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Old 02-17-2012, 01:36 PM   #1
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Struggling with SCREW after Calcaneal Osteotomy

Can anyone please advise on where to get the screw removed?? I will fly anywhere in the USA at this point. I can't go back to the original hospital as my experience was horrific...truly a chop shop with NO overall patient care...

Last edited by Administrator; 02-19-2012 at 07:16 AM.

 
Old 02-17-2012, 05:54 PM   #2
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Re: Struggling with SCREW after Calcaneal Osteotomy

I am 19 months post op flat foot surgery. I had a very good surgical outcome. I am able to go about my day to day activities with no pain. I was impressed with the staff in the hospital. I did have the calcaneal osteotomy screws removed at 7 months post op. It was a simple same day proceedure. Honestly, any good foot and ankle surgeon should be able to remove the screws without any problem

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Old 02-17-2012, 07:53 PM   #3
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Re: Struggling with SCREW after Calcaneal Osteotomy

I had a calcaneal osteotomy about 8 1/2 months ago along with several other procedures to correct my flat foot. My surgeon used staples on the side of my heal. He said his experience was that people had more pain from the screw in their heal after surgery especially when your foot is propped up in a cast and resting almost squarely on the screw. I believe he was the only surgeon in his practice to use such a procedure and I haven't seen it mentioned anywhere else. I had no problems with healing and have zero pain after surgery or even now; was released to full activity 5 1/2 months after surgery. His reasoning for using the staples makes sense to me especially after reading about the pain and complications others have had from the screw in their heal. Operationdupied, it might be a good question for your surgeon. Upside I hope you find relief.

 
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Old 02-17-2012, 08:56 PM   #4
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Re: Struggling with SCREW after Calcaneal Osteotomy

Maybe I didn't complain enough...maybe I am a big baby....BUT this surgery HURTS really bad...and now 4 months into it, I have to get the screw out...I have been crying all day.

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Old 02-18-2012, 11:40 AM   #5
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Re: Struggling with SCREW after Calcaneal Osteotomy

Upsidedown....How long were you in the hospital after the surgery? I had ptt/spring ligaments repaired, tendon transfer, calcanealcotton osteotomy and gasrtroc recession. I was in the hospital three nights which the doctor does for pain management. I was on a pain pump and when I had breakthrough pain, I buzzed the nurses who were able to bring me oral meds. The nurses responded quickly. At one point, I was getting miserable spasms which reduced me to tears. The nurse paiged the pain management doctor who came within ten minutes. They added medication for the spasms. The meds kept the pain manageable. The doctor gave me an rx for two weeks of pain meds once I was released. He told me to page him through his service if the pain isn't controlled with the meds. He also cautioned me to stay ahead of the pain. The screws did not present a problem until I was walking a lot at 5 or 6 months. The dr. did a ct scan prior to removing the screws to be sure that everything was healed. Recovery from screw removal was not a big deal at all. I was given pain meds but only had to take them for one day. I was walking pwb with crutches right away. My doctor had my foot wrapped up from the toes to about 5 inches past the ankle. He was big on preventing any type of infection. Within two weeks, I was wearing regular shoes and doing pretty well.

It sounds as if you lost confidence in your doctor and the hospital. Screw removal is really not a big deal at all and makes such a difference as far as your comfort level.

 
Old 02-18-2012, 12:09 PM   #6
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Re: Struggling with SCREW after Calcaneal Osteotomy

@ Roxy..I was in recovery for an hour after surgery...although report says 2 hours(had my phone on stopwatch)...I was tricked into going to the bathroom and then wheeled out to my car for a 3 hour ride home. When I realized I was in my car and only one block from hospital, I screamed @my husband to take me back. I was in excruciating pain...I was wheeled back into the post-op area where the nurses walked by me (crying) stating that the Dr. was in surgery and there was nothing they could do. They did let me lay in a bed in a dark corner. After 2 hours the Dr. came out of surgery and basically asked me what I wanted him to do.????.He cut my heel off, I am crying in pain and I have to tell him what to do???..Hysterically crying, I said I didn't want to drive 3 hours home with this much pain only have to go to the ER. So, reluctantly he admitted me....overnite..all the while asking me if I could feel my toes when he touched them...I tried calmly to explain that it wasn't my toes that hurt...my heel was throbbing. Failed pain block, obviously! Once on the Med Surg floor, I barely was addressed by any nurse despite my pleas for pain relief...they gave me a dilaudid pain pump which didn't work because my IV was out and was draining into my bed. All night long, I threw up. I V was never re-inserted because there was no phlebotomist, floor nurse wasn't "comfortable" with my veins. My pain management was 10mg Oxy every 4 hours which I threw up. I could go on and on....the most horrific non-existent patient care. I wrote a letter to the Director of Patient Care, telling her of my experience...guess what I heard...NADA. I can never go back there...even for a flu shot. I can't wear anything but a flip flop...can't set my foot down even on a pillow, the screw area is so sensitive...It was fine until about a week ago and then all the fury came back.. I am devastated to have go under again. didn't even know I was getting a screw.
I can't believe I can't find an foot/ankle guy in South Florida. Podiatrists everywhere!!!

 
Old 02-18-2012, 12:51 PM   #7
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Re: Struggling with SCREW after Calcaneal Osteotomy

OMG, What a horrible experience. I can not believe how horribly you were treated. Now I know why my surgeon keeps his patients in the hospital for 3 nights. Did you move to Florida? How long ago was your surgery? It is strange that you are in so much pain all of a sudden

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Old 02-18-2012, 08:14 PM   #8
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Re: Struggling with SCREW after Calcaneal Osteotomy

October 24th was surg. Yes it was and is still a horrible experience....I am a SnowBird...with a throbbing foot!

Last edited by Upside; 02-18-2012 at 08:17 PM.

 
Old 02-19-2012, 05:47 AM   #9
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Re: Struggling with SCREW after Calcaneal Osteotomy

It sounds as if it might be a good idea for a second opinion to see why you suddenly have such a dramatic increase in pain. Do you have to use a Dr. in Florida or can you use one in the tri state area?

 
Old 02-19-2012, 05:51 AM   #10
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Re: Struggling with SCREW after Calcaneal Osteotomy

What a terrible experience. I am so sorry for you but thank you for sharing your experience with us .

Such tough decisions .. not even sure I want my son to go through that surgery anymore. He only has mildly chronic pain but the Dr said it will get worse and it is better to do it when he is young. From your experience and Roxy girl experience , it seems like it is not such a simple and painless procedure . I wonder if wearing the custom orthodicts all his life will prevent his foot to get more deformed and he might not need surgery after all ?

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Old 02-19-2012, 06:01 AM   #11
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Re: Struggling with SCREW after Calcaneal Osteotomy

Roxy girl , can you now walk and run and do any kind of athletic activities without any pain? Was the surgery worth it?

 
Old 02-19-2012, 06:08 AM   #12
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Re: Struggling with SCREW after Calcaneal Osteotomy

It is a hard decision. In my case, I wore good shoes and custom orthotics for 5 years prior to the surgery. Unfortunately over the years, things just got worse. I even had a custom brace that went from my toes to about 5 inches above the ankle for four or five months. At first the brace helped but even wearing the brace, I woke up one morning and my foot had pancaked and my ankle was caving in. After taking 8-10 steps, I was in agony. If you choose to wait, be sure to have his foot monitored on a regular basis. If he ends up with a rigid flat foot, then he will have to be fused which is something you want to avoid if you can. I had a 3 hour round trip drive to the Dr. Of course my husband did the driving. The drive was a pain but honestly, now that I am pain free and working full time without worrying about my foot, I am so happy that I used the doctor I did. He was out of network so we had some out of pocket expenses (nothing crazy). For me, the surgery gave me my life back. You have a tough decision for sure. The surgery has a fairly low success rate but by using a top doctor with lots of experience with the proceedure, you definitely increase your chances for a successful outcome dramatically. My pt had worked for a foot and ankle ortho for his first job. The pt emailed the doctor to see what he knew about the doctor I was planning to use. His response was that the surgery has about a 50% success rate by in the hands of the doctor I was going to use, the success rate was much higher.

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Old 02-19-2012, 06:15 AM   #13
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Re: Struggling with SCREW after Calcaneal Osteotomy

Quote:
Originally Posted by operationdupied View Post
Roxy girl , can you now walk and run and do any kind of athletic activities without any pain? Was the surgery worth it?
I can walk with no pain. Prior to surgery, I could barely walk from room to room in my house due to pain and now I work at a job that requires me to be pretty mobile. I have no problems running errands afterwards. My Dr. said that any time you repair a tendon, it is not a strong as a "virgin" tendon. He cautioned me to avoid high impact activities. I guess that you could ask if your son could participate in his desired sport post surgery if he wears a brace to give the foot additional support. I seem to remember about 4-6 post op visits over a periord of several months. I went to my local doctor for suture removal.

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Old 02-19-2012, 06:30 AM   #14
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Re: Struggling with SCREW after Calcaneal Osteotomy

Ditto on the custom orthotics for 7 years prior to surgery. At first they worked great and I was so happy that I was going to avoid the surgery. My foot was fine all day but during the night it would ache so badly I couldn't sleep. I was becoming sedentary and struggling to limp around.

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Old 02-19-2012, 06:31 AM   #15
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Re: Struggling with SCREW after Calcaneal Osteotomy

It is strange, but after reading posts here over the past several months, some doctors do this outpatient and others in patient. From what I read, inpatient is more common. My doctor did the proceedure inpatient for pain control and of course before I was discharged, the pt worked with me to be sure I could get around using the kneewalker and two wheeled walker NWB. There is NO WAY I could have even gotten out of bed right after surgery. I had pain but it was not crazy bad because being in the hospital afforded me access to appropriate pain control measures. When I got home, I took the max dose of pain meds for about 4 or 5 days and then was able to slowly reduce the frequency/amount. By two weeks post op, I took pain meds before bed for the most part and by three weeks, didn't need any pain meds. The big thing according to my doctor is staying ahead of the pain. I guess that is why he keeps his patients in the hospital. I had aspirate taken from my hip (not bone removal) and then they spin the stem cells out and put them in the osteotomy sites to encourage healing. They also monitor closely that there is no evidence of infection. I know that my doctor was very cautious. Screw removal was same day and I had my local doctor remove the stitches so I only had to go to NY for the actual surgery

 
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