dr. Carreira performed an extensive study of players at the NFL Combines which was published in Foot and Ankle International in which he reviewed the x-rays of hundreds of players with this injury. In his review, patients who underwent surgical treatment had a higher rate of healing of the fracture than those who were treated without surgery and with casting.
- You will be non weight-bearing for several days only.
- In order to stay off your foot, you will need to use crutches, a walker, a wheelchair or a scooter type device called a roll about.
- There will be a hard plaster bandage applied to the leg for the first few days after surgery, followed by a CAM boot.
- At approximately 2 weeks the sutures will be removed.
A physical therapy protocol will be initiated to help regain strength and movement.
There will be moderate swelling of the foot and ankle for approximately three months with a gradual decrease in swelling typically after the first several days.
Specific Postoperative Course
- Foot wrapped in bulky splint
- Ice, elevate, and take pain medication
- Expect numbness in the foot for 12-24 hours
- Bloody drainage may be noted through the splint
*Do not change the splint
- Dressing changed
- Placement in CAM boot
- Start partial weight bearing
- Dressing changed
- Continue CAM boot
- Full weight bearing
- X-ray taken to check bone healing.
- Use a boot (CAM walker) for about 2 more weeks.
- The boot can be removed at night, and for gentle movement exercises.
- Swimming is permitted.
- Wear a stiff soled shoe for a minimum of two months.
- An orthotic insert is frequently ordered to support the foot in the area of the fracture to be used over the long term.
Applying a Bulky Jones Dressing Video
For more videos about hip arthroscopy from Dr. Carreira, please visit his extensive video library on YouTube.