It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Foot & Ankle Problems Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 09-14-2008, 10:37 AM   #1
Member
(female)
 
Join Date: Jun 2008
Location: Encino, California, USA
Posts: 52
allizfullofluv HB User
Lightbulb Removing screws post Lisfranc

What was it like having your screws removed post Lisfranc surgery?

Was it inpatient or outpatient?
Where you sedated?
How many screws?
How long where they in?
Did it cause for more time NWB?
Was it painful after?
Did they break in your foot or start to back out and what was that like?
Did you feel it when they broke?

My OS said if I would like to take my screws out "I will just numb up your foot and make a small incision and put it out with a screwdriver. I can only remove the heads of the screws because the part that goes through bone has to stay in"

I was shocked to hear it sound so barbarick of a procedure and wondering if all of you had the same experience?

I also want to know because my OS does not believe in removing the screws so maybe he was trying to scare me so I keep them in.

BTW I still can't walk or even stand on my foot. I am 12 weeks post surgery and in a walking boot. I tried once to step on it and my foot just fell out from under me. My ankle is really weak.

How long after you were giving clearance to walk did you actually put weight on the foot and take a step?

 
Old 09-18-2008, 06:18 AM   #2
Newbie
(female)
 
Join Date: Sep 2008
Location: Ft Lauderdale
Posts: 2
albireoblue HB User
Re: Removing screws post Lisfranc

Quote:
Originally Posted by allizfullofluv View Post
What was it like having your screws removed post Lisfranc surgery?

Was it inpatient or outpatient?
My surgery was outpatient

Where you sedated?
Yes, general anesthesia

How many screws?
2, I had a gap of of over 5.75mm. I hear that is HUGE

How long where they in?
My case is a little different; as it was 8 months before the dislocation was discovered. My screws will be in at least 20 weeks.

Did it cause for more time NWB?
I began weight-bearing (in a boot) at week 8. Well, actually, I attempted weight-bearing at week 8. It took me almost two weeks to wean off crutches. In fact; I went from weight-0bearing with crutches to a cane (BIG HELP) to weight-bearing without assistance in about 2 1/2 weeks.

Was it painful after?
Yes, but not horrible. I found that 2 Advil made me pain-free. However, I find that pain is an excellent boundary of what one should (or should not) be doing.

Did they break in your foot or start to back out and what was that like?
My understanding is if they break in your foot, then they stay forever. I go in for attempted removal in the first week of December or last week of November. He will back the screws out and see if they worked. If there is still gapping, but slight - he will put the screws back in for another 4-6 weeks. If there is gapping as if no attempt to reattach was made, he will fuse the joint.

Did you feel it when they broke?
N/A - but I bet one would feel it......

My OS said if I would like to take my screws out "I will just numb up your foot and make a small incision and put it out with a screwdriver. I can only remove the heads of the screws because the part that goes through bone has to stay in"
I am not sure that is true. If you think about it, how is the head of the screw separated from the body of the screw? Maybe there is more than one type of screw used.

I was shocked to hear it sound so barbarick of a procedure and wondering if all of you had the same experience?

I also want to know because my OS does not believe in removing the screws so maybe he was trying to scare me so I keep them in.
Gosh, I would hope not. That would be very manipulative.

BTW I still can't walk or even stand on my foot. I am 12 weeks post surgery and in a walking boot. I tried once to step on it and my foot just fell out from under me. My ankle is really weak.
Try walking with the crutches. Little bit of weight with each step. Build up. That worked great for me and I graduated to a cane in about 5 days. Took about 7-10 days to be totally off the cane (no cane for 2 days now! Yay me!!)

How long after you were giving clearance to walk did you actually put weight on the foot and take a step?
I am NOT allowed to put any weight on that foot without the boot until about 4 weeks after he removes the screws.

In the mean-time for your weak foot; try simple exercises like lifting your foot up and relaxing it. You will find that the muscles have excellent memory and you will bounce back quickly. Don't go crazy with those exercises, just work it a little. It goes a long way to strengthening the ankle to allow you to walk again.

 
Sponsors Lightbulb
   
Old 09-18-2008, 02:10 PM   #3
Member
(female)
 
Join Date: Jun 2008
Location: Encino, California, USA
Posts: 52
allizfullofluv HB User
Re: Removing screws post Lisfranc

Thank you Albir I know that was a lot of questions to answer! How wonderful it must feel for you to be walking again with no devices!

I am so fustrated that I don't seem any closer to walking even though my OS said it is ok to begin some weight baring.At this point I assume it's all in my mind! I have been holding my injured foot up for for months on cruthces so to put it down and put weight on it I just can't.

I think I need help from a PT to get walking.

Good luck to you and hopefully you will not need the fusion!

 
Old 09-18-2008, 03:41 PM   #4
Newbie
(female)
 
Join Date: Sep 2008
Location: Ft Lauderdale
Posts: 2
albireoblue HB User
Angry Re: Removing screws post Lisfranc

I just thought of this, but I should have kind of given a background to this injury, and I know that everyone has their own weird Lisfranc story:

At the beginning of December of last year (yes, you read that right), I tripped over a stray cat in a parking lot while wearing high heel clogs. I stopped to pet the cat in question, then walked away and didn't give him another thought. I had SO much on my mind; Christmas shopping, etc. So, I failed to notice that the cat followed me to my truck and under my truck. I stepped on him, my foot slid part way out of the shoe and "pop" it went. Initial x-ray in the ER was negative but the ER doc felt certain that I had sustained this injury. I went to an OS, who confirmed a Lisfranc sprain and did an MRI to rule out dislocation. He casted my foot and scheduled my MRI for 4 days later.

My foot swelled up TERRIBLE!!! I had the MRI, it showed a bunch of little stuff: broken tarsals, bruised middle and medial cuneiform, and suspect full Lisfranc tear without dislocation.

I did the crutches and cast for 8 weeks, then a weight-bearing x-ray; which was read as negative. So I got the boot for 4 weeks, then he cleared me to walk without the boot in March, and cleared me to resume my running and training for my 7th half-marathon. I still had pain, and he told me to expect that due to the "bad injury". He told me to return in 2 months.

I went back two months later (June) and told him I still had a LOT of pain, but only after I stopped running. And I still couldn't walk barefoot. I asked if it was possible that I dislocated the ligament from running and he said absolutely not. I told him I thought there was as possibility that I was a "sissy". He disagreed strongly. He told me that marathon runners are lot of things, but not sissies. But, to come back in two weeks for a weight-bearing x-ray after my long (6 miles) run.

That x-ray showed a 4.5mm dislocation. He told me that when he saw my x-ray that he got chest pain. All he could think of was all those miles I was running every week. He told me the good news: I'm not a sissy. The bad news: I needed to see a specialist. He sent me to the foot/ankle surgeon for the Miami Dolphins and Florida Panthers (hockey). He specialized in this repair (I guess it is becoming more common in NFL players). The second OS told me that the MRI "suspicious for full thickness tear" is the same as saying it was a full thickness tear. He said ligaments are bone-like in density and there is no "gray area" with a tear. It's torn or it's not. He said I should have gone to the OR that night.

So, I got it fixed up. The other OS was very frank with me about what my expectations should be. My running career is OVER. But, he was confident that he could fix this and that I could get a good result. But, he also told me that this injury carries a high percentage of disabilities in patients who present for treatment after so long (eight months).

So, I have reconciled in my mind that I am never going to run again, and especially not the distances I was accustomed to. But, right now, I am praying that this surgery worked. I promised my daughter that I would hike the Appalachian Trail with her after she graduated high school (in 7 years)

Needless to say, my attitude towards recovery this time has been quite negative. I was ****** off that the other doctor missed the dislocation and I wasted those months being non-productive; only to do it again OVER THE SUMMER. Canceled vacation and my birthday in a cast on crutches only added to the despair.

So, I am VERY glad to be off the crutches and I just finished my second day without a cane.!

I have found that there is pain with walking, but every day it hurts a little less (if that makes sense). Also, sometimes, I will catch it just right (or wrong) and it will hurt to walk on for about 30 minutes. Then it subsides.


Good luck to you. You didn't say how old you are, but I will be 40 next year. I am thinking that my age is starting to play a role in this healing process. Aint a spring chicken anymore! I'm in great shape, but that's no guarantee.

Oh yes, wear a CLOSED TOE higher heel on your other foot when walking with the boot. It "balances" you out and it will save your other knee and hip. I have LOTS of experience with that.....



Hugs,
Becky

 
Old 09-18-2008, 10:38 PM   #5
Member
(female)
 
Join Date: Jun 2008
Location: Encino, California, USA
Posts: 52
allizfullofluv HB User
Re: Removing screws post Lisfranc

Wow! Tripped over a cat...I'm so sorry. I am 31, and I fell over while lifting my son. He and I landed on my foot. I didn't hear a pop or feel any pain until I tried to stand up to walk and felt severe pain. That happened this past May 18th.

I also was told to try a boot for 6 weeks (NWB) and then try walking. I tried for 3 weeks and knew it was not getting better so I went to an OS.

I had WB XRAY which showed Lisfranc dislocation fracture to 1st and 2nd metas and cuireform (spelling?) bone and had 3 titanium screws placed to fix on June 19th.

I am now in a walking boot 12 weeks post op. I spent all summer in a cast and I want to walk so bad!

I have 3 kids 12,5, and 1 and I miss taking them for walks and playing at the park.

Never let anyone tell you your running days are over. They maybe on hold but I believe you will run again. Try to read the thread posted on mini-tightrope which looks like a new and upcoming treatment for this injury especially good for athletes.

My problem is I have always loved walking barefoot and I have to force myself to keep the boot on. I don't see how I will get walking without OT.

I think it's in my mind but I am scared to put that foot down and shift weight on it. We will see what the next OS visit in 3 weeks holds for me.

Take care,
Vanessa

 
Old 10-01-2008, 11:09 PM   #6
Junior Member
(male)
 
Join Date: Sep 2007
Location: Puget Sound, WA
Posts: 29
RBall Player HB User
Re: Removing screws post Lisfranc

Quote:
Originally Posted by allizfullofluv View Post
What was it like having your screws removed post Lisfranc surgery?

Was it inpatient or outpatient? Outpatient.
Where you sedated? Yes, I was put under, just like the 1st surgery
How many screws? 2
How long where they in? Installed 8/14/07, removed 12/18/07
Did it cause for more time NWB? No. I was placed back in the boot for another week. I had been out of the boot and WB since early Nov.
Was it painful after? Yes, but felt much better than the screw that backed itself out. The screw that was backing out was easy to remove, just a small incision as it was obvious where the head of the screw was. They had to "dig" a bit for the 2nd screw - that incision site was quite a bit more tender post-surgery.
Did they break in your foot or start to back out and what was that like? One backed out, the other was fine. The one that backed out looked like it was trying to come out the top of my foot - directly above the arch
Did you feel it when they broke?

My OS said if I would like to take my screws out "I will just numb up your foot and make a small incision and put it out with a screwdriver. I can only remove the heads of the screws because the part that goes through bone has to stay in"

Both of my screws were completely removed, nothing remained in the foot. Once it was decided that one of the screws needed to be removed, we agreed both should come out.


I was shocked to hear it sound so barbarick of a procedure and wondering if all of you had the same experience?

I also want to know because my OS does not believe in removing the screws so maybe he was trying to scare me so I keep them in. One of the reasons why the OS originally (before first surgery) recommended that the screws be permanently left if the foot, was that he didn't feel the resulting benefit was enough to undergo another surgery and recovery. Now that I've been through it, I'm glad the screws were removed. I feel as though my foot/ankle has greater range of motion without them.[/

BTW I still can't walk or even stand on my foot. I am 12 weeks post surgery and in a walking boot. I tried once to step on it and my foot just fell out from under me. My ankle is really weak.

How long after you were giving clearance to walk did you actually put weight on the foot and take a step? My OS told me it might take a week to transition from NWB to full WB - still using crutches and gradually placing more and more weight on the foot. It took me a little more than a day to be fully WB. It was more scary than painful to take that first WB step
Push for PT, if you haven't already. Not only does it help you get mobile again, your Phys Therapist also serves as a counselor for you, helping assure you of what is going right, correcting you when you're doing something wrong, and pushing you when you need it. I found my time working with with the PT invaluable.

Last edited by RBall Player; 10-03-2008 at 12:35 AM.

 
Old 11-27-2009, 04:06 PM   #7
mm2 mm2 is offline
Junior Member
(female)
 
Join Date: Oct 2009
Location: canada
Posts: 32
mm2 HB User
Re: Removing screws post Lisfranc

Hi-well I thought I've heard it all,but this one tops the list! Tripped over a cat...LOL.My injury was just a boring fall and5weeks NWB and at my last appointment,the separation showed up between the 1st and 2nd metatarsal.I freaked out and said no to midfoot fusion.So here I am now almost 3months after injury and its not great.I see my OS mid January for more x-rays and we will talk some more.I just don't want to go through all the crap AGAIN and than some.Only I don't know what will happen to my foot if I leave it.The separation is 5mm and I am walking on it,it doesn't hurt terribly,but I said that in childbirth as well-maybe I'm nuts!?.....I am 38yrs old,with a 17month old son and just don't know if I should have the surgery????Any sudgestions?

Last edited by mm2; 11-27-2009 at 04:06 PM.

 
Old 11-27-2009, 04:08 PM   #8
mm2 mm2 is offline
Junior Member
(female)
 
Join Date: Oct 2009
Location: canada
Posts: 32
mm2 HB User
Re: Removing screws post Lisfranc

Hi-well I thought I've heard it all,but this one tops the list! Tripped over a cat...LOL.My injury was just a boring fall and 5weeks NWB and at my last appointment,the separation showed up between the 1st and 2nd metatarsal.I freaked out and said no to midfoot fusion.So here I am now almost 3months after injury and its not great.I see my OS mid January for more x-rays and we will talk some more.I just don't want to go through all the crap AGAIN and than some.Only I don't know what will happen to my foot if I leave it.The separation is 5mm and I am walking on it,it doesn't hurt terribly,but I said that in childbirth as well-maybe I'm nuts!?.....I am 38yrs old,with a 17month old son and just don't know if I should have the surgery????Any sudgestions?

 
Old 09-22-2011, 12:52 AM   #9
Newbie
(female)
 
Join Date: Feb 2011
Location: Australia
Posts: 4
alissa213 HB User
Re: Removing screws post Lisfranc

This thread is long dead but I thought I'd post here in case anyone still reads it.

Was it inpatient or outpatient?
Outpatient, the surgery took 30 minutes and I was out of hospital an hour later
Where you sedated?
Yes, under general anaesthetic
How many screws?
4
How long where they in?
9 months
Did it cause for more time NWB?
Nope, I walked out of the hospital an hour after the surgery
Was it painful after?
No, it was sore but not painful. Didn't even really require painkillers. The worse pain is getting them in, by far. The removal is minor in comparison.
Did they break in your foot or start to back out and what was that like?
My screws didn't break, I was actually given them to take home as a souvenir after the surgery, they just look like normal screws from the hardware store!
Did you feel it when they broke?
Didn't break, It would take a lot for you to break them, I was really active prior to the surgery and I was not careful with my foot by any means.
For anyone reading this, there is serious hope after this injury. I got quite depressed after reading this forum in regards to my prognosis, but it was no where near as bad as I had expected. I broke 4/5 metatarsals and 9 other bones in my foot, as well as completely tearing the lisfranc ligament. It was the most severe lisfranc injury my orthapedic surgeon had ever seen, and everyone was telling me that my foot would never be the same. Even just a week after screw removal, I can walk quite freely, the swelling is minimal (it just looks like a normal foot, albeit a little bruised) and I'm planning to do all the things I want to do in life (that involve lots of walking!)

So chin up, you'll be fine!

 
Old 01-11-2012, 09:26 AM   #10
Newbie
(female)
 
Join Date: Jan 2012
Location: Firestone, CO
Posts: 1
Proutyof3 HB User
Re: Removing screws post Lisfranc

My OS said my 2 screws were deep enough to stay permanent. I worry about complications of leaving them in. I am only 11 days post injury and 5 days post operation. I am thankful I went to ER within 30 min of a fall down my friends porch steps. ( no railing ) I knew right away my foot was not right. The X-ray was clear there was a single tear with a bone chip torn away measuring 2.5 mm. I went to Orthopedics 5 days after initial fall and had surger 3 hours later. I have had minimal pain, day two was the worst. I have not needed pain meds for a few days, and I don't have much swelling. My foot was not cut down the center but instead 2 tiny incisions made in the side and the screws put in. No stitches and minimal bleeding. I feel like swelling has gone down enough that I have to tighten my boot to keep my foot in place. I move my ankle when I remove the boot to shower ( on a seat ) or to re-place it in correct position.
I see the docs again in one more week for my first follow up. I was told it was ok for me to work a few hours a day the second week out as long as my foot is off the floor ( will be resting on a stool, I am a nail tech so I sit ) and elevated when I get home. My biggest issue is boredom. All this sitting is blah.
Just a not on mobility. Of course I am nwb, but I am using my moms small walker, I sit and push backward around my home, and in smaller places I hold the handles and use the breaks while I hop and hold. Much easier for me than crutches, so when I want something I scoot to get and place it in the basket, and scoot back.
I don't like to take to heart others experiences as we are all so different. But I don't want to throw any more of my own pity parties based on things I have read. I will instead talk to my OS and do PT.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
My lisfranc injury story (right foot ligamentis dislocation 7mm) dawindsurfer Foot & Ankle Problems 32 04-15-2011 06:16 AM
Lisfranc Fracture/Dislocation - Is there hope? maymei Foot & Ankle Problems 13 02-14-2011 05:22 PM
recovery period after removing screws from ankle gonz562 Foot & Ankle Problems 1 03-14-2009 09:48 AM
for the unfortunate lisfranc sufferers Hundredwaters Foot & Ankle Problems 0 02-27-2009 09:11 PM
Removing plates, screws, and rods, and wire taape Foot & Ankle Problems 0 09-08-2008 09:31 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



roxygirl1 (187), Zerk (136), Titchou (134), Missyluke (121), Hollywood48 (119), ginger62 (100), LadyKanner (97), LisaBdot (83), AdkLizard46 (55), janewhite1 (52)

Site Wide Totals

teteri66 (1180), MSJayhawk (1005), Apollo123 (906), Titchou (850), janewhite1 (823), Gabriel (759), ladybud (755), midwest1 (669), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 11:33 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!