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Old 01-21-2011, 05:34 PM   #1
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Calcaneal Osteotomy

Hey everyone. I'm 18 years old, and i'm actually still in my first year of college. I played ultimate frisbee, and I sprained my ankle badly twice, and I continued running it on for 2 weeks after the first time. Then I was put into a walking boot, and I've been in that for 2 months now. I was finally sent from an orthopedic doctor to an ankle specialist. My ankle specialist informed me that I will have to have some bone shaved off around the area where the two tendons that keep your ankle from rolling over split (She didn't tell me what the technical name for this was), and I will have to have my heel shifted (Calcaneal Osteotomy). However, I have classes to go to, and my campus is full of hills.

So my main questions are, is it even possible for me to do this while i have classes? If it's even slightly possible, I will do it.
And if so, will a wheel chair be beneficial for me? Because I've read some posts that mention being on the crutches for a bit will really make me hurt - and for me, pretty much every walk to class will be at least that amount of time.

If anyone has any advice or recommendations, I would greatly appreciate it. I'm absolutely terrified about this, and when I found a place where I could actually ask questions to people who have been through the same thing, I calmed a bit. So thank you for anyone who would like to help!

 
Old 01-21-2011, 06:56 PM   #2
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Re: Calcaneal Osteotomy

Did the doctor mention a modified kinder? The kinder combined with a calcaneal osteotomy will most likely require you to be non weight bearing for 8 weeks, followed by several weeks in an aircast. I can't imagine going to and from classes right after the surgery. Most people who post on here need at least 4-6 weeks before they can start getting around. I had the calcaneal osteotomy and other proceedures and was in the hospital for three nights followed by about a week laying in bed with my foot elevated except to go to the bathroom while taking the maximum dose of rx pain meds. That was followed by a second week in bed with the foot elevated while weaning off the pain meds. Most doctors want you to elevate the foot 90% of the time for two weeks followed by another week or two elevating the foot 75% of the time followed by 50% of the time. You will have screws in the heal and i is very important to be nwb so that the osteotomy heals completely. I would srongly suggest going for a second opinion before undergoing any surgery. It is also important to find out how many of these proceedures the doctor has done and their outcome. I went to four different doctors for oponions. I then researched to find someone who has expertise in this surgery. I googled flat foot reconstruction surgery and read several peer reviewed articles. I then looked at the names of doctors quoted in the bibliography. The doctor I used works at a top rated orthopedic hospital and was quoted in the vast majority of articles. I then read his cv and saw that he has a particular interest in flat foot reconstruction surgery and is actively involved in clinical trials. I then went to the state medical boards site to be sure he had a clean record. A pt that I had used in the past had told me that his first job was working for a foot and ankle surgeon. The pt emailed the doctor to find out what he knew about my surgeon. The response was that he has excellent technical skills and is highly regarded in the foot and ankle community. I am 5 1/2 months post op and doing well, however it takes about a year to heal completely. My pain now is significantly less than prior to surgery but I am still healing and have some twinges. I am probably back to 75 or 80% now but definitely not at 100% yet. If you need the surgery and use a doctor who really knows what he is doing, the outcome could be very good but realize it is a major surgery and you have to do your homework first

 
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Old 01-21-2011, 09:25 PM   #3
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Re: Calcaneal Osteotomy

First off, go ultimate!!!!! I don't know about the procedure you would have specifically but I just had a 6th surgery about a week and a half ago and go back to campus next week, I've been in college for two of the other surgeries as well so I might have some advice about that. I agree with roxygirl that you should get a second opinion and find out exactly what would be done and what the recovery would involve. In reality you are going to want a minimum of a week with complete rest, and since I'm assuming this is the first time you would be dealing with pain meds and crutches you really want to make sure you have time to adjust. Maybe you can ask if it's still safe for you to run on your ankle if you wear a brace so you could play through the season and have the surgery in the summer. It does suck to be on campus with crutches, but it's possible. I would say a wheel chair is helpful, however you said your campus is full of hills and it is not as easy as it seems to wheel yourself up even the smallest of inclines. BUT you should contact health services at your college because a lot of colleges, my guess would be most, have ways to help people get around who have an injury. For example my school has someone pick you up in a van/golf cart and take you to the building for your classes if you need it, so you should try to find out if there is anything like that at your school. Basically, I would say once your body, besides your ankle, has recovered from surgery it IS possible to be at school, but if doing over the summer when at home and comfortable with more support is an option I would go for that. I hope this helps a little...

 
Old 01-22-2011, 01:31 AM   #4
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Re: Calcaneal Osteotomy

I too had a calcaneal osteotomy and other procedures. I honestly agree with Roxygirl. You should get a second opinion. You need to make sure you have a really good doctor who is competent in doing this kind of surgery. I do not think most doctors would recommend you returning to school right away from this surgery. It is extremely important to have your foot elevated and iced in the beginning. If it is down, you will have more swelling and pain. I think running on your foot could do more damage and require more work. There was a post, I believe it was back in September, from someone in college. He returned to school, but not for quite a while after surgery.

 
Old 01-22-2011, 08:40 AM   #5
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Re: Calcaneal Osteotomy

Well, i can't run on my ankle or play frisbee. That's the reason i'm having to have major surgery. I wouldn't stop running on it. Which is why i'm now in a boot constantly.

And my ankle specialist is amazing at what she does (I've already been doing research like crazy, hence asking questions on here). I go on Friday to discuss when I'm having it done. I'm not sure that me doing it at home is an option considering I chose to go to college 4 hours away, which is where my ankle specialist is located.

And they do have golf carts to pick you up, thank you for the suggestion to look into that!

And I don't think me taking time off of school is a major option for me. I'll do what my surgeon instructs me to do, but I'm not sure I'd be very accepting of that. But it might be required of me.

I shall do more research. Thanks everyone!

 
Old 01-29-2011, 09:42 PM   #6
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Re: Calcaneal Osteotomy

Hi. I had flat foot reconstruction surgery on November 23, 2010. I had it done during Thanksgiving break and I went back to school 6 days later. I was non-weightbearing for 7 of the hardest weeks of my life. I live in Pittsburgh and there are nothing but hills here and my college campus sits on a big hill with a lot of little hills. The maintenance people at my school ride around in their trucks and golf carts all of the time and I have only been offered a ride three times. They usually ride right past me without a second thought.

I do not live on campus so getting there was a bit of a challenge. I tried taking public transportation one day but I did not have the strength to hop around on one foot and crutches. By the time I finally made it home I was in so much pain that I just passed out from exhaustion. That is something that I think people need to know. It is really extremely hard to go long distances on crutches and one foot. Now you are an athlete so you probably have much more strength than me, so it may not be as hard for you. Seeing as how I could not catch buses I had to take taxis to school. Thankfully, I only had to do this for about three weeks and then I was off for Christmas.

I was able to finally put weight on my foot the 10th of this month. That first week was really difficult, it took me an hour to get from one end of campus to the other and I could walk that in 10 minutes before the surgery. Now I am doing much better. I can not walk without my boot but I am able to walk around my house (3 floors) without my crutches for short periods of time. I had tendon lengthening that I am learning will take much longer to heal.

I am sorry to go on this long speil but I do not want to surgercoat the difficulties. If I had to do it again I would. I am a senior and I will graduate in May and I was determined not to let anything prevent me from graduating on time. You asked about a wheelchair and I would say that if you can get one then get it. My campus is not handicapped friendly at all but a wheelchair would have made my life much easier. So a short answer to your is, yes. Yes you can go to school non-weightbearing and I hope that you can get rides in your school's golf carts.

 
Old 01-30-2011, 05:01 AM   #7
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Re: Calcaneal Osteotomy

I don't think that I could have negotiated a college campus while nwb. You really must have had a difficult time of it. It sounds like things are getting easier though which is a great thing. Your post is a very accurate description of the challenges of recovery. I was on disability from work until I was able to get around fwb in a boot. If anyone has options, plan the surgery for a time that you can take it VERY slow for several weeks. I hope your recovery continues to go well

 
Old 01-30-2011, 08:16 PM   #8
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Re: Calcaneal Osteotomy

I honestly did not understand what this surgery would do to my life when I had it, but I am happy that I did it now. The career that I want requires me to be on my feet a lot, so I wanted to do the surgery while I was still in school and had insurance. Now that I know how the recovery process is I can plan much better for the other foot. Hopefully by then I will be able to take the time off that I need.

 
Old 01-28-2012, 12:29 PM   #9
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Re: Calcaneal Osteotomy

I am really interested to find out who was your surgeon? I saw Dr Myerson at Mercy Hospital in Baltimore and he recommended fusion of the accessory navicular, medial calcaneal osteotomy and gastronemius recession for my 13 years.
I would like to get another opinion from another foot reconstruction specialist but not sure who to see .Thanks for your help

 
Old 01-28-2012, 12:58 PM   #10
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Re: Calcaneal Osteotomy

operationdupied---who are you asking for names of surgeons?

 
Old 01-28-2012, 04:19 PM   #11
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Re: Calcaneal Osteotomy

I really commend you for even considering a surgery of this magnitude while in school. I am 6 weeks post-op from ptt reconstruction, calcaneal osteotomy (the 'heel shift') and gastroc recession and I am still gimping around in a cam boot and on crutches. If at ALL possible, I would recommend postponing surgery until your summer break, or at least spring break. If your surgeon is as good as you say, and knows your situation with school, I cannot imagine that they would prescribe a surgery if they didn't think you could cope. But be certain of this, if you do have the surgery, you are in for a very challenging, stressful experience. After assessing all things and determine just how difficult it will be for you, multiply that by two. But I agree with the poster who said it can be done, it will just be very very very challenging. Good luck and keep us posted. Make sure before surgery you read the 'how to be prepared' thread at the top of the main foot problem tread. It is chocked full of great pre/post op suggestions. Invaluable tips.

 
Old 01-28-2012, 04:59 PM   #12
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Re: Calcaneal Osteotomy

I was trying to send a reply to you as you mentioned you check several opinions before proceeding and you were happy with the outcome. I am new to the sytem and problably sent it to the wrong person. You said you were very happy with your surgeon and I am seeking a second name to make sure this is the way to go. My son is only 13 and Dr. Myerson recommended the three surgeries : calcaneal osteotomy, gastronemius recession and fusion of the extra navicular. Did you like your sugeon and happy with the outcome?
Thanks,

 
Old 01-28-2012, 07:11 PM   #13
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Re: Calcaneal Osteotomy

I am not sure where you live. I went to the Hospial for Special Surgery in NYC. I used Dr. Deland. I had my ptt/spring ligament repaired, tendon transfer, calcaneal/cotton osteotomies and gastroc recession. I am about 18 months post op and pleased with the outcome. I have some reduced sensation, but am able to go about my daily activities, including a full day at work with no pain. My foot will never be 100% normal feeling but considering how painful it was to walk prior to surgery, I feel that the surgery gave me my life back.

 
Old 01-29-2012, 10:37 AM   #14
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Re: Calcaneal Osteotomy

My surgeon was Dr. Burns and he works at UPMC in Pittsburgh. I have to say that going into this surgery I had no clue what to expect. I was very, very naive about the whole process. I thought that I would be off my foot for 6 weeks and then everything would go back to normal, but that was truly not the case. My foot is still in pain and the last time I saw my doctor he told me I shouldn't be in pain, but alas I am. I have to be on my feet 8 hours a day for my job and when I get home and sit down my foot is in pain for the rest of the night and if I do not have at least a day to rest then my foot is in double the amount of pain the next day of work.

I am now 14 1/2 months post-op and if I decide to have the surgery on my right foot I am definitely going to make sure I have at least 12 weeks to stay home and rest. I think the fact that I had to use my foot so much, so soon after the surgery definitely did not help.

 
Old 01-29-2012, 11:15 AM   #15
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Re: Calcaneal Osteotomy

Parrisani, is the pain now worse than prior to surgery? What kind of pain is it? What is the doctor proposing to figure out why you are still in pain?

 
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