Complex Foot Fractures

What are complex foot fractures?

Complex foot fractures refer to severe breaks in the bones of the foot that often involve multiple bones, joint surfaces, or soft tissue damage. These types of fractures typically result from high-energy trauma, such as car accidents, falls from significant heights, or crush injuries. The foot is made up of 26 bones and multiple joints, all working together to support movement and weight-bearing. A complex foot fracture can severely affect mobility and may involve fractures in areas like the talus, calcaneus (heel bone), metatarsals, or midfoot (Lisfranc fractures). In some cases, these injuries can lead to long-term complications, including arthritis, chronic pain, or deformities, if not treated correctly.

 

Complex foot fracture symptoms

Patients with complex foot fractures often experience a range of symptoms depending on the severity and location of the injury. Common symptoms include:

  • Severe pain: Immediate and intense pain at the site of the injury, often exacerbated by movement or pressure.
  • Swelling and bruising: Swelling and bruising may develop rapidly, especially around the injured area.
  • Deformity: Visible misalignment or deformity of the foot may occur, particularly in more severe fractures.
  • Inability to bear weight: Patients often find it difficult or impossible to stand or walk due to extreme pain and instability.
  • Numbness or tingling: Nerve involvement in the injury can lead to numbness or tingling in the toes or other parts of the foot.
  • Restricted movement: A limited range of motion in the foot or toes may result from the injury.

If you suspect a complex foot fracture, it’s essential to seek immediate medical attention to prevent complications and long-term disability.

 

How does Dr Abramson treat complex foot fractures?

Dr Michael Abramson’s approach is tailored to each patient’s injury, considering the location, severity, and associated soft tissue damage. The surgeon begins with a thorough assessment, including a physical examination and imaging studies such as X-rays, CT scans, or MRIs, to evaluate the full extent of the injury. These tests help identify fractures, dislocations, and any soft tissue injuries.

Surgical Intervention

Complex foot fractures frequently require surgery to restore the alignment of bones, stabilize the joints, and repair soft tissue damage. Dr Abramson is skilled in advanced surgical techniques such as:

    • Open Reduction and Internal Fixation (ORIF): In this procedure, Dr Abramson realigns the fractured bones and uses metal plates, screws, or pins to hold the bones in place while they heal.
    • External Fixation: For severe or highly comminuted fractures, external fixation devices may be used to stabilize the foot externally, allowing for healing while avoiding further damage to soft tissues.
    • Arthrodesis (Joint Fusion): In cases where joint surfaces are severely damaged, Dr Abramson may perform joint fusion to alleviate pain and stabilize the foot, particularly in complex midfoot or hindfoot fractures.

FAQ’s

What causes complex foot fractures?
Complex foot fractures are often caused by high-impact trauma, such as car accidents, falls from a height, or sports injuries. These events can fracture multiple bones in the foot or cause a severe break that also affects surrounding soft tissues, tendons, or nerves.
Do all complex foot fractures require surgery?
Not all complex foot fractures require surgery. In some cases, stable fractures may be treated with immobilization, such as a cast or splint. However, more severe fractures that involve bone displacement or soft tissue damage often require surgical intervention for proper healing.
Will I need physical therapy after treatment?
Yes, physical therapy is often recommended after treatment for complex foot fractures. It helps restore strength, flexibility, and range of motion in the foot and prevents stiffness or weakness that can develop during the healing process.