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Recovery protocol in the operated metatarsal V fracture
The forefoot bones play an important role in normal walking. Studies have shown that the two sesamoid bones and the head of the 2-5 metatarsals share body weight evenly while walking.General principles
- The patient will use the crutches, without stepping on the operated leg, until the edema is in remission
- Postoperatively, the patient will have his foot immobilized in a walker for 1-2 weeks
- Avoid walking or standing for long periods in the first week to control local edema and pain.
- Apply ice 3-5 times a day (15 minutes each time) to control edema and the inflammatory process
- Raise the operated leg above the level of the heart to limit edema and the inflammatory process
- No impact exercises in the first 6 weeks post-surgery
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Causes
The mechanism of production is usually a sports injury or car accident. Fractures are divided according to location into metatarsal base fractures and distal spiral fractures (dancer's fracture). In addition, the basic metatarsal fractures are divided into 3 areas.Zone 1 fractures can be treated orthopedically and symptomatically. Symptoms may persist for up to 6-8 weeks. Zone 2 fractures can be treated orthopedically by plastering and walking with partial or surgical support. Studies have shown that orthopedic treatment for 8-10 weeks is ideal. Zone 3 fractures require more aggressive treatment, which consists of surgery and internal fixation with a screw.
Rehabilitation protocol
Week 1
Week 2 - 6
- Start stepping on the operated limb, under the close supervision of the physical therapist, depending on the pain and local edema.
- Radiological examination at 4-6 weeks to monitor healing
- Soft tissue treatments for local edema prevention, mobility, and soft tissue healing
- Cycling, balance exercises
- Stretching in the ankle and foot area and exercises with the help of Theraband bands to regain complete mobility of the foot, as well as to strengthen it
- Progress the functional loading exercises and activities on the operated leg. Avoid jumps and quick changes in direction.
- Continue mobilizing your ankle and foot joints
- Start the exercises specific to the sport you practice
- Increase the level of strengthening, balance, and coordination training for a gradual return to the specific activities of the sport practiced
- Returning to sports activities depends on a complete functional evaluation, specific to your sport, performed by the physical therapist.
SUCCESSFUL RECOVERY STORIES
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