True Jones Fracture with failure to heal diagnosis

in may 2003 I wasz fortunate enough to give myself a true Jones Fracture of the right foot. It started with a soft cast, went to the placement of a stablization screw threw the distal end of the bone, removal of the screw, refracture, and finially placement of a plate, 5 screws, and a bone graft in Dec 2003. The md recommened a synthetic bone for the graft, and now a year later there is less then 40% of a fill in the fracture site and i am preparing for another surgery to remove the hardware, scrape the bone, replace a bone graft and then place new hardware. My question to you is with the history of this fracture and the nonhealing history in the past, am i better to push for a cadaver graft or a self graft this time, i know that i am going to have to have one but which is best? I know that my body does not like to heal anymore, and sad thing is that i am only 29, so would the self graft be worth the additional pain if it may increase the healing prospects of my foot, or is the cadaver just as well without the pain of an additional harvest site? Blood tests were all noraml so there is no explination as to why i am not healing anymore, just the major concern about the foot problems that i am continuing to have...i see the NEW ortho surgeon on friday, what am i to face this time? (this is the 3rd to care for the injury).

Posted By jess on November 29, 2004 at 14:21:23:

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