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Jones Fracture - Cast vs. Surgery

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Old 19th July 2009, 08:53 PM
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Question Jones Fracture - Cast vs. Surgery

I have a Jones fracture - 2 weeks old. I assume the protocol for treatment is cast and then if that doesn't work surgery. What are the statistics for success in both? Not knowing the answer ( and being an engineer) I'm leaning towards surgery sooner than later because I fear the success ratio for cast only (given a reasonable time like three months) is low. So why not opt for surgery earlier?
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Old 19th July 2009, 09:55 PM
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Default Re: Jones Fracture - Cast vs. Surgery

DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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I believe that it is generally held that casting of a Jones fracture has a 70 or so percent success rate and surgery perhaps a 90 percent success rate. On the other hand, most surgical procedures present greater risks of other problems occuring than does conservative treatment. I would think that if you have concerns regarding the method selected by your doctor, you should have a discussion with him/her about his/her reasons for chosing whatever method was chosen.
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Old 21st July 2009, 02:19 AM
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Default Re: Jones Fracture - Cast vs. Surgery

Thanks

Do you know of any Surgery Center in Los Angeles that specializes in this type of surgery?
All the doctors I talk to to seem to have a proprietary interest (not suprising) in doing the surgery themselves. Is there a "Mayo Clinic" in this field?
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