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mjones78 04-18-2007 09:23 PM

osteomyelitis of 5th metatarsal
 
:dizzy:
After an very botched horrendous bunnionette surgery in june of 06, today I find out after all sorts of complications that the bone is now infected and I have osteomyelitis of the 5th metatarsal.
I have been through many orthopoedic surgeons that don't want to touch my foot to protect their *** as well as the precious surgeons *** that messed me up in the first place.
My options now are 1. scrape out the infected bone and fill it with antibiotic bead (and hope that it does the trick) or 2. removal of the metatarsal head.
I am a very active 28 year old, I play soccer and football and will go nuts if I am off my feet forever, but this constant pain and swelling is killing me.
Anyone out there have either one of these operations done?????
HELP!!!!!!:confused:

Gdub730 04-20-2007 03:47 AM

Re: osteomyelitis of 5th metatarsal
 
I'm going through a similar ordeal (osteomyelitis of the 5th metatarsal) and just had the bone scraped out and filled with antibiotic-infused calcium phosphate. I'm also taking two types of oral antibiotics and about to begin intravenous antibiotics. Have they identified the bacteria responsible for your infection? If not, make sure that you take two different antibiotics immediately following surgery: one targetting gram-positive bacteria and one targetting gram-negative.

I'm also young (23 yrs old) and formerly very active. I would definitely like to preserve as much of the bone as possible, but I'd rather have it taken out than live with pain and a constant wound on my foot.

p.s.

I, too, have become very suspicious of some of my previous doctors' motives. I made the mistake of going back to the doctor who caused my original infection, and I think that he made things worse by trying to cover his ***. I then went to another doctor in his group and I fear that he was protecting his friend. I finally found the right doctor, though, and I think that things are going to work out. All that I can recommend is that you have a foot specialist do your surgery. Also, make sure that they have experience with osteomyelitis and that they aren't just applying a broad textbook diagnosis/treatment to your specific situation.

mjones78 04-25-2007 12:28 PM

Re: osteomyelitis of 5th metatarsal
 
Gdub,
Thanks for your input, I guess not too many people have had this done???? I haven't had a single reply on my post on foot problems! How come you are just starting to take IV antibiotics?
I'm having the problem of finding an orthopaedic surgeon that I like and trust, I've been to about 4-5.
How long do you have to be off of your foot post surgery? Is it an inpatient procedure? Did your doc tell you what the recovery time would be if you had the head removed?
Sorry for all the questions, but of course the doc and his assistant are on vacation, and my foot is getting really bad. This morning I almost had to pull out the crutches!
Thanks so much for your input.

katkatdd 04-26-2007 10:59 AM

Re: osteomyelitis of 5th metatarsal
 
I had this surgery done on my left great toe in 1999. It was a suprise to me to find out I had a bone infection. And by the time they cultured the infection I had already been on a round of antibiotics and they said they could not identify what type of bacteria it was! So I did the surgery immediatly as I was admitted that day. THey did tell me I might loose part of my toe but in the end they didn't have to take it off. Although the infection had ate thru half of the bone there in toe...

PLEASE DO NOT WAIT or mess around with a bone infection. It can spread and go deeper into the bone. I have not had a recurrance of infection there but I do get pain from time to time especially in the colder weather. They say it is normal to get arthritis in those areas after an infection of the bone.

Gdub730 04-26-2007 07:55 PM

Re: osteomyelitis of 5th metatarsal
 
mjones,

For two months, my doctor doesn't want me to bear weight on my right foot. I'm on crutches right now, but my foot feels great. I'm not sure what the recovery time is like for other procedures, but I'd assume that they're similar.

And you're right... I should have gone on IV antibiotics immediately following surgery. At the time, my doctor thought that the local antibiotics, combined with oral antibiotics, would do the trick. He put me on IV drugs after discovering that the bacteria isn't sensitive to the locally-used antibiotics.

Also, tomorrow, I begin hyperbaric oxygen therapy. You might want to ask your doctor about it.

mjones78 04-30-2007 03:02 PM

Re: osteomyelitis of 5th metatarsal
 
Thanks for all the help everyone. I am awaiting on a response from the doc as to when I can get in for surgery. Although I am still looking around for a doc I feel more comfortable with, I didn't go with my gut with the first surgeon and here I am a year later having surgery again!

Mir 05-08-2007 07:23 PM

Re: osteomyelitis of 5th metatarsal
 
Hi I need to ask a question please. One of my students is doing a report on Osteomylitis and he needs to know how it affects the individual, and their family, of course we cannot find that answer ina medical text. Please help!!

randy6802 05-09-2007 06:24 AM

Re: osteomyelitis of 5th metatarsal
 
I lost my right leg to this in 1982! It is a very hard infection to clean up! My Dr tried many times to clean up my heal, but it did not work.Today you have the hyperbaric chamber which can help alot. This infection is nothing to mess around with! It really messed up my mind, I was 19 when this happened.Good luck, Randy

surviving 05-19-2007 01:35 PM

Re: osteomyelitis of 5th metatarsal
 
I had a bone scan and it suggested possibly osteomylitis. Would someone tell me how they determine if that is the diagnosis? My ortho said my sed rate was 10 so it was ruled out. Hope this is right. Thanks

randy6802 05-19-2007 03:20 PM

Re: osteomyelitis of 5th metatarsal
 
that is very true in my case my sed level was through the roof and my white count was worse, thank god you dont have it. Randy

mjones78 05-26-2007 06:38 AM

Re: osteomyelitis of 5th metatarsal
 
[QUOTE=Mir;2971563]Hi I need to ask a question please. One of my students is doing a report on Osteomylitis and he needs to know how it affects the individual, and their family, of course we cannot find that answer ina medical text. Please help!![/QUOTE]

I guess the answer to this question is based on an idividual basis. I myself had a bunionette surgery in 6/06, I had a staff infection in my foot prior to surgery, and with my surgeon giving me no antibiotics, it led to the osteomylitis in my metatarsal.
I just had surgery on thursday, they scraped out the bone and placed antibiotic beads in the remaining bone. The night after surgery I was in horrible pain ( pain meds did nothing but make me woozy), was up from 10 pm-7 am in pain. As for how it affects the family, that again is a case by case basis. If you have someone who will cater for you when you are at the lowest of lows you are lucky.
Everyone reacts to surgery's different, and I am only 2 days out from surgery so I don't know if I can answer all your ?'s. But I will tell you having to have surgery 2 times, and be out of work and off my feet (I'm an avid soccer/football player) is killing me. I just hope that this cures it, and it doesn't infect my foot further.
Hope some of this helped.

mjones78 05-28-2007 09:55 AM

Re: osteomyelitis of 5th metatarsal
 
[QUOTE=randy6802;2972169]I lost my right leg to this in 1982! It is a very hard infection to clean up! My Dr tried many times to clean up my heal, but it did not work.Today you have the hyperbaric chamber which can help alot. This infection is nothing to mess around with! It really messed up my mind, I was 19 when this happened.Good luck, Randy[/QUOTE]

Hey Randy,

What do you mean the dr tried to clean it up? Did they do something similar to what I posted in another response? (scraping out bone). I didn't get to see my dr pre or post surgery the other day, so I didn't get to ask about the hyperbaric chamber to him. I asked the nurse and she said I could ask, but she mostly laughed at what I said. :mad: Which I thought was odd since I was at MCV which is a teaching hospital. Thought they would be a bit more progressive in their therapy. I am four days out from surgery and most of my pain is gone, of course I can't put pressure on my foot for a while, but I am concerned as to the fact that you said they made multiple tries with you. I saw 3-4 dr's over the past 9 months before they finally did an MRI and found the infection, so I am a bit worried. Any info you have would help me a great deal. Thanks so much.
Melanie:wave:

mjones78 05-28-2007 10:00 AM

Re: osteomyelitis of 5th metatarsal
 
[QUOTE=Gdub730;2948022]mjones,

For two months, my doctor doesn't want me to bear weight on my right foot. I'm on crutches right now, but my foot feels great. I'm not sure what the recovery time is like for other procedures, but I'd assume that they're similar.

And you're right... I should have gone on IV antibiotics immediately following surgery. At the time, my doctor thought that the local antibiotics, combined with oral antibiotics, would do the trick. He put me on IV drugs after discovering that the bacteria isn't sensitive to the locally-used antibiotics.

Also, tomorrow, I begin hyperbaric oxygen therapy. You might want to ask your doctor about it.[/QUOTE]

Hey, I was wondering how the therapy is going? I had my surgery on thursday, so far everything seems ok. After you had your surgery how many days did you go before seeing the doc? I find it odd I had surgery on the 24th and they don't want to see me till the 5th. After all the crap I went through, I just find it odd to go almost 2 weeks without seeing a doc post surgery. the night after surgery it felt like someone was sawing my foot off while holding a blowtorch to it...(dr's office didn't seem too concerned, said to take more painkillers). Anyway, drama, drama, drama......I just don't want to lose my foot, or worse leg. Any info you have about the therapy would be greatly appreciated. I did do some research online, but would like more personal thoughts on it. Thanks so much!!!
Melanie


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