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Old 12-08-2011, 10:10 AM   #1
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PTTD surgery... any regrets or great results?

I'm considering having this surgery december 21st after several appts with multiple surgeons and podiatrists. Having had knee surgery 4 times with no issue in coming to a decision to have those, I find myself hopeless with indecision on this one. Facing up to a year on the sidelines is not at all appealing after spending 6 months last year in a boot, on crutches or in a post op (acl) knee brace.
Does anyone have any regrets bad outcomes post op from this that they would like to share? Is anyone just overjoyed with the results? Any other advice, tips, feedback, etc would be much appreciated.
On the off chance any of you are in Houston, who was your surgeon?

Thanks!

 
Old 12-08-2011, 10:13 AM   #2
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Re: PTTD surgery....any regrets or great results?

Moxie:

Please read my thread. I had this surgery done last year. It has been 21 months since my initial injury and I am still having to use crutches for walking. MANY people do have good outcomes!!!!!!

Keep in touch!!!

Jeff

 
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Old 12-08-2011, 11:48 AM   #3
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Re: PTTD surgery....any regrets or great results?

Moxie: I had flat foot reconstruction surgery (ptt repair, fdl tendon transfer, calcaneal osteotomy, kidner procedure and achielles tendon lengthening) in August 2010. I am very grateful for having the surgery. Prior to surgery, I walked with a bad limp and was always in pain. After being in a boot forever followed by a cast for 4 weeks I decided to have the surgery. For me at the time, I had really no idea what to expect from the surgery and had no idea of how difficult and long the recovery process was (I did not belong to the health boards until after surgery). I had a few set backs (stress fracture of my tibia once I was back to work). Would I do the surgery all over again? Absolutely. When I got close to the one year anniversary I foot felt great. I work at a hospital and I was able to use the stairs again and had a normal gait. I also was able to work out again without swelling/aches. I felt that this surgery gave me my life back. Unfortunately due to a work accident, I recently had surgery on the same foot for a peroneal tear. I am recovering well and expect to be able to do everything I used to be able to do. I actually will need to have this same surgery to my other foot within the year. Although I do not look forward to having to go through it, I am willing to do so because I know my foot will be so much better off.

 
Old 12-08-2011, 01:25 PM   #4
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Re: PTTD surgery....any regrets or great results?

I am also glad I had it done. I couldn't live with the pain and limitations the injury caused. I now have a normal gate, no more braces, taping or bandages, done with physical therapy, can do stairs normally and only have stiffness and some twinges now and then which I suspect they will go away sooner or later. It's only been about 8 months since I had it done.

Good luck with your decision!
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Old 12-08-2011, 07:53 PM   #5
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Re: PTTD surgery....any regrets or great results?

How quickly after surgery were you able to travel (fly)? How quickly were you able to get back to work? I can work from home but prefer being in my office and can elevate it there too.

 
Old 12-08-2011, 10:00 PM   #6
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Re: PTTD surgery... any regrets or great results?

I was out for 5 months, but that included summer vacation as I'm a teacher. I cover 5 schools, so there wouldn't have been any way I could do all that in less than 4 months recovery. Once you get the cast off, you have to learn to walk again which was surprisingly difficult. My Dr.'s office literature said to tell your employer 10-12 weeks. I was still barely walking at that point.
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Old 12-09-2011, 03:36 AM   #7
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Re: PTTD surgery... any regrets or great results?

Following surgery I was out for four months. My job requires me to be on my feet all day and I have to be able to move quickly. I work in a hospital and it is very demanding on my feet. I believe if your job is sedentary, you can usually return quicker.

 
Old 12-09-2011, 08:04 AM   #8
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Re: PTTD surgery....any regrets or great results?

Quote:
Originally Posted by Moxie410 View Post
How quickly after surgery were you able to travel (fly)? How quickly were you able to get back to work? I can work from home but prefer being in my office and can elevate it there too.
I had surgery 5 weeks ago and will be flying for Xmas at 7.5 weeks post-op and OK'd by my surgeon. I am now in a boot and plan on taking it off intermittently for ankle pumps and to massage my calf for blood clot prevention as discussed by doctor. Flatfoot dysfunction is a progressive condition and will only worsen over time. The surgery required to correct it sooner will be less severe and likely not require motion losing fusion procedures.

Good luck on your decision.

 
Old 12-09-2011, 03:50 PM   #9
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Re: PTTD surgery... any regrets or great results?

So I'm fresh from a 3rd opinion with my podiatrist who is saying he doesn't think my case is surgical because I can do a heel raise and no tear is showing on the MRI. Having had multiple MRIs that didn't show exactly what was going on (including a complete tear of my acl) I don't put all that much faith in them and take other symptoms into consideration. Anyway, he's advising me to go back into a walking boot, then to some bizarre brace he called transitional and then into orthotics. Now I'm all about not having to have this surgery, but as a 33 year old woman I have no intention of living my life in braces, orthotics and Danskos. I'm more than happy to try the conservative route....AGAIN, but most people on here say in the end they have to do the surgery anyway. I'm beyond frustrated and wish I'd never had the bright idea to do the Avon Walk three years in a row! What do you think?

 
Old 12-09-2011, 04:57 PM   #10
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Re: PTTD surgery... any regrets or great results?

I have been through this surgery on my left foot - which did not show a fractured bone nor a tear in my ptt on the MRI but both were then when I had surgery. My right foot is also flat and symptomatic. The surgeon has told me that I will need to have surgery on this foot sooner rather then later. During our discussion I said that I did not think I would need surgery until I could NO longer due a heal raise. His response to me is that if I wait until that point I may lose some of the options available now to fix the problem and option could be very limited.

 
Old 12-09-2011, 05:37 PM   #11
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Re: PTTD surgery... any regrets or great results?

I had ptt/spring ligament repair, tendon transfer, calcaneal and cotton osteotomy and gastroc recession 17 months ago. Prior to surgery, I was able to do the single heal raise. Despite being able to do the heal rises, my foot had pancaked and my ankle was starting to cave in towards the floor. After taking about 15-20 steps, I had a sharp pain along the ptt and into the arch even wearing a custom brace. After seeing two podiatrists and one foot and ankle ortho, I ended up having the surgery done by the ortho at the Hospital for Special Surgery in NYC. The ortho is actively involved in clinical trials/research pretaining to flat foot reconstruction. He does 3-5 flat foot surgeries a week. My outcome has been wonderful. I now walk pain free. I work full time and can do errands after work without thinking about my foot.
I wear custom orthotics in good shoes. My foot will never feel like my "old foot." I still have some reduced sensation in my first three toes and into the top of the foot. At times my foot feels "weird" but it doesn't bother me or prevent me from doing my day to day activities.

I am a school based speech language specialist and have to be quite mobile so I was out of work for four months. My surgery was done the end of July (first appointment I could get). If I had a desk job, my surgeon would have released me to work after 8-10 weeks. I was NWB for 8 weeks followed by about 6 weeks in a boot any time my foot touched the ground. If your right foot is the surgical foot, you will not be able to drive for awhile.

It is very important to choose a surgeon who has a LOT of experience with this surgery. The overall success rate is not all that high, but if you use the right doctor, you can dramatically increase your chances of having a good outcome.

Good luck with your decision

Last edited by roxygirl1; 12-09-2011 at 05:38 PM.

 
Old 12-09-2011, 05:40 PM   #12
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Re: PTTD surgery... any regrets or great results?

I had the surgery due to a long-term history of flatfoot dysfunction without posterior tibial (PT) tendon degradation. My pre-op exam per the surgeon yielded normal heel raise, strong muslce strength of my PT muscle, and pain at areas surrounding the PT tendon on my inner arch due to the prolonged flat foot history. This possibly sounds similar to your foot issues.

I had flat foot surgery 5.5 weeks ago incorporating a posterior calcaneal osteotomy, 1st TMT fusion and gastroc lengthening. They felt I had no need for a tendon transfer and I hope this procedure will give me back greater mobility as I am 34 years old. I was progressively becoming limited with my job and recreational activities, and would like to resume them and to play with my young twin boys without pain.

Have you seen an orthopedic surgeon that is fellowship trained in foot/ankle surgery. I have seen both a podiatrist and OS MD's and I prefer and chose an OS for this complicated procedure.

Last edited by dubpt; 12-09-2011 at 05:43 PM.

 
Old 12-09-2011, 05:51 PM   #13
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Re: PTTD surgery... any regrets or great results?

Dubpt, you are right that this is a very complicated surgery that requires a great deal of skill. Prior to my surgery, the ortho told me that he would definitely have to do three proceedues and may have to do an additional one or two proceedures. He explained that he wouldn't know for sure until he got in there and saw how my foot reacted to the various proceedures. It is important not to undercorrect but also very important not to overcorrect which could cause a range of other problems. Choosing your doctor carefully is very important.

 
Old 12-09-2011, 06:03 PM   #14
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Re: PTTD surgery... any regrets or great results?

A podiatrist diagnosed this in april 2010. I was in a boot for seven weeks after which I found out my acl was torn so I never wore the orthotics they made for me because they were worried about them exacerbating my knee issues. I had acl reconstruction in august after getting out of the boot in early June. I was NWB on left leg for two months so putting all weight on my right side which is the affected foot.
I saw two different orthopedic surgeons in august, September and again a few days ago. One says he thinks there is a tear that isn't showing. The Other was less specific and basically said the surgery is no rush but yes I'll need it eventually. Both are with Fondren Orthopedic at Texas Orthopedic Hospital in the Houston med center. I'm trying to get in with Methodist bone & joint as well.
Also I'm trying not to factor this in but my insurance is changing January 1st so I can save a significant amount of money if I do it now. Again I'm trying not to think that way but if the surgery is inevitable I feel silly waiting for financial and disease progression reasons.

 
Old 12-09-2011, 06:16 PM   #15
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Re: PTTD surgery... any regrets or great results?

It sounds as if you are doing your homework. Hopefully you can get into Methodist soon and then decide which doctor you are most confident in. I can absolutely understand factoring in financial concerns. Good luck

 
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