I fractured my 5th metatarsal and tore 2 ligaments in my ankle December 2007 and still recovering. I found out June 2008 that the fracture hadn't healed and about the torn ligaments and had surgery for internal fixation of fracture and arthroscopy to remove excessive scar tissue from ankle joint.
The fracture is healing well - cast came of mid January, and my ankle was seemingly doing well until end of Februaury when i began weight bearing physio exercises. I was told last week that I need to undergo another arthroscopy and possible tightening and surgical repair of the anterior talo fibular ligamant and anterior tibio fibular ligament, with possible surgery on peroneal tendons as well - i keep getting a cliking sensation around back of my ankle.
Just wanted to know what i can expect to feel like afterwards and if i will have my leg in a cast again and how long it takes to recover after such surgery, on average as everyone is different I know.
Okay, if you just have arthroscopy to remove scar tissue, that's a pretty quick healing.
If you have ligaments tightened, you'll be in a cast for several weeks. Look up Brostrum procedure to get some ideas on what is involved.
thankyou for the reply to my query. I am definitely having the arthroscopy and ligaments tightened, but maybe further procedures depending upon what is found. I'm very nervous, despite having had surgery in november - i also have kidney disease which causes me a lot of pain and i am on regular sustained release morphine (40mg twice daily) with 20mg immediate release morphine for any breakthru pain.
Koorahk again! Do you always have a cast after the Brostrom and similar procedures for ankle ligament surgery?
Is it very painful afterwards and for how long? How long is it usually before you can weight bear again?
I can certainly understand your nervousness. You've already been dealing with this for so long, and now you aren't even sure what's next.
Are you getting adequate pain relief for your ankle? You're presumably somewhat opiate-tolerant, and also I imagine kidney disease limits your non-narcotic pain relief options. Make sure your surgeon and anesthesiologist understand all this.
The best I can tell you is to get as much information as possible from your surgeon. Afterward, make sure he tells you exactly what he did.
Post-op protocols vary, but almost all surgeons believe getting casted after ligament repair is best. Scar tissue has to form to hold the repair together.
I haven't had the procedure, but most folks here seemed to have significant pain for less than a week. Keeping it elevated 24 hours a day and taking pain medicine right on time help, as does good pain control during and right after the surgery.
Hello Jane, thanks again for replying to my queries.
Yes, i am opiate tolerant and can't take NSAID's due to the 'lphs'. When i had the surgery in November i was in a lot of pain with the 'lphs' (loin pin haematuria syndrome) so had a Pain Relief Nurse Specialist available both before and after the surgery which was a great help. If I feel the pain from my ankle I have the 20mg morphine tablets to take between the twice daily sustained release doses. It's not often the ankle pain breaks thru as i am on quite a high dose of morphine for the lphs. That's partly why i hadn't noticed how painful my ankle still was and it was the persistant swelling that made me query as to the on-going state of the two known ligaments I tore. My consultant has been very good but I was so shocked to be told I needed further surgery, just at the time it was hoped all would be back to normal, that i forgot to ask what would happen after the surgery!
Hopefully, all will be well after this next surgery! I do hope so. I am very fed up at the moment as i can't drive either and i have a 'new'car which i haven't driven yet! I got it in January, just before the cast came off my foot. My son is driving it for me when we go out.
So, at the moment I'm confined to crutches and wheelchair!