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Old 04-04-2008, 04:40 PM   #1
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Broken screws after flat foot reconstruction

Hi All,
This is my first post here. I found out yesterday that two of the four screws used in my flat foot reconstruction have broken. My foot now looks the way it did before surgery five months ago, with my ankle leaning in and my foot leaning out. My doctor has put me back full time in a walking cast because apparently one of the two fusions has not fused also. I'm upset because apparently he knew about the broken screws over a month ago and did not tell me and I've really been pushing my foot in PT, nor did he tell my current PT. My first physical therapist, also over a month ago, did not understand the surgery and how my foot movements were now limited, and had me doing exercises that I should not have done. I do wonder if that is the reason for the broken screws. Has anyone else had an experience like this?

Last edited by Ginger1971; 04-04-2008 at 04:40 PM.

 
Old 04-04-2008, 07:50 PM   #2
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Re: Broken screws after flat foot reconstruction

I only had one screw in the back of my heel, but I had an overzealous PT that I am convinced tore both of my peroneal tendons. He was very aggressive and had never dealt with anyone with my surgery. My surgeon said there was no way to know for sure if he was the reason for the tears but I am convinced he was. After the surgery to repair the peroneals my doc sent me to a foot specialist PT. I can not believe your doctor didn't tell you about the broken screws. I would be VERY upset over that. Are they going to go back in and replace them? What do they plan to do? I am so sorry this happened to you.

Welcome to the board!

emmie

PTT/Osteotomy 11/05
Peroneals repaired 12/06
Debridement 2/08
2nd met stress fracture 2/08

Last edited by emmie54; 04-04-2008 at 07:51 PM.

 
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Old 04-04-2008, 08:38 PM   #3
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Re: Broken screws after flat foot reconstruction

Ginger

I am sorry about the broken screws and one of your fusions not fusing I have two screws in my ankle from an ankle fusion several years ago. I've never had one of them break but they are very painful.

Do you know if your doctor is planning to replace the screws? My prayers are with you

Take care
Nadine

Last edited by music47; 04-04-2008 at 08:40 PM.

 
Old 04-05-2008, 08:25 AM   #4
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Re: Broken screws after flat foot reconstruction

Quote:
Originally Posted by emmie54 View Post
I only had one screw in the back of my heel, but I had an overzealous PT that I am convinced tore both of my peroneal tendons. He was very aggressive and had never dealt with anyone with my surgery. My surgeon said there was no way to know for sure if he was the reason for the tears but I am convinced he was. After the surgery to repair the peroneals my doc sent me to a foot specialist PT. I can not believe your doctor didn't tell you about the broken screws. I would be VERY upset over that. Are they going to go back in and replace them? What do they plan to do? I am so sorry this happened to you.

Welcome to the board!

emmie

PTT/Osteotomy 11/05
Peroneals repaired 12/06
Debridement 2/08
2nd met stress fracture 2/08
Ouch! Torn tendons sound quite painful. In my case I had a PT who just didn't seem to know what she was doing or care very much. Her attitude itself made me wonder if she was treating me properly- and it was in x-rays three days after seeing her that the screws were broken. She had been asking me to rotate my feet and push up sideways, etc.- movements that should have no longer been possible because of the fusion. When my doctor found out he presribed a new evaluation by someone else entirely. I do wish he had called me and told me both obout the fusion being an issue and the broken screws. But he did call me this morning and wants me to come in next week to answer my questions and show me the x-rays, which makes me feel a little better!

 
Old 04-05-2008, 08:29 AM   #5
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Re: Broken screws after flat foot reconstruction

Oh, that's good. Mine was determined to get normal inversion/eversion which I will never get back and really don't need. My doctor was so mad. He said "you are not a professional tennis player - you don't have to have that". A good PT is worth their weight in gold but a bad one can be disastrous. Let us know how your doctor visit goes next week.

 
Old 04-05-2008, 08:30 AM   #6
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Re: Broken screws after flat foot reconstruction

Thank you for telling me the screws cause you pain- because it seems so many threads I've read with my surgery people are back to jogging at the point where I am now, not still needing pain meds. He said the broken screws should not cause problems in which he would need to remove them. The main problem is apprarently from talking to him today the fact the one of the two fusions has not taken. Thank you for your prayers and good thoughts, I appreciate them very much!

 
Old 04-08-2008, 02:15 PM   #7
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Re: Broken screws after flat foot reconstruction

Hello everybody, i am having the same issues as many of you. I had surgery two years ago to reconstruct my flat feet, after nine months the large screw my doctor used was still very painful so he took it out. Then a few months later after I was still having pain, he said that now my bone fusion had failed. To make a very long story short, I had to have the surgery re-done because the fusion never worked. This last surgery my doctor used two screws and a plate. I have been struggling with peroneal tendonitis and it just wont go away. It has been ten months and it still hurts so much to walk. I really don't want to have another surgery to fix my tendons but they are so painful still, and physcial therapy is helping a little but not much. Oh yeah and in between all of this my knees couldn't take all the stress, causing me need to need surgery on both of them. I still have to have surgery on the other foot, if this one will every work And I am only 19, I dont want to live my life in pain, I am tired of it

Last edited by andrea121; 04-08-2008 at 02:17 PM.

 
Old 04-08-2008, 04:49 PM   #8
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Re: Broken screws after flat foot reconstruction

Andrea, I had both of my peroneals repaired one year after PTT surgery. That surgery is NOTHING like the PTT surgery. About 3 month recovery.

 
Old 04-08-2008, 05:39 PM   #9
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Re: Broken screws after flat foot reconstruction

oh that is kind of a relief. How long should I give my tendons before resorting back to yet another surgery. I have been in physical therapy for 4 months and havent seen much of an improvement. My doctor is really wonderful, he has been great through it all, he doesn't want to do another surgery on me, i think he feels bad about everything, but he has been so helpful through all of this, its just bad luck i guess,

 
Old 04-08-2008, 09:27 PM   #10
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Re: Broken screws after flat foot reconstruction

You know, my doctor was the same way. He HATES that I have had ongoing issues and feels responsible for it. Even though everything he has fixed has stayed fixed..just more things keep happening. But once I had the MRI which was at 10 months post from PTT surgery and he saw the tear, he was ready to fix it. What we didn't know until surgery is that both were torn. It was hidden on the MRI. He told me that Peroneal problems are a consequence of PTT surgery because if you are pronated for a while the tendons laterally will shorten as they adapt to the new alignment of the foot. When the foot is straightened out to the proper position it pulls the lateral tendons tight. In a perfect world they adapt and all is well. In my case they snapped I think due to an overzealous physical therapist. But they may have anyway. He described them as "at risk" after PTT surgery. I do not regret at ALL having the surgery to repair them. Although I did get a stress fracture during rehab but that was my fault. Good luck to you.

 
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