Metatarsal Osteosynthesis

Osteosynthesis is indicated in various situations, including:

• Aligned Fractures: Fractures that cannot be adequately treated with conservative methods, such as cast immobilization.
• Displaced Fractures: Fractures where bone fragments are out of alignment, which can compromise function and recovery.
• Complete Fractures: Fractures that extend completely through the bone and require stabilization for healing.

Symptoms that may lead to the decision to perform osteosynthesis include:

• Intense Pain: Persistent and intense pain in the metatarsal region that doesn't improve with conservative treatment.
• Swelling and Tenderness: Significant swelling and tenderness in the fracture area.
• Walking Difficulty: Inability to put weight on the foot due to pain and instability.

The procedure generally involves the following steps:

1. Anesthesia: Patient undergoes local or general anesthesia, depending on surgery complexity and patient health.
2. Incision: An incision is made over the fracture site to expose the bone.
3. Fracture Reduction: The surgeon realigns bone fragments to restore proper metatarsal anatomy.
4. Fixation: The surgeon uses plates, screws, or other fixation devices to stabilize the fracture. This may include intramedullary rods or other orthopedic implants.

Recovery after metatarsal osteosynthesis can vary, but generally includes:

• Rest and Immobilization: Rest the foot and, in some cases, use an immobilization boot or cast to protect the area during healing.
• Pain Control: Use of painkillers to manage post-operative pain.
• Physical Therapy: Physical therapist may recommend exercises to restore strength, flexibility, and foot function, typically starting a few weeks after surgery.
• Medical Follow-up: Regular consultations to monitor recovery and bone healing.