Federal government websites often end in .gov or .mil. WebThe metatarsals are numbered one through five, starting with the big toe. External fixator devices spanning the ankle or portions of the foot often utilize Specimens were then dissected. Junior Member. 2019 Apr 9;19:e11. After surgery, patients must be careful to keep weight off of the foot while the bone heals. I broke my 3rd metatarsal and fractured the 2nd and 4th back in August of 2007. WebThe Surgery. Most surgeons prefer to do the surgery in an outpatient surgery center or hospital. This was accomplished in a fashion identical to the application of typical forefoot external fixation as described in the literature. Conservative measures such as resting, changing shoes or using a metatarsal pad might be all you need to relieve signs and symptoms. WebMetatarsal surgery is an outpatient procedure performed while the patient is anesthetized. Surgery on the remaining metatarsal bones is performed infrequently. Copyright 2018 Vascular Health Clinics. Without correcting the metatarsal alignment, the painful callous is almost certain to return. A common occurrence following the surgery is elevation of the toe associated with the elevated metatarsal bone that was operated on. If a pin is used to hold the bone in place, it is generally removed in three to four weeks. During this healing period, the foot should be protected from excessive weight bearing. He said I have to leave them in for 4 to 6 weeks. Conclusions: Only part of the metatarsal bone is removed. Initial treatment generally consists of using a functional or accommodative orthotic to reduce the pressure to these areas. Following the surgery, the patients foot may be placed in a cast. Painful calluses on the ball of the foot are caused by an abnormal alignment of the metatarsal bones. Do not copy or redistribute in any form! Surgery on the second through fifth metatarsal bones is performed infrequently, and is usually done to treat painful calluses on the bottom of the foot or non-healing ulcers on the ball of the foot. Generally, the bone is cut all the way through, Generally, the bone is cut all the way through, and then manually raised and held in its corrected position with a metal pin or screw. We use cookies to ensure that we give you the best experience on our website. Chicago Foot Care Clinic are licensed doctors and certified for the following: Bunion Surgery, Achilles Surgery, Ankle Surgery, Arthritis Surgery, Arthroscopy, Bunion Surgery, Corn Removal, Cyst Removal, Flatfoot Correction, Heel Surgery, Metatarsal Surgery, Nerve Surgery (Neuroma) and Toe Surgery. Metatarsal Repair with Pins. Bethesda, MD 20894, Web Policies Finally, he stitches the incision. Our doctors specialize in food and ankle conditions, prevention, management, reconstruction and routine foot care. Metatarsalgia pain Generally, the bone is cut all the way through, and then manually elevated and held in its corrected position with a metal pin or screw. The foot should be kept dry while the stitches and/or pin are in place to help prevent infection. When surgery is performed on the second, third, or fourth metatarsal bones, it is generally for the treatment of painful callouses on the bottom of the foot or for the treatment of non-healing ulcerations on the ball of the foot. Generally it takes a total of six to eight weeks, or longer, for the bone to heal. Patients with rheumatoid arthritis may also need metatarsal surgery. Patients with rheumatoid arthritis may also need surgery. Injury to the deep plantar branch of the dorsalis pedis artery, when present, was recorded. The foot should be kept dry while the stitches and/or pin are in place to help prevent infection. You could ask about a bone stimulator. This site needs JavaScript to work properly. In rare cases, when conservative measures don't relieve your pain and your metatarsalgia is complicated by foot conditions such as hammertoe, surgery to realign the metatarsal bones might be an option. Any pin with a starting point within 18 mm of the first metatarsocuneiform joint placed the artery at risk. Patients with rheumatoid arthritis may also need metatarsal surgery. If the bone shifts downward, or is not elevated enough at the time of surgery, the painful callous may return. This is a relatively common and successful surgery that aids in the healing of the ulceration on the bottom of the foot. During surgery, the metatarsal bone is cut just behind the toe. Generally, the bone is cut all the way through, and then manually raised and held in its corrected position with a metal pin or screw. Following the surgery, the patient`s foot may be placed in a cast. WebThis surgery involves cutting the metatarsal bone of the big toe and realigning the bone to correct the deformity. After the surgery, the surgeon places a gauze bandage on the foot. These bones are the long bones behind each toe. Call us today. J Orthop Trauma. As you can tell, it's my right foot I broke. If surgery is needed, you will typically need to stay off your foot for at least 6-8 weeks to allow your fracture to heal. Metatarsal Surgery. The affected metatarsal bone is cut and aligned with the other metatarsals (oblique osteotomy). The protruding fragment of the second metatarsal bone was excised, and the third and fourth metatarsal bones were repaired with intramedullary pins and external skeletal fixation. If you run and ignore that aching pain in your foot it could be a metatarsal stress fracture.If you're strong as an ox and half as smart and you keep running, and ignore the pain, you could actually break the metatarsal bone.If the broken metatarsal bone moves out of position your doctor may recommend surgery to put the bone back in its proper position and stabilize it with pins, plates by Dr. Delvadia, DPM | Aug 19, 2020 | 0 comments. If the patient has poor circulation, further complications may be failure of the surgical sight to heal, or gangrene with partial loss of the foot or leg. The https:// ensures that you are connecting to the These toe fractures can take anywhere from 4-12 weeks of conservative care to fully heal. May surgeons will have the patients wear a below the knee cast and/or use crutches for six to eight weeks. Please consult your healthcare provider for advice about a specific medical condition. If the bone shifts downward or is not elevated enough at the time of surgery, the painful callous may return. The time required to be off work will vary with the demands of the persons job. If the patient has poor circulation, further complications may be a failure of the surgical sight to heal, or gangrene with partial loss of the foot or leg. Hi, I can't answer a lot of your questions because I never had pins but there are some here who have and hopefully they will be by to answer. Can they leave the pins in longer than 4 to 6 weeks? While the pin is in place, the patient should keep the foot dry to prevent infection. Your foot and ankle specialist may recommend metatarsal surgery to repair bunions, rheumatoid arthritis, or another issue that is causing deformity in the foot. The procedure involves cutting the metatarsal bone, repositioning it, and fastening it in place using metal pins, plates, or screws. Generally, the bone is cut all the way through, and then manually raised and held in its corrected position with a metal pin or screw. We are of course The Podiatry Group of Georgia, Find the Right Doctor For Your Foot Surgery, Flip Flop Dangers from a Podiatry Group of Georgia, Keep Running this Summer Visit Your Foot and Ankle Doctor in Marietta, Plastic Surgery For Feet From a Georgia Foot Doctor Marietta Georgia, Protection for Your Feet Podiatry Group of Marietta, Soothing Relief is found at Podiatry Group of Georgia in Marietta. The skin stitches are removed in ten to fourteen days. Following the surgery, the patient may be While the pin is in place, the patient should keep the foot dry to prevent infection. Recovery takes one to two months, depending on the type of The plantar callus should go away on its own over time. I had a second metatarsal osteotomy (surgical break) at the midfoot end and it took 18 weeks to heal with a plate and 4 screws!! The metatarsal bone behind the big toe is called the first metatarsal. The surgery consists of cutting the metatarsal bone just behind the toe. WebDuring surgery, the metatarsal bone is cut just behind the toe. Bookshelf Other surgeons will allow the patient to wear a stiff-sole post-operative shoe, and allow limited walking on the foot. Diabetic patients with non-healing ulcerations on the ball of the foot may undergo a different type of metatarsal surgery. The Podiatry Group of Georgia is the best place to go for podiatry in Marietta. The most common metatarsal surgery is preformed on the first metatarsal for the correction of bunions. Surgery on the second through fifth metatarsal bones is performed infrequently, and is usually done to treat painful calluses on the bottom of the foot or non-healing ulcers on the ball of the foot. The time required to be off work will vary with the demands of the persons job. Without correcting the metatarsal alignment, the painful callous is almost certain to return. Generally, the bone is cut all the way through, and then manually raised and held in its corrected position with a metal pin or screw. Casey D, McConnell T, Parekh S, Tornetta P 3rd. Metal pins hold the bone in place and are removed 6 weeks following surgery. Generally, the bone is cut all the way through, and then manually raised and held in its corrected position with a metal pin or screw. WebFigure 5: 5th metatarsal Jones fracture. 2002 Jan;16(1):26-9. doi: 10.1097/00005131-200201000-00006. Patients with rheumatoid arthritis may require surgery of the metatarsals, which is discussed in another section. Top of the line foot specialist in Marietta here, We get rid of podiatrist laser toenail fungus, What are Flat Feet Podiatry Group of Georgia Marietta. Possible complications with this surgery include infection, failure of the procedure to heal the ulceration, or the development of new ulcerations in adjacent areas on the ball of the foot. The surgery consists of cutting the metatarsal bone just behind the toe. Placement of external fixation pins through the proximal bases of the first and second metatarsals, within 2 cm of the first tarsometatarsal joint, consistently places the deep plantar branch of the dorsalis pedis artery at risk. Kickstand External Fixator for Immobilization Following Free Flap Plantar Calcaneal Reconstruction. Surgery may be recommended HHS Vulnerability Disclosure, Help Metatarsal Surgery to Treat Diabetic Ulcerations, Able and willing foot and ankle doctor in Marietta Georgia, All About Heel Spurs From a Georgia Podiatrist Marietta Georgia. It appears you have not yet Signed Up with our community. While this forefoot fixation is occasionally necessary to achieve reduction and alignment, it is also useful to prevent an equinus contracture. In this instance, the section of the metatarsal bone associated with the excessive pressure called the metatarsal head may be removed entirely. May surgeons will have the patients wear a below the knee cast and/or use crutches for six to eight weeks. Surgery is common for mid-shaft or dancer's fractures and for Jones fractures if more conservative treatments, like immobilization, prove unsuccessful. In most instances of metatarsal surgery, the patient should use an orthotic in their shoe after the surgery has healed. My doctor was worried about non union too but we just decided to wait it out. Foot problems caused by rheumatoid arthritis, diabetes, and certain other diseases. Following the surgery, the patient's foot may be placed in a cast. Painful calluses on the ball of the foot are due to an abnormal alignment of the metatarsal bones. This information is provided by Vascular Health Clinics and is not intended to replace the medical advice of your doctor or healthcare provider. official website and that any information you provide is encrypted government site. Join the conversation! This is a relatively common and successful surgery that aids in the healing of the ulceration on the bottom of the foot. PMC J Orthop Trauma. 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Any thoughts on the next move if the bones don't heal? I want to drive my car again. During surgery, the metatarsal bone is cut just behind the toe. If a metatarsal bone is lower than the others, excessive weight is placed on this area of the foot, and a painful callous may form. WebThe Surgery. Methods: Other surgeons will allow the patient to wear a stiff-sole post-operative shoe, and allow limited walking on the foot. An official website of the United States government. Surgery on the remaining metatarsal bones is performed infrequently. In some instances, a surgeon will also cut out the painful callous on the bottom of the foot, but most prefer to do the procedure in an outpatient setting. eCollection 2019. So the second metatarsal is the long bone of the second toe. WebBackground: External fixation is widely used for trauma and reconstruction of the lower extremity. This article will address metatarsal surgery of the other metatarsals. 2018 Oct 16;11:57. doi: 10.1186/s13047-018-0300-3. Removal of the pin can be done in the doctors office without the need for anesthesia. Two cases of the superficial dorsalis pedis artery observed in man. https://iwalk-free.com/injury-resource-center/metatarsal-fracture The orthotic will reduce the risk of reoccurrence or the development of new areas of callous formation or tissue break down. Athletes Foot Versus Dry Skin from a Georgia Podiatrist, Come Meet Our Foot and Ankle Doctor in Marietta Georgia, Consider us your home team. The metatarsal bone behind the little toe is called the fifth metatarsal. If youve been searching for podiatric surgeons for your foot and ankle needs, take time to meet with the Podiatry Group of Georgia. Generally, the bone is cut all the way through, and then manually raised and held in its corrected position with a metal Following the surgery, the patients foot may be placed in a cast. This is especially important for the diabetic patient. WebMetatarsal Surgery. The most common metatarsal surgery is preformed on the first metatarsal for the correction of bunions. Results: Complications associated with this surgery are: infection, failure of the bone to heal in its correct position resulting in the return of the painful callous or transfer of the callous to a new location, delays or failure of bone healing, stress fractures of adjacent metatarsals, or excessive swelling. Generally, the bone is cut all the way through, and then manually elevated and held in its If a metatarsal bone is lower than the others, excessive weight is placed on this area of the foot, and a painful callous may form. and transmitted securely. I am interested inFoot CareFoot SurgeryScheduling an AppointmentConsultationOther The bone is realigned and held in place with metal pins until it heals. This is the most common cause of failure with this surgery. Also surgery of the metatarsals may be necessary in instances of trauma of the foot where the metatarsal bones may have been fractured. I've been running a low grade fever everyday but the incision looks good. A surgical shoe or even a cast is usually worn to protect the foot. The metatarsal bone behind the big toe is called the first metatarsal. Calluses on the bottom of the foot or ball of the foot. I had surgery 10 days ago for repair of the 2nd, Walking prematurely on the foot can cause the bone to shift and heal in an incorrect position. Generally, the bone is cut all the way through, and then manually elevated and During surgery, the metatarsal bone is cut just behind the toe. Chicago Foot Care Clinic. The orthotic will reduce the risk of reoccurrence or the development of new areas of callous formation or tissue break down. The procedure is usually done on an outpatient basis. These bones are the long bones behind each toe. During surgery, the metatarsal bone is cut just behind the toe. The most common metatarsal surgery is preformed on the first metatarsal for the correction of bunion deformity. Following the surgery, the patient's foot may be placed in a cast. Metatarsal Surgery to Treat Diabetic Ulcerations. After 8 weeks it was removed, and I never had any physical therapy or anything. Diabetic patients with non-healing ulcerations on the ball of the foot may undergo a different type of metatarsal surgery. Posts: 24. Other methods of obtaining forefoot or midfoot external fixation are recommended in order to avoid vascular injury. Some studies indicate a failure rate as great as 60%. Use of lag screw fixation (oblique fractures) or stabilization with a small bone plate (1.5 mm or 2.0 mm) and screws also can be effective. Eplasty. 2005 Jul;2(4):465-71. doi: 10.1586/17434440.2.4.465. He then incises the bone, places it in its proper position, and pins it in place with a metal pin or screw. When surgery is performed on the second, third, or fourth metatarsal bones, it is generally for the treatment of painful callouses on the bottom of the foot or for the treatment of non-healing ulcerations on the ball of the foot. Before I'm very nervous. Receive News, Make an appointment today. Patients with rheumatoid arthritis may also need metatarsal surgery. If there are stitches in the bottom of the foot, they may remain in place for three weeks. In this setting, intra-venous sedation or general anesthesia can be used for the patients comfort. Distances from the deep plantar arch to the lesser metatarsals at risk during osteotomy: a fresh cadaveric study. WebIt involves cutting and repositioning the affected metatarsal bone and holding it in place with a screw or a pin osteosynthesis. Our doctor has the experience and knowledge you need to help your feet and ankles feel their best. In people with diabetes, these areas of excessive pressure may break down and form open sores or ulcerations. The chinchilla was bearing weight on the affected limb 9 days after surgery with only mild lameness. Tonogai I, Hayashi F, Tsuruo Y, Sairyo K. J Foot Ankle Res. Also, surgery of the metatarsals may be necessary for instances of trauma of the foot where the metatarsal bones may have been fractured. Generally, the bone is cut all the way through, and then manually raised and held in its corrected position with a metal pin or screw. 2022 The Podiatry Group of Georgia. My insurance denied that as well!. The second most common metatarsal surgery is on the fifth metatarsal for the correction of tailors bunion deformity. Your foot and ankle specialist may recommend metatarsal surgery to repair bunions, rheumatoid arthritis, or another issue that is Policy. During surgery, the metatarsal bone is cut just behind the toe. Some surgeons will also cut out the painful callous on the bottom of the foot when they perform the metatarsal surgery. The second most common metatarsal surgery is on the fifth metatarsal for the correction of the tailors bunion deformity. There are five metatarsal bones in each foot. If this is not successful, metatarsal surgery may be considered. Walking prematurely on the foot can cause the bone to shift and heal in an incorrect position. Please enable it to take advantage of the complete set of features! Generally, it takes a total of six to eight weeks, or longer, for the bone to heal. After the patient is completely anesthetized, the surgeon begins the procedure by incising Surgery on the second through fifth metatarsal bones is performed infrequently, and is usually done to treat painful calluses on the bottom of the foot or non-healing ulcers on the ball of the foot. This article will address the metatarsal surgery of the other metatarsals. J Orthop Trauma. The plate and screws were because of the closer to midfoot location.14 weeks of that was nonweightbearing. In four feet, the pin contacted the artery but did not visibly damage it. There are five metatarsal bones in each foot. Clipboard, Search History, and several other advanced features are temporarily unavailable. Everyone tells me that it will create a union between the bones. Possible complications with this surgery include infection, failure of the procedure to heal the ulceration, or the development of new ulcerations in adjacent areas on the ball of the foot. A minimum of one week off work would be advisable with the patient staying at home with the foot elevated above the heart. 8600 Rockville Pike WebPatients with rheumatoid arthritis may also need metatarsal surgery. The metatarsal bone behind the little toe is called the fifth metatarsal. External fixator devices spanning the ankle or portions of the foot often utilize pins placed across the metatarsal bases. The surgery consists of cutting the metatarsal bone just behind the toe. sharing sensitive information, make sure youre on a federal Following the surgery, the patient may be placed in a cast or may be required to use crutches for several weeks. WebSurgery can be done with small percutaneous pins placed directly through the skin so that the fracture does not have to be open. We do not endorse non-Vascular Health Clinics products or services. After the patient is completely anesthetized, the surgeon begins the procedure by incising into the skin just behind the toe, thereby accessing the metatarsal bone. All rights reserved. Does anyone know what happens if the pins don't work? Most surgeons prefer to do the surgery in an outpatient surgery center or hospital. For new patients only. Surgery is rarely needed for second or third metatarsal fractures, however if there is a non-union of the bone, a small operation may be necessary. When injury was not present, the distance from the pin to the deep plantar branch was recorded. and we are proud to be your local podiatrist Marietta. If the bone is elevated too much, a painful callous may form under the metatarsal next to the one which was operated on. Under fluoroscopy, a single 4.0-mm Schanz pin was advanced percutaneously from medial to lateral across the bases of the first and second metatarsals in ten cadaver feet. The most common metatarsal surgery is performed on the first metatarsal for the correction of bunions. Call Our Marietta, Georgia Office Today at 404-806-3731, or Book your appointment online now! 2015 Nov;29(11):e442-5. DISCLAIMER: *MATERIAL ON THIS SITE IS BEING PROVIDED FOR EDUCATIONAL AND INFORMATION PURPOSES AND IS NOT MEANT TO REPLACE THE DIAGNOSIS OR CARE PROVIDED BY YOUR OWN MEDICAL PROFESSIONAL. External fixation is widely used for trauma and reconstruction of the lower extremity. This procedure usually requires two or three small incisions in the foot. There are five metatarsal bones in each foot, each consisting of the long bones behind each toe.The metatarsal bone behind the big toe is called the first metatarsal, and so on. In this instance, the section of the metatarsal bone associated with the excessive pressure, called the metatarsal head, may be removed entirely. The most common metatarsal surgery is performed on the first metatarsal for the correction of the bunion deformity. Screws or pins may be used to hold the bone in place. doi: 10.1097/00005131-200409001-00006. Vascular Health Clinics is a regional multi-specialty program. Percutaneous pin placement in the medial calcaneus: is anywhere safe? WebThe ball of the foot is known as the metatarsophalangeal joint (MTPJ) region. Advertising on our site helps support our mission. Generally, the bone is cut all the way through, and then manually elevated and held in its corrected position with a metal pin or screw. The surgery consists of cutting the metatarsal bone just behind the toe. In some instances, a surgeon will also cut out the painful callus on the bottom of the foot, but most prefer to do the procedure in an outpatient setting. A second metatarsal shortening Generally, the bandage stays in place until the patient first follow up visit with the doctor. Initial treatment generally consist of using a functional or accommodative orthotic to reduce the pressure to these areas. Patients with rheumatoid arthritis may also need metatarsal surgery. If there are stitches in the bottom of the foot, they may remain in place for three weeks. The procedure is usually done on an outpatient basis. Metatarsal surgery involves cutting a metatarsal bone, properly positioning it, and fixing it in place with a metal screw or pin. I have 3 pins sticking out of my foot. Complimentary consultation only includes initial exam. A proximal bunionectomy, the first metatarsal is cut at the near end of the bone. This article will discuss elective metatarsal surgery. Would you like email updates of new search results? Generally, the bone is cut all the way through, and then manually elevated and held in its corrected position with a metal pin or screw. During surgery, the metatarsal bone is cut just behind the toe. A minimum of one week off work would be advisable with the patient staying at home with the foot elevated above the heart. Disclaimer, National Library of Medicine During this healing period, the foot should be protected from excessive weight-bearing. During surgery, the metatarsal bone is cut just behind the toe. Generally, the bone is cut all the way through, and then manually raised and held in its corrected position with a metal pin or screw. Following the surgery, the patient's foot may be placed in a cast. So I'm not too concerned about infection. Some studies indicate a failure rate as great as 60%. Background: The site is secure. Patients with rheumatoid arthritis may also need metatarsal surgery. Complications associated with this surgery are infection, failure of the bone to heal in its correct position resulting in the return of the painful callous or transfer of the callous to a new location, delays or failure of bone healing, stress fractures of adjacent metatarsals, or excessive swelling. Careers. All Rights Reserved. So don't despair after 6 weeks. In people with diabetes, these areas of excessive pressure may break down and form open sores or ulcerations. 2022 Copyright. This article will discuss elective metatarsal surgery. Surgery involves an incision in the soft tissues of the The Surgery. If a pin is used to hold the bone in place, it is generally removed Given the clinical importance of this artery, transmetatarsal pinning in this fashion is not advised. Patients with rheumatoid arthritis may require surgery of the metatarsals, which is discussed in another section. If you continue to use this site we will assume that you are happy with it. Some surgeons will also cut out the painful callous on the bottom of the foot when they perform the metatarsal surgery. If this is not successful, metatarsal surgery may be considered. eCollection 2018. These bones are the long bones behind each toe. My concern is that I am a type 1 diabetic and healing can be a real problem for me. 2022 MH Sub I, LLC dba Internet Brands. Following the surgery, the patient`s foot may be placed in a cast. Rarely will a foot surgeon remove the painful callous without also performing the metatarsal surgery. The surgery consists of cutting the metatarsal bone just behind the toe. Kachare SD, Vivace BJ, Henderson JT, Kachare M, Kapsalis C, Fulfer JL, Choo J, Wilhelmi BJ. All rights reserved. Metatarsal surgery is sometimes necessary to correct certain conditions caused by the misalignment of the metatarsal bones. Postoperative Care. Hydroxyapatite-coated external fixation pins. Accessibility 5 th metatarsal surgery involves inserting a pin, screw, rod or plate to secure the bone in the desired location. The metatarsal bone behind the big toe is called the first metatarsal, and so on. Unable to load your collection due to an error, Unable to load your delegates due to an error. Generally, the bone is cut all the way through, and then manually raised and held in its corrected position with a metal pin or screw. 2004 Sep;18(8 Suppl):S39-42. The need for surgery in these fracture types depends on the degree of deformity. Patients with rheumatoid arthritis may also need metatarsal surgery. Incidence of Intracapsular Placement When Inserting Medial Talar Body Schanz Pins: An Anatomic Study. Ask our community of thousands of members your health questions, and learn from others experiences. There are five metatarsal bones in each foot. During surgery, the metatarsal bone is cut just behind the toe. If a pin is used to hold the bone in place, it is generally removed in three to four weeks. In most instances of metatarsal surgery, the patient should use an orthoticin their shoe after the surgery has healed. There are five metatarsal bones in each foot, each consisting of the long bones behind each toe. We undertook an anatomical study to evaluate the safety of pins placed across the bases of the first and second metatarsals, spanning the first intermetarsal space. During surgery, the metatarsal bone is cut just behind the toe. Ann Anat. Following the surgery, the patient may be placed in a cast, or may be required to use crutches for several weeks. I even concerned about the incision healing. The skin stitches are removed in ten to fourteen days. Copyright 2016-2020 Vascular Health Clinics | Privacy and Security | Accessibility | Copyright Notice | Terms of Use | Website Privacy | Social Media | Disclaimer. In this setting, intravenous sedation or general anesthesia can be used for the patients comfort. This is the most common reason metatarsal surgery is not successful. If you walk on the foot and the bone moves downwards and heals in that position, you may develop a callus on the ball of the foot, at the metatarsal joint. Metatarsal surgery is an outpatient procedure performed while the patient is anesthetized. Call now773-463-FEET (3338) or use contact form. MeSH If the bone is elevated too much, a painful callous may form under the metatarsal next to the one which was operated on. A surgical shoe or even a cast is usually worn to protect the foot. After surgery, patients must be careful to keep weight off of the foot while the bone heals. Moroni A, Pegreffi F, Cadossi M, Hoang-Kim A, Lio V, Giannini S. Expert Rev Med Devices. At the conclusion of the surgery, the surgeon places a gauze bandage on the foot. Location: Phoenix, AZ, USA. Rarely will a foot surgeon remove the painful callous without also performing the metatarsal surgery? In the remaining foot, the pin was noted to be only 4 mm from the artery. Metatarsal surgery involves cutting a metatarsal bone, properly positioning it, and fixing it in place with a metal screw or pin. I had surgery 10 days ago for repair of the 2nd, 3rd, & 4th metatarsal repair due to non union after 9 weeks. FOIA The long bones of the forefoot (metatarsals) and the toes form the MTPJs. Painful callouses on the ball of the foot are due to an abnormal alignment of the metatarsal bones. 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