Should I Use a Specialized Boot for My Fifth Metatarsal Fracture?

Q: Should I Use a Specialized Boot for My Fifth Metatarsal Fracture?

Hello： You have undergone surgery and have been stabilized. <br>Whether or not you need to purchase a brace is not absolutely necessary, but it is also not out of the question; it depends on your individual situation. <br>As for the foreign website for the brace, I did not see it

Fifth metatarsal fracture brace

Hello, doctor! I have a fracture of the fifth metatarsal in my left foot, and I have undergone surgery to have a plate and screws inserted.
I am currently in a cast.
A friend recommended that I wear the Össur Aircast Walker after the cast is removed, which seems very professional.
However, I checked the manual on the official website and found that the indications only include fractures of the first to fourth metatarsals.
Should I still purchase it?

Xiao Yue, 50~59 year old female. Ask Date: 2022/01/26

Dr. You Dianqi reply Orthopedics

Hello: You have undergone surgery and have been stabilized.
Whether or not you need to purchase a brace is not absolutely necessary, but it is also not out of the question; it depends on your individual situation.
As for the foreign website for the brace, I did not see it emphasize the condition of the first to fourth metatarsals.
If it's convenient, could you share the webpage you found? Thank you, and I wish you a speedy recovery.

Reply Date: 2022/01/26

More Info

When dealing with a fifth metatarsal fracture, especially after surgical intervention involving plates and screws, it is crucial to follow a structured rehabilitation plan to ensure proper healing and recovery. The use of a specialized boot or brace can play a significant role in this process.

1. Understanding the Injury: The fifth metatarsal is located on the outer side of the foot and is susceptible to fractures due to its position and the forces exerted during activities. Surgical fixation is often required for fractures that are displaced or unstable, as it helps to realign the bone and maintain stability during the healing process.

2. Role of a Specialized Boot: A specialized boot, such as a walking boot or a controlled ankle motion (CAM) boot, is designed to immobilize the foot while allowing for some controlled movement. This can be beneficial after the initial healing phase, as it provides support and protection while enabling you to gradually increase weight-bearing activities.
3. Considerations for the Fifth Metatarsal: While your friends may have recommended a specific type of boot, it is essential to ensure that any device you use is appropriate for your specific injury. The fact that the product you mentioned is indicated for fractures of the first to fourth metatarsals raises a red flag. The anatomy and biomechanics of the fifth metatarsal differ, and using a boot that does not accommodate your specific needs could lead to improper healing or additional complications.

4. Consulting Your Physician: Before making any decisions about purchasing a specialized boot, it is vital to consult with your orthopedic surgeon or the healthcare provider managing your recovery. They can assess your healing progress and determine whether a specialized boot is necessary or if another type of support would be more appropriate. They may also recommend a specific type of boot that is designed for fifth metatarsal fractures.

5. Post-Cast Care: Once your cast is removed, transitioning to a boot can help protect the fracture site while allowing for gradual weight-bearing. Your physician will likely provide guidelines on how much weight you can put on your foot and when to start physical therapy to regain strength and mobility.

6. Rehabilitation: After the initial healing phase, rehabilitation exercises will be crucial. These may include range-of-motion exercises, strengthening exercises for the foot and ankle, and balance training. The goal is to restore function and prevent future injuries.

7. Long-Term Considerations: Keep in mind that even after the fracture heals, you may need to take precautions to avoid re-injury. This includes wearing supportive footwear and possibly continuing with exercises to strengthen the foot and ankle.

In summary, while a specialized boot can be beneficial for recovery from a fifth metatarsal fracture, it is essential to ensure that it is appropriate for your specific injury. Consult your healthcare provider for personalized recommendations, and follow their guidance closely to facilitate a successful recovery.

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