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 10-27-2011, 10:42 AM   #1
Member
(female)
 
mutedgirl's Avatar
 
Join Date: Jun 2011
Location: los angeles, california, usa
Posts: 63
mutedgirl HB User
Exclamation subtalar joint fusion as part of flat foot rec.

I went to my orthopedic surgeon yesterday and he said that he was going to do a subtalar joint fusion as part of a flat foot reconstruction. he worried me a little as he said he hasn't performed this procedure on anyone of my age as i am in m very early teens. he said that unless any new found procedures come over from america in the next two weeks then in six weeks time i will be undergoing that procedure. I just wanted to know what it entails eg: is it inpatient or outpatient? (i forgot to ask my surgeon) if inpatient how long would i be in hospital for? I also would like to know if anyone who has had the surgery has had any problems with it after a few years. Me and my mum are trying to seek reassurance that it is the right thing to do as my pain is defiantly a 8+ most days and i can't keep going on as we are. I have too much side to side motion (dorsiflection?) and very little up down motion (thanks to an extremely short Achilles tendon). he is sending a letter that shoyld arrive today or tomorrow as to what his final decision /recomendations are.
thank you for any info at all.

Evelyn xxx

plz could someone reply as my mum is getting het up over the fact that she can't find any information to indicate that it is done for flat feet or in children and teens such as I. i just want peace of mind that the op will go smoothly this time as i don't want to rush into something only to be back at square 1 in a years time...again. I don't want to make the same mistake as last time.

Last edited by mutedgirl; 10-28-2011 at 12:41 PM. Reason: typo

 
Sponsors Lightbulb
   
Old 10-27-2011, 12:07 PM   #2
Member
(female)
 
mutedgirl's Avatar
 
Join Date: Jun 2011
Location: los angeles, california, usa
Posts: 63
mutedgirl HB User
Re: subtalar joint fusion as part of flat foot rec.

plz could someone reply as me n my mum r desperate

 
Old 10-27-2011, 03:26 PM   #3
Junior Member
(female)
 
jlynn66's Avatar
 
Join Date: Aug 2011
Location: windsor,ca
Posts: 30
jlynn66 HB Userjlynn66 HB Userjlynn66 HB Userjlynn66 HB User
Re: subtalar joint fusion as part of flat foot rec.

Hi. I can't answer all of your questions, as my surgery wasn't that long ago, but I think I can give you some assurances while you wait to hear from some more experienced members. First of all subtalar fusions can most definitely be used for correction of flat feet. That is exactly why I had it. July 15th of this year I had a subtalar fusion, tendon transfer and achilles tendon lengthening because my flat feet were causing my tendons to tear. For me, this was done as out-patient surgery, but some people stay over in the hospital for a couple days for pain management.

Be prepared for a long recovery time. I was 9 weeks in a cast nwb and 2 more in a boot nwb. Then 2 weeks pwb until this week I finally made it to fwb and I am expected to transition into a shoe in another week. As you read on these boards everyone is different and every doctor has a slightly different schedule. Safe to say that you can expect 3 - 4 months before you are "walking" and it is agreed that it takes between 1 year to 18 months before you reap your full recovery. The good news about your age is that you should heal more quickly. I am 45 and admittedly overweight, two things that contributed to my personal recovery time.

All this said, with just 4 months into this, I can't speak to your noted concerns about years into the future. I can however tell you that my doctor told me he was opting for the subtalar fusion (this just fuses 2 bones) over the triple fusion (or more) because he felt in my case it was enough to correct the problem and still leave me with the most mobility. But because it is the least correction he did say that it may mean that somewhere in the future I may need to go in for another fusion. Realistically for someone your age (with 30+ more walking years ahead of you than I) this is most likely not a forever fix, but it should last a long time. I would hope with a good surgeon and you doing what you can (wearing supportive shoes and maintaining a sensible weight) this would take you easily past your school years pain free. But like I said, there are others on this board who have more years behind them and of course ask your doctor what a realistic expectation is.

Hope this helps and all goes well for you. You should be enjoying these years, not spending them sitting down. Good luck

 
The Following User Says Thank You to jlynn66 For This Useful Post:
mutedgirl (10-28-2011)
Old 10-28-2011, 02:34 AM   #4
Member
(female)
 
mutedgirl's Avatar
 
Join Date: Jun 2011
Location: los angeles, california, usa
Posts: 63
mutedgirl HB User
Re: subtalar joint fusion as part of flat foot rec.

thank you and I hope the rest of your recovery goes well.

evelyn

 
Old 10-28-2011, 12:38 PM   #5
Member
(female)
 
mutedgirl's Avatar
 
Join Date: Jun 2011
Location: los angeles, california, usa
Posts: 63
mutedgirl HB User
Re: subtalar joint fusion as part of flat foot rec.

My surgeon has sent a letter this afternoon saying that he has just looked at doing a triple fusion as my root is pretty bad but has left me with a choice. My mum doesn't know what to say but I want a bit of info on both before I decide which one will benefit me the most.

Evelyn xxx

 
Old 10-28-2011, 12:46 PM   #6
Senior Veteran
(female)
 
kimberp's Avatar
 
Join Date: Oct 2003
Location: Long Island, NY
Posts: 576
kimberp HB Userkimberp HB Userkimberp HB Userkimberp HB Userkimberp HB Userkimberp HB User
Re: subtalar joint fusion as part of flat foot rec.

Is there another doctor you can see for another opinion.. Or two? A triple fusion at your age is a big decision so I would hope there are other doctors you can speak with.

I just had a subtalar fusion at 43 years old and that was a hard decision for me.

Good luck, sorry you are going through this!

 
The Following User Says Thank You to kimberp For This Useful Post:
mutedgirl (10-29-2011)
Old 10-28-2011, 08:23 PM   #7
Junior Member
(male)
 
Join Date: May 2010
Posts: 35
dubpt HB Userdubpt HB User
Re: subtalar joint fusion as part of flat foot rec.

I would definitely consider having another consultation with one or even two different foot and ankle orthopedic surgeon specialist before having the surgery. I am 34 y/o and getting ready to have flatfoot reconstruction surgery this Tuesday and have spent alot of time researching this diagnosis and surgical options. My procedure will include a calcaneal osteotomy, midfoot fusion (less severe than subtalar fusions) and gastroc muslce lengthening. I have spent most of my time researching surgical options for our condition as it relates to adults, so the reasons for choosing different surgical procedures (osteotomy vs fusions) could be different in adults vs pediatric patients.

I have found that fusions are often for flatfoot conditions with rigidity and an inability to return to a normal foot alignment when the doc assesses your foot with your feet off the ground. If your foot has the flexibilty to return to this normal alignment when off the ground and other characteristics, they often look at performing osteotomies that still allow for relatively normal joint motion, which is not maintained with a fusion. From your post, if you have too much side to side motion than I can see where they are considering a subtalar joint fusion as this is the primary joint that performs the side-side movements.

You stated that you do not want to make the same mistake as last time. What do you mean by this and have you already had a prior surgery for your flatfeet? If so, that changes how the surgeon looks at which procedure is required best to address your problem. I have seen that if a repeat surgery is needed in the future, there is an increased chance that a fusion will be involved in the surgical approach.

I hope I was able to provide you with some useful info as I work in the medical field and don't mind providing some info where it may help avoid a procedure you may or may not regret.

 
The Following User Says Thank You to dubpt For This Useful Post:
mutedgirl (10-31-2011)
Old 10-29-2011, 12:55 AM   #8
Member
(female)
 
mutedgirl's Avatar
 
Join Date: Jun 2011
Location: los angeles, california, usa
Posts: 63
mutedgirl HB User
Re: subtalar joint fusion as part of flat foot rec.

Thank you kimburp .I have got 2 surgeons working together on me. Dr Stanley and Dr budgeon. Dr budgeon is the most senior orthopedic surgeon so I'm lucky to have him. I trust them but I just want to make sure that whatever decision I make is the right one as naturally my mum is worried .

Evelyn xxx

 
Old 10-29-2011, 03:11 AM   #9
Member
(female)
 
mutedgirl's Avatar
 
Join Date: Jun 2011
Location: los angeles, california, usa
Posts: 63
mutedgirl HB User
Re: subtalar joint fusion as part of flat foot rec.

Does anyone know roughly how long the procedures are?
This is not the first surgery I have had as I have had problems with my kidneys but I don't know what sort if pain meds u r given, do u get a nerve block , how 2 cope with crutches ect... As I still have to go to school, How long do you think it would b before I could go back to school?

Evelyn xxx

 
Old 10-29-2011, 03:02 PM   #10
Senior Veteran
(female)
 
Join Date: Jul 2010
Location: New Jersey
Posts: 1,158
roxygirl1 HB Userroxygirl1 HB Userroxygirl1 HB Userroxygirl1 HB Userroxygirl1 HB Userroxygirl1 HB Userroxygirl1 HB Userroxygirl1 HB Userroxygirl1 HB Userroxygirl1 HB Userroxygirl1 HB User
Re: subtalar joint fusion as part of flat foot rec.

I had flat foot surgery 16 month ago but my foot was still flexible so I did not require fusion. I did have 5 different proceedures and I was in the hospital for three nights for pain control. This was routine for my doctor. I was NWB 8 weeks followed by several weeks in a boot everytime my foot was on the ground. I was on pain meds for the first two weeks and then just used them before bed. It sounds as if your doctor has not done many of these proceedures before. Could you see another doctor who has done many flat foot surgeries. I was told by a few people in the medical field that the overall success rate for flat foot surgery is only 40-50% BUT if you use a skilled doctor with a lot of experience with these proceedures then the success rate is much higher. I was very lucky to have a good outcome.

Good luck with your surgery

 
The Following User Says Thank You to roxygirl1 For This Useful Post:
mutedgirl (10-31-2011)
Old 10-30-2011, 01:13 PM   #11
Member
(female)
 
mutedgirl's Avatar
 
Join Date: Jun 2011
Location: los angeles, california, usa
Posts: 63
mutedgirl HB User
Re: subtalar joint fusion as part of flat foot rec.

Thank you. I previously had a subtalar implant but I was allergic to the nickel in the implant and I had Achilles tendon lengthening but the surgeon didn't lengthen in enough and as I am hyper mobile then it has just returned to normal. I am now with a different surgeon and he is supposedly good do we r going with him but I also like to do my own research as I like to feel prepared.
I am going to c him on Tuesday and I will ask him all about it.
Will I need any pt? Did anyone else have it?
Evelyn xxx

 
Old 10-30-2011, 01:18 PM   #12
Junior Member
(male)
 
Join Date: May 2010
Posts: 35
dubpt HB Userdubpt HB User
Re: subtalar joint fusion as part of flat foot rec.

Yes PT will be beneficial for restoring your ankle/foot range of motion, strength, balance and walking function. There are some docs who choose not to have their patients receive PT, but I would request to have it.

 
Old 10-31-2011, 04:44 AM   #13
Member
(female)
 
mutedgirl's Avatar
 
Join Date: Jun 2011
Location: los angeles, california, usa
Posts: 63
mutedgirl HB User
Re: subtalar joint fusion as part of flat foot rec.

After surgery how long do you think it would be until I could go back to school full time?
Evelyn xxx

 
Old 10-31-2011, 06:20 AM   #14
Member
(female)
 
mutedgirl's Avatar
 
Join Date: Jun 2011
Location: los angeles, california, usa
Posts: 63
mutedgirl HB User
Re: subtalar joint fusion as part of flat foot rec.

Been to the beach today but couldn't do anything and had to sit down. I feel really old and fat. Just reminded me that I can't jeep living with this pain so I need to get it sorted.
This year is an important year though as it is my gcse's. How long do you think it would be until I went back to school after surgery?

Evelyn xxx

 
Old 10-31-2011, 12:47 PM   #15
Member
(female)
 
mutedgirl's Avatar
 
Join Date: Jun 2011
Location: los angeles, california, usa
Posts: 63
mutedgirl HB User
Re: subtalar joint fusion as part of flat foot rec.

Anyone? The surgeon could only tell me when the school would let me back into school not when I would be ready to.

Evelyn xxx

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Problem Subtalar Revision Arthrodesis unclmikl Foot & Ankle Problems 6 12-07-2012 01:16 PM
help... questions about subtalar fusion! looics17 Foot & Ankle Problems 15 05-06-2012 02:50 AM
PTTD Surgery Subtalar Joint Fusion Zoeys Grammy Foot & Ankle Problems 45 10-22-2011 04:39 AM
Subtalar and Talonavicular Fusion experience 4/25/11 TigerAtx Foot & Ankle Problems 2 06-06-2011 04:28 PM
Just had subtalar fusion dianelev Foot & Ankle Problems 7 10-12-2010 05:48 AM




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




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



roxygirl1 (187), Zerk (137), Titchou (135), Hollywood48 (121), Missyluke (121), ginger62 (100), LadyKanner (97), LisaBdot (83), AdkLizard46 (55), janewhite1 (52)

Site Wide Totals

teteri66 (1180), MSJayhawk (1013), Apollo123 (909), Titchou (856), janewhite1 (823), Gabriel (763), ladybud (755), midwest1 (670), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 07:20 PM.



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!