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Old 12-01-2012, 07:32 PM   #1
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Wink Ankle reconstruction surgery

Hi,,,am new to the boards. Just joined tonight. I'm scheduled for ankle reconstruction on the 11th, after years of numerous sprains, resulting in ligament/tendon tears and damage. Had surgery 10 years ago to repair 2 ligament tears. Long history of ankle instability, pain. I have a pre-op appt on Monday to review surgical plan with OS. Am getting very anxious and nervous about what to expect with pain levels, time NWB, recovery time, etc. If anyone can share their experiences, I'd appreciate any info! thanks.

Last edited by Btrfli1; 12-01-2012 at 07:41 PM.

 
Old 12-01-2012, 08:17 PM   #2
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Re: Ankle reconstruction surgery

Having modified Evans surgery one week later.
Shall we compare notes in the future ????

 
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Old 12-01-2012, 08:18 PM   #3
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Re: Ankle reconstruction surgery

Best of luck to you Btrfli! I had a double fusion and achilles tendon lengthening back in April of this year. My subtalar fusion was busted in August in physical therapy so I will be undergoing a revision surgery in January. What would you like to know about our experiences? Feel free to ask anything.
~Kimberly
__________________
April 2012
Double Arthrodesis
Achilles Tendon Lengthening
January 2013
Subtalar Arthrodesis Revision
Talonavicular Fusion Hardware Removal

December 2013
Screw Removal

 
Old 12-01-2012, 08:38 PM   #4
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Re: Ankle reconstruction surgery

Yes, sausage,,,we'll definitely compare notes!

 
Old 12-01-2012, 08:49 PM   #5
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Re: Ankle reconstruction surgery

Thank you, Kimberly! I think my anxiety level is amping up because my OS hasn't detailed exactly what's gonna happen during surgery. We'll go over all that on Monday. I know it's a reconstruction, but I don't know if he has to use donor tendons, or if any of mine can be salvaged, not sure how involved the reconstruction will be, how long surgery will be, if I have to stay in hospital overnight (depends on detail on surgery). He needs to pull archived surgery notes from last surgery to see what he did and to see what needs to be done before he can answer my questions on Monday. Did you have block? Were you awake while block was placed? Could you feel it? I'm nervous about block too. Did you stay overnight? How long we're you in splint? How long NWB? How Long in cast? Thanks for sharing info!

 
Old 12-01-2012, 09:20 PM   #6
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Re: Ankle reconstruction surgery

Relax girlie. All will be okay. I did not have the nerve block. It was never even an option put in front of me. I had to spend two nights in the hospital for pain management. I never had a splint. I woke up in a fiberglass cast. I was non weight bearing from April 20-July 2. Always tell them anesthesia makes you nauseous even if pure not sure. That way they will go ahead and give you medicine to prevent nausea.
__________________
April 2012
Double Arthrodesis
Achilles Tendon Lengthening
January 2013
Subtalar Arthrodesis Revision
Talonavicular Fusion Hardware Removal

December 2013
Screw Removal

 
Old 12-01-2012, 10:43 PM   #7
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Re: Ankle reconstruction surgery

Hey! Your story sounds strangely like mine! Almost 10 years ago I had a modified brostrom done. Worked great, until 7 months ago I really did a number on my ligaments and tendon. My dr doesnt know how he's going to fix it until he gets in there with the scope to see the actual condition of my ligaments and tendon.

I am also having my surgery on the 11! We should definitely compare how things go after surgery. I'm trying not to freak out top much about it. I'm more or less excited to finally get it done!

Good luck to you!
Erin

 
Old 12-02-2012, 06:21 AM   #8
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Re: Ankle reconstruction surgery

hello, I just had modified brostrum on NOv 21st. I have run numerous marathons and completed my first Ironman this year. Years ago I sprained my ankle playing soccer and every year I had an issue with the ankle going out on me and I would rest for about 2 weeks and get back in the game. a few years ago it went out on me really bad and I had to sit out for 6 weeks. Anyhow this year it started bothering me in the spring and resting wouldn't help. I had cortisone 6 weeks prior to the Ironman and during the race it gave out on me, but 2 miles later it was back in action (weird I know). Anyhow, they cleaned out my ankle and tightened the ligament with a small metal anchor. He said there was a lot of fluid/inflammation in there. I had a nerve block. That sorta hurt, but I would suggest this. I just couldn't feel my toes afterwards for day. I think it was the 2nd or 3rd night I had my first bout of pain and yes it hurt. I took my pain meds as ordered and had to double up on them. About 10 hours later I really didn't have any more pain. I got off my pain meds 4 days later. The nurse was shocked when she called to check on me. I told her my pain level was a zero on the scale. They put a fiberglass cast on me. 10 days after the surgery I went to the doc and they took off my cast. It didn't really look bad. There was no bruising and just some swelling. I was disappointed they put a new cast back on. I'm suppose to go back this Friday which will be 17 days post surgery and they are going to remove the sutures. I think they are putting me in the boot as well with minor weight bearing (atleast that is what he said he might do). I can't wait to get out of this cast!!!! I learned to drive yesterday (shhhh) with my left foot. I didn't go very far and avoided heavy traffic. I started going insane! I made it to the gym and started some upper body stuff. Sometimes my foot feels like it is asleep for a couple of days and my big toe sorta burns. I keep it elevated a lot and keep the ice pack on it. Last night was really weird. It felt like I dipped it in ice water. I put the hair dryer on my toes because they were ice cold. That didn't really help . It finally got warmer. I will update after my Friday appt. Overall this wasn't a bad surgery. I expected a lot worse. I am very anxious to start up cardio though

 
Old 12-02-2012, 07:24 AM   #9
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Re: Ankle reconstruction surgery

Hi Erin,,,,yes,sounds just like I'm going through here! We're definitely gonna have to keep in touch. NI'll know more tomorrow, hopefully, after my dr appt. Good luck to you,,,,wishing you a successful surgery.

 
Old 12-02-2012, 07:28 AM   #10
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Re: Ankle reconstruction surgery

Hi Tilly, Thanks for taking time to post your experience. Calms me down a little to hear you say it wasn't as bad as you thought it would be!! I really don't remember the first surgery being too bad and I didn't have a block with that one. But,,,,it wasn't as involved as I believe this one will be. Good luck with your next dr appt and let us know how it goes. Good luck to you!

 
Old 12-02-2012, 04:45 PM   #11
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Re: Ankle reconstruction surgery

Btrfli1:
My husband and I have done a lot of research because the first emergency Dr. and the first OS we saw completely botched my treatment after I fell in Oct 2011. The emerge Dr. (whom my husband calls Doogie Howser) couldn't even tell us if my ankle was broken or sprained so he literally guessed sprain. That's why I have to have reconstructive surgery now. While we are nowhere near being specialists (and do not presume to be) we have literally read thousands of pages of ortho info to date - and between that and what the new OS (she is considered the best there is in our community) has told us, we're learning a lot.
For my surgery which sounds somewhat different than yours, the OS will be taking out a length of the peroneal tendon below the knee, stitching the remaining length of peroneal with the muscles to make it stronger, then cutting in by the ankle, drilling a hole in the base of the tibia, fibula and talus and lacing thru the surgically removed peroneal tendon. Sounds like fun - not!.

However, we did learn that if there is extensive cartilage damage on the talus dome allografts and/or autografts are often used in conjunction with the "lacing up" part of the surgery. "Donor" parts - allographs ( bone, tendons or cartilage) come from cadavres while autografts come from your own body usually the other end of the tibia or the femur just above the knee - as for Allografts (Donor parts) I'm just not keen on being part of the walking dead. As well, since my body likes to reject things (severe allergies), we didn't think that is the way to go. Just hoping there is no cartilage damage when she gets my ankle open and all of this discussion becomes a moot point as we've read that grafting can substantially delay recovery and if substantial amounts of graft material have to be "harvested" from the femoral head it's an automatic LONG LEG CAST for the first 4 or 6 weeks....NO THANK YOU.

As for post-op for just the standard reconstructive surgery, the OS told us to expect a plaster cast that "weighs a million pounds" (her words) for 10-14 days and we originally thought she had said above the knee but now understand it could be "up to the knee", or the mile high version (to the crotch), then a below-the knee fibreglass cast (I'm going for NEON PINK!) for 4-6 weeks NWB, then a WB walking cast and PT for another 6 weeks. This of course is the optimum plan with the talus cartilage grafts being the complete "don't even want to think about it" plan - I'm being positive!. I'm looking forward to playing with my marbles and my gigantic elastic band (see main thread) again, and the sooner the better in my book.

As I mentioned before, my new adventure starts on the 18th and if I remember correctly you start on the 11th. Best of luck to you. Keep us updated and we shall do the same.

Off to go find my marbles! before I lose them and have to find them again - ahahaha.

 
Old 12-02-2012, 05:48 PM   #12
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Re: Ankle reconstruction surgery

Hi Sausage,Thanks for sharing your info. I too, have done extensive ortho research, but, until I see OS tomorrow to see what he plans to do to "reconstruct", am not sure what path I'll be on. I guess the not knowing is causing my part of my stress. He used my tendons for repair during surgery 10 years ago and until he reviewed those notes, not sure if there's enough left for this surgery or if he is has to use allograft. Best of luck to you too,,,I'll be thinking of you! Keep us posted.

 
Old 12-02-2012, 06:59 PM   #13
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Re: Ankle reconstruction surgery

Thank you everyone for your stories. Sausage, I am all with you on the neon pink!!! That was my favorite color I had last time. I would love a neon yellow one but my doctor doesn't have that color.

I have seen where you ladies mentioned your OS....I highly suggest a foot and ankle specialist if you haven't already been seeing one.
__________________
April 2012
Double Arthrodesis
Achilles Tendon Lengthening
January 2013
Subtalar Arthrodesis Revision
Talonavicular Fusion Hardware Removal

December 2013
Screw Removal

 
Old 12-03-2012, 01:14 PM   #14
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Re: Ankle reconstruction surgery

Hi there
I'm new too!
I am having surgery on 13th here in the uk!
I am very nervous and not looking forward to any of it
Maybe we can support each other through the recovery

 
Old 12-03-2012, 02:01 PM   #15
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Re: Ankle reconstruction surgery

Welcome to the boards Animal! We are all definitely here for you during your recovery if you have any questions or concerns. The people in this forum are very helpful and have been a great help in my continuing recovery.
Take care and best wishes on your upcoming surgery! I'll be joining you January 16th!
~Kimberly
__________________
April 2012
Double Arthrodesis
Achilles Tendon Lengthening
January 2013
Subtalar Arthrodesis Revision
Talonavicular Fusion Hardware Removal

December 2013
Screw Removal

 
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