Foot + Ankle Problems + Treatments

Jones Fracture

Type of Procedure: Outpatient surgery
Length of Procedure: 1 hour
Anesthesia: General or IV sedation with a nerve block

Jones Fracture ORIF: What Is It?

Because of the location of the fracture in this bone, this 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.

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  • You will not be non weight-bearing for a minimum of 4 weeks. Physical examination and x-rays will be used to determine when you can start putting weight on the foot again.
  • 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 two weeks after surgery.
  • Your first follow up visit will be at approximately 2 weeks to remove the stitches.

We will usually apply a removable boot for you to wear after the cast is 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 3 months.

Specific Postoperative Course

Day 1

  • Foot wrapped in bulky splint (see video below for more details)
  • 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

Day 10 14

  • First follow up in the office
  • Dressing changed
  • Placed in cast
  • No weight bearing for a minimum of 4 weeks

4-6 weeks

  • Cast removed
  • X-ray taken to follow bone healing
  • Use a boot (CAM walker) for about 2 more weeks
  • Full weight bearing is allowed
  • The boot can be removed at night, and for gentle movement exercises
  • Swimming is permitted.
  • You should wear a stiff soled shoe a minimum of two months.
  • An orthotic insert is frequently ordered to support the foot in the area of the fracture.

Applying a Bulky Jones Dressing Video

For more videos about hip arthroscopy from Dr. Carreira, please visit his extensive video library on YouTube.