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Old 09-14-2009, 01:43 AM   #1
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doc says procedure did not work

Hi

I am six months post op. I am having less pain since cortizone injection but because it helped doc says procedure did not work. x-rays look good but for some reason there is still alot of pain. I am now at a cross roads and my only option left at this point is to have a fusion or to live with the pain. Has anyone read or heard anything about fusions? Anyway I hope you all have better outcomes than mine and I wish you all the best of luck!
Heidi

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Old 09-14-2009, 05:39 AM   #2
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Re: 200mm OCL in my talus

Heidi,
I missed something, how come your procedure didn't work? 6 mos post op is still early. At 6 mos I was declaring mine hadn't worked and at about 8 mos or so I found the OATS part was better. The rest didn't work,but the OATS part did, but it took longer than 6 mos.

The the plug not take?
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Brostrom x2, peroneal tendon repair x2, Peroneal subluxation, PTT tendon repair, microfracture x5, OATS, Distraction arthroplasty, ORIF talus & fibula, subtalar fusion, ankle replacement (failed)
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Old 09-14-2009, 11:51 PM   #3
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Re: 200mm OCL in my talus

Heidi

I am seven months post-op from a microdrilling that seems to not have worked. I am still in pain, but trying to be optimistic...so I would presume that 6months after OATS you would still be in MEGA pain.
I am getting a cortisone shot tomorrow, but I was under the impression that if the cortisone gave relief it would be an indication that the surgery was successful because cortisone relieves pain from the synovial tissue, not the bone. So I am wondering why you think the surgery is failed due to the releif you get from cortisone??? Can you explain this to me - I am getting one tomorrw???
Fusion.......Avoid this at all costs because it will seriously limit your range of motion. I am not sure what kind of lifestyle you like to lead and how old you are, but these would definitely be things you would want to take into consideration.
Have you considered MACI ? It is a European technique that I am considering if I have to get another surgery. Expensive but I think it's worth it for your ankle's sake. Has anyone researched this?

Jane

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Old 09-15-2009, 07:16 AM   #4
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Re: 200mm OCL in my talus

Hi Jane,

I knew my microfracture didn't work 6 months out because I did have the same stabbing pains I had before they drilled. I too had the cortisone shot which he also put lidocaine in so if I had pain relief for a few hours it was a sign that the drilling failed.

I can say though being 1 year out from OATS now, those stabbing pains are gone .. never had them in the OCD area since the surgery (although now experiencing them on opposite side of my ankle where no work was done

There are a lot of folks on here that had success with fusion that are very active and painfree and I don't get the impression they feel limited in anyway, so you may not want to discount it completely ... but wouldn't OATS come before fusion in your case? Or are they saying OATS wouldn't work for you and fusion is your only option?

Kim

 
Old 09-15-2009, 04:39 PM   #5
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Re: 200mm OCL in my talus

Hi everyone,
Thanks for all your responses. So okay maybe I should explain the situation a little bit more. That yes the cortizone does affect the synoval joint but it means that the plugs took, no signs or rejection, its the cartiladge that is the problem and if the coritzone takes away the pain, the cartiladge is still the problem not the bone. At least thats is how I understood it. So last visit the injection was still about 50% effective, so my Dr. said give it another month and see if it is still working. He commented that it is not a permanent fix and it will wear off so I need to think about fusion for pain relief. I have workmans comp and they will only allow so much time if there is no change in condition. I am at that point, either I settle the way it is and hope that it does not get worse in the next year or I have the fusion now. I know workman comp sucks that way but at least they pay all the medical and financial part. I just want to be pain free. This whole thing has been on going for almost 2 years. So that is it in a nut shell so thanks again for all the support and info.
Heidi

 
Old 09-18-2009, 07:55 PM   #6
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Re: 200mm OCL in my talus

My doc wouldn't even think of PT until he thought I was healed enough (7 wks post-op). I slept w/boot & foot elevated & while it was uncomfortable at first, I got used to it. When doc said I didn't need to sleep w/boot or elevate unless swollen, I still did b/c it felt wierd not to. The boot was very tight around my heel & that is why I still have problems. I was in boot end of June thru end of Aug. & PT couldn't wait to get me out of it b/c it was keeping foot stiff, swollen, tight. I'd still sleep w/leg propped & do this for another 3 wks (2 mo. total). Your foot/ankle will thank you for it.

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