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 12-13-2010, 05:26 PM   #1
Member
(female)
 
Join Date: Dec 2010
Location: NJ
Posts: 53
Gleegirl HB UserGleegirl HB User
Surgery scheduled for arthritis of big toe...what questions should I ask??

I have stage 3-4 hallux limitus with little cartilage (thus the arthritis) and a dorsal bone spur on both feet. The right is worse so I'm taking care of that first on Jan 5th. Going to doc tomorrow for pre-op visit and I plan on asking whatever questions I can think of. I did not want a fusion (which was recommended by POD #1) so I got a second opinion and was interested in a procedure that would preserve some ROM. POD #2 is removing the spur, cutting a section of the arthritic bone and placing an organic spacer that will act as a false joint. As most folks on this board, I am a bit apprehensive but am also looking forward to being able to walk without pain again.

So any suggestions for questions that I can add to my list? If anyone has had similar surgery I would love to hear from you. Any thoughts or suggestions for post-op would be appreciated as well.

Thanks in advance for your thoughtfulness....this is a great place to turn when you're facing the unknown! Blessings to all!

 
Sponsors Lightbulb
   
Old 12-13-2010, 08:15 PM   #2
Facilitator
(female)
 
Join Date: Apr 2005
Location: Birmingham, AL
Posts: 15,418
Titchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB User
Re: Surgery scheduled for arthritis of big toe...what questions should I ask??

I have never heard of an "organic spacer" in this procedure. Are you talking about a hemi implant? If so, the longevity of them is suspect. At stage 4 the only alternative would be a fusion. At stage 3, a cheilectomy with osteotomy might give you a few years - if they drill the remaining cartilege and it produces any scar tissue to add cushioning.

I strongly suggest you see a sports med ortho who is board certified in foot and ankle. You don't say where in NJ you are but I suggest calling the Giants or Jets front offices to find out who they use. If you are interested in going into NY, I suggest the Hospital for Special Surgery.

 
Sponsors Lightbulb
   
Old 12-14-2010, 06:36 AM   #3
Member
(female)
 
Join Date: Dec 2010
Location: NJ
Posts: 53
Gleegirl HB UserGleegirl HB User
Re: Surgery scheduled for arthritis of big toe...what questions should I ask??

Thank you Titchou. The 'organic' spacer is actually cadaver material that will cushion the space between. This is called a Keller procedure. I was not interested in an implant or permanent hardware as they do usually cause some sort of problems down the road. Since there's next to no cartilage left, my choices were fusion and this procedure, which I chose in the hopes of regaining some ROM and staying active.

Thanks for your suggestion though. I am headed to the doc this morning. He has an excellent reputation (Temple/U Penn) and specializes in reconstructive surgeries of the foot and ankle, including sports related injuries. He has done this procedure for over 25 years so I am as optimistic about his abilities as I can be. I will be asking everything I can think of regarding the post op care, what to expect, etc.

If anyone has had a similar procedure and has any thoughts or comments, I'm all ears!
-Peace

 
Old 12-14-2010, 08:24 AM   #4
Facilitator
(female)
 
Join Date: Apr 2005
Location: Birmingham, AL
Posts: 15,418
Titchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB User
Re: Surgery scheduled for arthritis of big toe...what questions should I ask??

OK - if you had said Keller I would have caught that. Sounds like a plan to me....

Be sure to ask about rehab...what exercises are you to do, when, for how long? Just be real compliant and that will do you well.

 
Old 12-14-2010, 11:43 AM   #5
Member
(female)
 
Join Date: Dec 2010
Location: NJ
Posts: 53
Gleegirl HB UserGleegirl HB User
Re: Surgery scheduled for arthritis of big toe...what questions should I ask??

Thanks for the support. I plan on doing everything to the T post op. I am fortunate to have 4 weeks off from work and doc just said that was ideal (6 weeks being 'super ideal lol)....of course elevation and ice being the key. I have a desk job and luckily have some counter space where I can swing up the gimpy foot! (my poor co-workers) I am happy with my doctor's demeanor and knowledge so I'm more and more optimistic. Thanks again....it's so nice to know others have gone through similar things and with positive results. Best wishes!
GG

Last edited by Gleegirl; 12-14-2010 at 11:44 AM.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Facing "Sub-Talor Joint Fusion" Surgery Gperet Foot & Ankle Problems 10 01-12-2011 01:27 PM
Second foot surgery Lesley54 Foot & Ankle Problems 8 06-23-2008 08:52 PM
Surgery for PTTD...scheduled and waiting kristim06 Foot & Ankle Problems 194 06-10-2008 10:45 AM
Flat Foot Reconstruction Surgery--Share your advice & experiences please! rosinberfoot Foot & Ankle Problems 55 10-19-2007 10:10 AM
Procedure for deciding on bunion surgery?? Friendlee Foot & Ankle Problems 11 08-10-2007 02:58 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




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 02:36 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!