Excision for Tarsal Coalition?
I posted a while back...newly diagnosed with tarsal coalition. I'm still new to this diagnosis, so please bear with me. I believe the coalition involves bone (versus soft tissue???).
Anyway, I am 31 years old. History of "loose" ligaments, tendons. Right ankle lateral ligament reconstruction in Jan 2006. Left knee ACL 10 years ago. Had a post tib tendonitis diagnosis for msot of this summer in left ankle, but that all changed with a follow up MRI in November where the tarsal coalition was found.
My ortho surgeon would like to try an excision. He says it is a "loose" coalition, not too much damage yet to the joint itself. He has never done an excision on "older" patients as most excisions are done on patients younger than 20. The recovery time is much less, less pain, etc., non-weightbearing for 2-3 wks (he's guessing as he's not done one on an "older" patient) and then 4 wks in a boot. The other option is a fusion, which I think there are many of you out there that have had the fusion done. The excision, if it works, would maintain hindfoot movement. The downside is that we just don't know if it will work nor for how long. It could be the "cure" and I won't need anything else, it could buy me some time or it might not work at all and then I would need the fusion.
I do have 2 younger children, one of which has some medical needs that require skilled care (for now, set for surgery here soon to hopefully address the last of the issues and live a healthy life). Anyway, I'd like to avoid the fusion if at all possible.
I should also mention that this became symptomatic when I started running after my ankle surgery in January. He didn't seem too thrilled with the idea of me continuing to run after a fusion (and I don't even know if that's physically possible), but it does seem like I would be able to eventually start running again after an excision.
I was just wondering if anyone else has had an excisionfor tarsal coalition and what recovery was like, if it worked, how old you were/are when it was done, just any info you can give me. He had mentioned the resection and fusion options at my last visit, so I had researched those, so this excision option took me by surprise.
Bottom line, the excision is questionable as to whether it will work, but he is preparing a good team and contacting who he needs to in order to form a surgical plan. He is skilled in fusions and has done many successfully.
Just wondering too if anyone else would be willing to be a "guinea pig" of sorts to avoid the big surgery? Although it could mean that I have 2 surgeries instead of one "big" one.
Any thoughts, opinions are appreciated. I'm looking to schedule the procedure in mid-January.
Last edited by jen9803; 12-19-2006 at 02:06 PM.