advice re sesamoidectomy/re-fusion
Five years ago I had a bunion surgery that went pretty badly - lots of post-op infections. Five years later I've had 5 foot surgeries including a fusion of the first MTP. I've been infection free for 2 years but the fusion didn't heal well - my toe is higher than it should be off the ground; consequently, my fibular sesamoid bears the brunt of walking and is extremely painful even with orthotics. My new surgeon recommended removing the sesamoid and re-breaking and setting the big toe to essentially refuse it. This may be a silly question but since my toe probably still won't reach the ground and I'll no longer have the bone there to help support walking, how exactly will walking work? He's not putting anything in to fill the place of sesamoid so I'm a little confused about the mechanics of it!
Any advice or suggestions would be much appreciated, like will recovery be more painful or longer than after the first fusion since they are also removing this bone? I'm living by myself for this surgery so any advice on how to best get around the first few weeks would be appreciated. My biggest fear is that this will cause more problems than I already have (although it's hard to imagine the pain getting worse) but we've tried all the non-surgical options. Anyway, any advice/suggestions would be much appreciated. Thanks!
Last edited by rlmurray; 07-25-2009 at 10:24 AM.