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Jones fracture screw causing problems

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Old 09-19-2010, 11:05 AM   #1
Join Date: Sep 2010
Location: topeka, ks, usa
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lizm1 HB User
Jones fracture screw causing problems

My husband recently broke his 5th metatarsal(non-displaced)tripping over the baby gate. The orthopedic physician he saw recommended surgery to place a screw as he is fairly active with a one year old at home at on his feet a lot at work. After the surgery we were shown an xray of the screw placement. I, being a nurse, thought the xray looked funny. It appeared like the screw was larger than it needed to be to do the job, and it was at an odd angle. Instead of running straight down the length of the shaft of the bone, it appeared on xray to protrude at an angle out of the end of the bone and also protruded from the bone on the insertion end. The tip of the screw also appeared to overlap the 4th metatarsal. I realize on a 2 dimensional xray, it is difficult to tell whether something would be on top of, below, or going through the next bone over. My husband complains of pain on the top of his foot and numbness to his pinky toe and a small area of his foot above the toe. When we asked the surgeon about this and the odd angle of the screw during my husband's follow up visit a week later, he simply stated, "It looks to big." When we asked him what that meant(because he didn't seem to be divulging any more information, he said "he'll probably have to have the screw out." What?!? Never once did he ever discuss the possibility of having to get the screw out. In fact, when we asked him in his initial visit about it, he said it would be permanent. Screw removal or pain/numbness associated with poor size or placement of the screw were never discussed as risks of the surgery. Needless to say, we are both very frustrated with his Dr's vague responses, his seemingly improper placement of the screw, and his failure to discuss these things as risks associated with the surgery. Does anyone have experience similar to this or know what it costs to have this type of a screw removed? To us, it seems like we should not have to pay for the surgery if the screw was placed wrong. Do we have a leg to stand on?

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Old 09-19-2010, 11:33 AM   #2
Join Date: Apr 2005
Location: Birmingham, AL
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Titchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB User
Re: Jones fracture screw causing problems

Screw removals are usually under local anesthesia - if any - and in the doc's office. Generally a very simply procedure-not a full blown surgery. And a large number of people eventually get their hardware removed even when it wasn't the original intention. Quite often it becomes bothersome down the road. Don't know if this is the case with your husband - just giving the norm.

Last edited by Titchou; 09-19-2010 at 11:34 AM.

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5th metatarsal, jones fracture, numbness, pain, screw

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