Hi everybody! Well, I went to the podiatrist today, and he looked at my ankle and did a couple tests, and told me that he hasn't seen an ankle this bad on a person my age in the 30 or so years he's been practicing.
So he scheduled me for a Wright Graft Jacket surgery. When I went in, and if he had decided I would need surgery, I expected he would say Brostrom or Christiam-snook (sp?).
He said that he would go in to my ankle, he would cut out the stretched ligament and replace it with a cadaver ligament or cadaver something. He said that it would only take 45 minutes.
He also said I would only be NWB for 1 week, and should be able to return back to work within 6-8 weeks, with no external PT needed. Does this sound to good to be true?
He says that this is better than the other 2, has anybody had any experience with this kind of surgery?
Thank in advance!
Last edited by Administrator; 01-31-2013 at 01:51 PM.
Hi Ryan, First of all, I'm not medically trained whatsoever. With that said, what type of procedure does he propose? The Wright graft jacket refers to a man made material he wants to use to reconstruct your ankle, vice harvesting one of your own tendons, resulting in another surgical site, or using a cadaver tendon, with a slight possibility of rejection/infection. I just had a ankle reconstruction done on Dec 11, Chrisman Snook, and my dr used man made material, no probs at all.
Good luck to you! When are you having surgery?
My dr is a board certified OS, and is a foot and ankle specialist. Surgery took a little over two hours and was done outpatient. My dr had me off my feet, with the surgical foot elevated, 23 out of 24 hrs/day for the first four weeks. That means only getting up for bathroom and bathing/dressings each day. Next three weeks were in boot, PWB as tolerated, around the house. First week couldn't have foot down very long due to pain. Now in brace, FWB, trying to get back to walking. Very painful, nothing I can't handle. Start PT next week. I'm very pro-active with my recovery and have pushed hard. I need help to get full ROM and flexibility. I need PT, even if just for a few sessions. Once they show me what needs to be done, I can do the work at home.
Soooooooo,,,,,with that said, the answer is yes,,,,,it IS too good to be true. I have, I think, a fairly high tolerance to pain and am very stubborn!! I don't like not being able to do things for myself. I can honestly tell you, I physically could not have had my foot down for an extended period of time as the pain is excruciatingly. I was very comfortable, as long as my foot was elevated, as soon as it was down, the pain was really bad.
I'm just sketchy about the surgery. Had it been one of the 2 that I've heard about, I'd be more inclined to stick with it, but since this is something I've never heard of, it just makes me more uncomfortable.
And this doctor is:
Certified in Foot and Ankle Surgery
Diplomate, American Board of Podiatric Surgery
Fellow, American College of Foot and Ankle Surgeons
Associate, American Academy of Podiatric Sports Medicine
He says that the other 2 are to invasive and that they drill unnecessary holes and weaken the talus (sp?) and that there's no need for it.
I'd say if you have any doubt at all, go for a second opinion preferably with a board certified orthopedic surgeon specializing in foot and ankles. I personally havent heard of that procedure. Not saying it isnt good, but since it's not a common procedure a second opinion would probably be wise. Also if you seek a second opinion, I wouldn't mention what the first dr said until after the second one gave his opinion. Sometimes if you volunteer that info first, they will sometimes side with what the first dr recommended. Now it wouldn't be bad to mention it if he suggested something else and go over the pros and cons.
I wish you the best of luck!
__________________ 10/2001 Left kneecap tightened and LR
06/2003 Modified Brostrom on right ankle
10/2012 Biopsies under general
12/2012 Arthroscopy, impingement removed with Brostrom-Evans procedure
Ryan, what exactly did he say was wrong? What is a Lee Procedure? I googled and didn't find it. I was curious to see how it differed for surgery I had done. The fact that you're uneasy warrants a second opinion. Always listen to your gut! If you don't feel completely comfortable, seek another opinion. I agree with Erie, don't tell what first dr said until second offers his diagnosis and recommendation on how effectively treat. Keep us posted and good luck.
He said that my ATL was stretched or torn beyond repair and that it needed fixed. He was able to twist my foot (inversion), and my bone pretty much popped out since there was nothing holding it in.
He said a Lee procedure is where he makes an incision in my ankle, cuts away the loose or torn ATL, then replaces it with a cadaver ligament (or tendon, not sure which), and stitches them together, he says that this will make the ankle as if nothing had ever happened to it, and that it will be like a normal ankle, not one that has had Brostrom or CS, since it will still have all of its lateral movement and won't be restricted.
I would most certainly go for a second opinion. For my first ankle surgery I didn't and it turned out to be a huge mistake. There is no harm in seeing what someone else has to say. In my opinion, it only helps to have multiple opinions, which is a lesson I learned the hard way.
I would go for a second opinion fast! PLEASE see a foot/ankle board certified ORTHO surgeon. As in a medical doctor not a podiatrist. Nothing against them and I've been to one for plantar fasciitis, but both my surgeries were done by orthopedic surgeons. And I have heard of the Lee procedure. It's where they take your peroneus brevis tendon and pass it posteriorally to anteriorally (or back to front) through your fibula (the knobby bone that sticks out on the outside of your ankle) and stitch it onto itself and the peroneus longus tendon. Interesting comments your doctor makes because the Lee procedure is not an anatomical repair (meaning it doesn't leave you with how you naturally started life as my doctor said. It alters it by taking one structure and making it into another). The Brostrom and its modifications and another called Karlsson are what's called primary anatomical repairs. They fix the ligaments and you the anatomy of your ankle is left unchanged or nonaugmented. The reason the Brostrom is called primary is because it is the first line surgery for first time ankle surgeries (and second time surgeries too if there's anything left to fix. I've had 2 Brostrom-Goulds and the doctor told me he might have to do a Chrisman Snook but was hoping to keep me "as I came into this world". Interestingly enough, my doctor trained under Dr Gould here in Birmingham).
Bottom line is you are uneasy because you saw 1 of 2 other surgeries (way more common and more of first line treatments) coming and not this one. Although I've heard of the Lee procedure and read what it is, I know nothing about it otherwise and I've heard of NO one on here or in my history of 12 years of ankle injuries and 2 surgeries that has had it. I agree with everyone else if you are uneasy please seek a second opinion. If you aren't far from Birmingham, I'd be happy to refer you to a good foot/ankle ortho. Good luck and hang in there!