Re: Third Ankle Reconstruction in 18 Mos
I've kinda been where you are.
My first surgery I had a modified Brostrom, peroneal brevis tear, peroneal subluxation, and 2 OCD lesions.
It lasted about a year.
Had surgery #2. Had another Brostrom but this time, and this is KEY... my dr. also did a repair called RECONSTRUCTION OF THE LATERAL LIGAMENTS OF THE
ANKLE USING A REGIONAL PERIOSTEAL FLAP. THis was done because I have multi-joint laxity and as my 2nd dr. (the one who did surgery 2 and 3) said, my ligaments were a piece of crap. I also had more tears in my peroneal brevis, this time 2 tears, and another microfracture on an OCD and an OATS procedure for an OCD.
I never recovered, really. The ligament part though is good. My ankle is very stiff. The OATS worked for my OCD. But my peroneal tendons were fused to the bone and I tore my posterior tibial tendon. So I had surgery #3 with yet another microfracture for an OCD and repair of the PTT and debridement of the peroneal and PT tendons.
What I found is that people who have loose joints don't do well with a plain old Brostrom or modified Brostrom. We just stretch them back out again with normal activity. My dr. was going to use cadavar ligaments in a Colville procedure, but found my perosteal flap was thick enough to use.
If I could do things over again I would have brought up my crappy peroneal tendon and had that replaced or something. But my MRI before surgery #2 said my peroneal tendon was just peachy, even though more than 50% of it was torn. I give 0% stock in MRI's since every one I 've ever had has missed somethign major, like 1cm holes in my talus, torn tendons and ruptured ligaments.
I'd ask about other repairs that can be done on your ligaments. There are many procedures out there.
Brostromx2 peroneal tendon repairx2 Peroneal subluxation PTT tendon repair microfracturex5 OATS Distraction arthroplasty ORIF talus & fibula subtalar fusion ankle replacement (failed) TT fusion