Re: Ankle replacement vs debridement, spur removal & peroneal tendon surgery
Originally Posted by LabGimp
Thank you for your response K_Lana. That is terrible that your STAR replacement failed! How long have you had it? How did you know it failed? What kind of options do you have now? I'm so sorry you are going through this.
I appreciate your advice. I am definitely leaning toward the simpler surgery, although it's not really that simple. No matter what, I will need to have the peroneal tendon fixed. He said they would carve a groove into my fibula and detach the tendon, then reattach it. That is the part the has me the most scared. I'm not even sure how they reattach it or what kind of incision it will be. I had the spurs taken out once before, so at least I know how that feels (not great!). That recovery took awhile and I was only 30 years old back then!
I have an appt with my doc on June 28, and I have a big list of questions, both medical and practical. Like, when can I drive? Unfortunately, it's my right ankle and I have a stick shift. Time to get an automatic, I guess!
I got my STAR in Dec of last year, so about 6 mos. I knew the first second I put my foot on the ground that something was not right. But a month ago the pain was so severe I had to go back on crutches. My options are limited. I can convert to a fusion, which would not be easy given I have had bone removed for the replacement. I already have my subtalar joint fused, so I would not be happy with a fusion. I could amputate, and we have discussed this. I have rsd in my entire leg though so amputation might aggregate it so I can not wear a prosthesis. There is a hope that I may be able to convert to another type of replacement. That is what I am holding out hope for.
I have had peroneal tendon repairs and a subluxation repair before. It cut down on the pain significantly. The scar is good size. It goes from mid outside of the foot to up to the top oh the lateral malleolus ( outside ankle bone), you really can't see it that much. Of all my scars, it is one of the biggest, but least noticeable, probably because of location. I am lucky that mine is my left ankle so I never had to worry about driving. But recovery was much like my other surgeries, 6-8 weeks on crutches.
Brostrom x2, peroneal tendon repair x2, Peroneal subluxation, PTT tendon repair, microfracture x5, OATS, Distraction arthroplasty, ORIF talus & fibula, subtalar fusion, ankle replacement (failed)