Post-Surgery Concerns: Swelling and Discoloration After Metatarsal Fracture Repair

Postoperative issues following metatarsal fracture surgery?

Due to a fall that resulted in fractures of the third and fourth metatarsals after kicking a door threshold, it has been almost a month since surgery.
The surgical wound has healed, but whenever the foot is not elevated and placed on the ground, it begins to swell and turn red, and there is even some discoloration.
Is this normal?

Zheng, 50~59 year old female. Ask Date: 2020/12/21

Dr. You Dianqi reply Orthopedics

Hello, it may depend on the extent of your redness and swelling to determine whether it is considered normal post-surgery.
I recommend that you visit your surgeon's clinic as soon as possible for further consultation.

Reply Date: 2020/12/21

More Info

After undergoing surgery for metatarsal fractures, it is not uncommon to experience swelling and discoloration in the affected area. The symptoms you are describing—redness, swelling, and a slight darkening of the skin—can be attributed to several factors related to the healing process following surgery.

Firstly, it is important to understand that swelling is a natural response of the body to injury and surgery. When tissues are damaged, the body increases blood flow to the area to facilitate healing, which can lead to swelling. This is often accompanied by inflammation, which can cause redness and warmth in the affected area. In the case of your metatarsal fracture repair, the surgical procedure itself can also contribute to swelling as the body reacts to the trauma of the surgery.

The discoloration you are noticing, particularly if it appears black or bruised, may be due to bruising from the injury or the surgical procedure. Bruising occurs when small blood vessels are damaged and blood leaks into the surrounding tissues. This can take time to resolve, and the color changes you see (from red to purple to yellow) are part of the normal healing process.

However, the fact that your foot swells significantly when you do not keep it elevated is something to monitor closely. Elevation is a common recommendation after foot surgery because it helps reduce swelling by allowing fluids to drain away from the injured area. If you find that the swelling is persistent or worsening, or if you experience increased pain, warmth, or any signs of infection (such as fever or discharge from the surgical site), it is crucial to contact your healthcare provider.

In addition to elevation, other measures can help manage swelling post-surgery. These include:
1. Compression: Using a compression bandage or sock can help control swelling by providing support to the injured area.

2. Ice Therapy: Applying ice packs to the swollen area for 15-20 minutes several times a day can help reduce swelling and numb any pain.

3. Rest: Avoiding putting weight on the affected foot as much as possible during the initial healing phase is essential. Follow your surgeon's recommendations regarding weight-bearing activities.

4. Physical Therapy: Once your doctor gives you the green light, engaging in physical therapy can help improve circulation and promote healing.

5. Monitoring: Keep an eye on the swelling and discoloration. If it does not improve or if you notice any concerning changes, such as increased pain or signs of infection, reach out to your healthcare provider for further evaluation.

In summary, while some swelling and discoloration are normal after metatarsal fracture repair, it is essential to manage these symptoms properly and remain vigilant for any signs of complications. Always follow your surgeon's post-operative care instructions and do not hesitate to seek medical advice if you have concerns about your recovery. Your healthcare provider can provide personalized recommendations based on your specific situation and ensure that your healing process is on track.

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