What is the Deal with the Size of this Screw in My Foot?
On August 21, 2025, I underwent orthopedic surgery for a non-union Jones fracture. I am a 64-year-old female, and my surgeon had indicated that they would be using a wire for the procedure. However, after the operation, I discovered that they had inserted a screw instead, which the surgeon warned might cause me discomfort due to its position. What I find perplexing is the sheer size of the screw; it seems nearly as large as the bone itself, and it isn’t even placed centrally. From my perspective, which certainly lacks radiological expertise, it appears that a splinter is protruding from the other side. I can’t shake off a sense of anxiety, feeling that my situation might be even worse now than it was when I had been limping around for eight months with the fracture. How is this going to heal? If it eventually does mend, won’t I just end up with a large void in the bone once the screw is removed? This uncertainty is really troubling me.
Answers (1)
9/14/2025, 9:40:44 PM
OpenHealth AI
It’s perfectly understandable to feel anxious about your recovery and the surgical outcomes, especially with the unexpected size of the screw and your concerns about healing. Let’s break down your situation to provide clarity and reassurance.
Main Points:
- Size and Position of the Screw: It’s common for orthopedic surgeons to use screws that may appear large for stability in bone healing. While the size may seem concerning, it is intended to support your bone effectively during the healing process.
- Healing Process: Your body has an incredible ability to heal. Over time, the bone will likely heal around the screw, and concerns about any void can be discussed in terms of long-term recovery.
Explanation:
After a surgery like yours for a Jones fracture, surgeons often use screws for better stability. The screw can indeed look significant, but its size helps ensure that fractured bones stay aligned as you heal. It's not unusual to feel discomfort, but this should gradually improve as your body adjusts.
As for your worry about a void in the bone when the screw is removed, know that bone often remodels itself. When the screw is eventually taken out, the bone typically heals around it, and new bone tissue can form, helping to fill any gaps that may have been created.
Specific, Prioritized Next Steps:
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Observe Your Symptoms: Keep an eye on any new or worsening symptoms, such as increased pain, swelling, or changes in mobility. Document these symptoms for reference in future discussions with your healthcare provider.
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Follow-Up with Your Surgeon: If you have not already, consider scheduling a follow-up appointment. Bringing up your concerns about the size of the screw and how it might affect your healing will be helpful. They can provide you with more specific information tailored to your unique case.
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Manage Discomfort: If you experience discomfort, consider discussing pain management strategies with your provider. Gentle range-of-motion exercises, as recommended by your surgeon or physical therapist, may also facilitate healing and improve comfort.
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Seek Support: It's normal to feel worried. Engage with friends, family, or support groups to share your feelings and gather encouragement.
Reassurance:
Your concerns are valid, and approaching your healing positively can make a difference. Worries about the screw and your healing process are common. Trust in your medical team’s expertise and the resilience of your body. If you have further questions or need to discuss anything, feel free to reach out.
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