Walking After Fifth Metatarsal Fracture Surgery: What You Need to Know - Orthopedics

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Walking after foot metatarsal fracture surgery?


I suffered a fracture of the fifth metatarsal in my right foot due to a car accident and underwent surgery to have screws placed.
It has been six weeks since the surgery, and I have already had the splint removed.
I am currently using a liquid-filled cane to walk.
Doctor, can I start to lightly put weight on my foot now? A few days ago, I accidentally tripped and slightly stepped on my foot, which felt very numb.
Will this affect my recovery? Given that it has been this long and I still have the bone screws in place, is it safe to put some weight on my foot?

Kevin, 20~29 year old female. Ask Date: 2020/06/27

Dr. Chen Bochen reply Orthopedics


Hello Kevin,
Actually, to provide you with a more accurate answer, I would need to see your recent X-rays.
However, on average, you can start bearing weight on your fifth metatarsal fracture about six weeks post-surgery.
It is important to wear hard-soled shoes; boots, thick-soled sneakers, and safety shoes are acceptable.
Initially, it may be uncomfortable to walk since you haven't been on your feet for a while, and there may be some adhesions in the injured area.
Gradually stretching it out will help.
Nonetheless, the key is to follow the guidance of your attending physician based on your X-rays and surgical condition.
Wishing you a speedy recovery.
Dr.
Chen Bo-Chen, Orthopedics, Changhua Hospital

Reply Date: 2020/06/27

More Info


After undergoing surgery for a fifth metatarsal fracture, it is crucial to follow your doctor's advice and guidelines for recovery. Given that you had your surgery six weeks ago, it is understandable that you are eager to return to normal activities, including walking. However, there are several important considerations to keep in mind during this recovery phase.

First and foremost, the healing process for a fifth metatarsal fracture typically requires a period of immobilization followed by gradual weight-bearing activities. Since you mentioned that your splint has been removed and you are currently using a crutch, it is essential to understand that the removal of the splint does not necessarily mean that you are ready to fully bear weight on your foot. Generally, most orthopedic surgeons recommend a gradual increase in weight-bearing activities, often starting with partial weight-bearing before progressing to full weight-bearing.

In your case, since you have been using crutches, it is likely that your doctor has advised you to continue using them to avoid putting too much pressure on the healing bone. While you may feel tempted to lightly step on your foot, it is crucial to adhere to your doctor's recommendations regarding weight-bearing status. If your doctor has not explicitly cleared you for weight-bearing activities, it is best to avoid putting weight on your foot to prevent any complications, such as delayed healing or re-injury.

Regarding your concern about accidentally stepping on your foot after tripping, it is important to monitor how your foot feels. If you experience increased pain, swelling, or any unusual sensations, it is advisable to contact your healthcare provider. These symptoms could indicate that the fracture has been compromised or that there is an issue with the surgical site.

As for the presence of screws or hardware in your foot, it is common for orthopedic surgeons to leave hardware in place until the bone has fully healed. The hardware is designed to provide stability to the fracture during the healing process. However, the presence of hardware does not necessarily mean that you can start walking normally. Your doctor will likely schedule follow-up appointments to assess the healing progress through physical examinations and imaging studies, such as X-rays.

In summary, while you may feel ready to start walking after six weeks post-surgery for a fifth metatarsal fracture, it is essential to follow your doctor's guidance regarding weight-bearing activities. Gradual progression is key to a successful recovery. If you have any doubts or concerns about your recovery, do not hesitate to reach out to your healthcare provider for personalized advice and recommendations. Remember, patience is crucial during the healing process, and taking the necessary precautions will help ensure a full recovery without complications.

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I suffered a fracture of the fifth metatarsal in my right foot due to a car accident and underwent surgery to insert screws. It has been six weeks since the operation, and I have already had the splint removed. I am currently using a liquid-filled cane to walk. Doctor, can I star...


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Hello Kevin, Actually, I would need to see your recent X-ray to provide you with a more accurate answer. However, on average, you can start bearing weight on your fifth metatarsal fracture about six weeks after surgery. It is important to wear hard-soled shoes; boots, thick-sol...

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