jon-jones-54.jpgFew recent MMA scenes can churn a stomach like the sight of Jon Jones‘ mangled big toe following his win over Chael Sonnen in Saturday’s UFC 159 headliner.

In our latest installment of “Ask the Fight Doc,” MMAjunkie.com medical columnist Dr. Johnny Benjamin explains why the immediate care for Jones could have presented problems.

When it comes to “open fractures” like the one Jones suffer (warning: it’s graphic), cleanliness is key.

* * * *

Doc – Did you see that Jon Jones’ toe injury sustained during his fight with Chael Sonnen at UFC 159? Is that an injury that might alter his career a bit? – Steve M. from Austin, Texas

Did I!

The probable diagnosis was easy but the immediate treatment, which is crucial, leaves me scratching my head.

The Internet had multiple pictures of Jon Jones’ left great toe open injury – a fracture, dislocation or both. Then I viewed a pic of Jones with the injury reduced (straightened) and closed with stitches wearing one of his sporty new signature Nikes on his uninjured foot. The caption from his twitter account read, “Got my big toe back intact :).”

As Jones walked around with his bone exposed on a filthy cage mat that had seen tens – possibly hundreds of – pairs of shoes spread bacteria all over it, I pray that happy face doesn’t turn to a frown.

I think most sports fans heard some mention of a similar injury that occurred during the NCAA Division I men’s basketball tournament. Kevin Ware, a player for the University of Louisville, jumped to block a shot, landed a bit awkwardly, and found a broken bone sticking though the skin of his lower leg. It was what we as orthopedic surgeons call an “open fracture” – open in the sense that his bone is exposed (open) to the outside and often-filthy world.

The injured Ware had excellent care at the scene and immediately had the wound covered to limit further exposure to outside contamination. He also had immobilization and rapid transport to the hospital. This type of open injury, whether it involves a bone in the leg or foot, requires proper immediate care at the scene and surgical intervention within eight hours to limit the chances of serious infection. Surgery usually consists of a thorough wash and inspection with removal of any foreign bodies (dirt, sand, clothing fibers, etc.) that may have been introduced into the open wound, strong antibiotics, and hardware to fix the bone injury (pins, plates, screws, rods, etc.).

Unfortunately, Jones was allowed to give a post-fight interview in the cage, and then he went to the dressing room, where someone closed the wound with stitches, possibly trapping dirt and bacteria inside, and fashioned a rudimentary splint. He then sat through some portion of the post-fight press conference to answer questions – all with the eight-hour clock ticking away.

I have a question: Where was the UFC orthopedic surgeon or medical director during the immediate on-scene triage, care and medical decision-making process of one of the promotion’s and MMA’s greatest stars?

Jones’ future is relatively easy to predict: very, very bright if he does not get an infection, but not so much if he does.

But please, please, please don’t start pointing fingers at New Jersey State Athletic Control Board officials. They did their job on Saturday night.

For complete coverage of UFC 159, stay tuned to the UFC Events section of the site.

Dr. Johnny Benjamin is MMAjunkie.com’s medical columnist and consultant and a noted combat-sports specialist. He is also a member of the Association of Boxing Commissions’ MMA Medical Subcommittee. Dr. Benjamin writes an “Ask the Doc” column approximately every two weeks for MMAjunkie.com. To submit a question for a future column, email him at askthedoc [AT] mmajunkie.com, or share your questions and thoughts in the comments section below. You can find Dr. Benjamin online at www.drjohnnybenjamin.com, and you can read his other sports-related articles at blog.drjohnnybenjamin.com.

view original article >>
Report here if this news is invalid.

Related News

Peter Sobotta gets new opponent for UFC Fight Night 69 with Sergio Moraes injured

  • 27 days ago
  • 4 views

Sergio Moraes is again sidelined with an injury. The Brazilian grappler, who spent 617 days outside the Octagon with a severe knee injury, was forced out of an upcoming UFC Fight Night 69 bout with P read news >>

Abdulmanap Nurmagomedov discusses Khabib’s recovery and whether AKA is to blame for injury

  • 27 days ago
  • 25 views

Abdulmanap Nurmagomedov discusses his son’s recovery and whether AKA is to blame for the injuries. Back in April, the UFC 187 fight card was dealt a significant blow when it was announced that top li read news >>

Uriah Hall vs. Krzysztof Jotko set for UFC Berlin with Derek Brunson hurt

  • 27 days ago
  • 3 views

Hot-and-cold Ultimate Fighting Championship (UFC) middleweight Uriah Hall will make a quick turnaround to fight Krzysztof Jotko at the upcoming UFC Fight Night 69 mixed martial arts (MMA) event on UF read news >>

Uriah Hall replaces Derek Brunson at UFC Fight Night 69 in Berlin

  • 27 days ago
  • 9 views

After a recent split-decision loss to Rafael Natal halted his three-fight winning streak, Uriah Hall will look to get back on track in quick order as a fill-in at next week’s UFC Fight Night 69 event read news >>

Ben Rothwell doubts Cain Velasquez will fight the same when advance drug testing kicks in

  • 27 days ago
  • 16 views

In a recent interview, Ben Rothwell questioned how current UFC heavyweight champion, Cain Velasquez will fare after the advance drug testing kicks in this July. read news >>

No longer starving body to make 145, Dustin Poirier determined to put on a show

  • 27 days ago
  • 3 views

Already a dangerous fighter for anyone at featherweight, Dustin Poirier seems to have found his true home with the decision to move up to 155 pounds.Filed under: Featured Videos, News, Radio Highligh read news >>

Eddie Alvarez: 'I'm Going to Make Gilbert Melendez Pay for Wanting to Fight Me'

  • 28 days ago
  • 3 views

Eddie Alvarez and Gilbert Melendez are set to handle their business at UFC 188 on Saturday night in Mexico City. There is a large amount of buzz surrounding the clash between two of the elite lightwe read news >>

Video: Behind the scenes of new UFC partner EXOS with Rashad Evans, Luke Rockhold, CM Punk

  • 28 days ago
  • 243 views

While much of the attention surrounding this past week's UFC announcement of a new "Athlete Marketing and Development Program" understandably centered around details of a year-round drug testing prog read news >>

Former Champ Pat Curran Draws New Bellator 139 Opponent

  • 28 days ago
  • 3 views

With an unfortunate injury forcing the withdrawal of Goiti Yamauchi, former featherweight champ Pat Curran has a new Bellator 139 opponent. read news >>

Vitor Belfort: I'm still at the top of my division and can make another run at the UFC title

  • 28 days ago
  • 0 views

Former Ultimate Fighting Championship (UFC) middleweight No. 1 contender, Vitor Belfort, was blown away by Chris Weidman at the UFC 187 pay-per-view (PPV) event last month in Las Vegas, Nevada (video read news >>