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Old 04-28-2006, 08:58 AM   #1
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chris1973 HB User
Unhappy Midfoot Fusion With Graft

Hi, I have flat feet and my navicular (bone in the middle of the foot) is broken in the right foot. X-Rays and other scans revealed that the bone was not proper in the first place and was broken in more that 2 pieces. I will have to go through a midfoot fusion procedure where they would remove the navicular and replace it with a piece of hip that would be fusionned with the help of screws to the adjacent bones. They will probably redo the arch of my foot at the same time.

Has anybody been through this procedure and could let me know about the success of this operation and the period of recovery?
Thanks!

 
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Old 05-05-2006, 02:40 PM   #2
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dianelev HB User
Re: Midfoot Fusion With Graft

Chris,
Sorry to hear about your upcoming surgery. I didnt have a broken navicular, but I just had my second midfoot fusion with bone graft from my hip. My surgery was originally for arthritis from an injury and ended up in a non-union. I just had the second surgery where my surgeon used the bone graft and more hardware to connect the navicular-cuneiform joint. I think I will be nwb for 7 weeks total and then pwb for another 6-8 weeks in a boot. The entire recovery will probably be 9-12 months.
I wish you luck in your recovery. When is your surgery?

 
Old 05-22-2006, 08:48 AM   #3
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chris1973 HB User
Re: Midfoot Fusion With Graft

Hi Diane, Thanks for your reply! I hope you will recover well from your second surgery!

I do not have a date yet as to when I will have the operation. I need to meet the surgeon once more to discuss the procedure and know what my expectations should be.

However, I believe nobody can talk better about it than somebody who already had it and your information is much appreciated. Especially, I would like to know what your surgeon told you about the post-recovery phase, will you be able to do sport and use your foot the same way as before or is it preferable to adopt a less foot-stressing lifestyle?

Best of luck!

 
Old 05-22-2006, 12:10 PM   #4
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dianelev HB User
Re: Midfoot Fusion With Graft

Hi Chris,
I hope I can be helpful in giving you an idea about what to expect. My story is kind of complicated because I have had many surgeries resulting from my original ankle fracture/sprain. I think it was about 5 years ago that I had surgery to correct a flatfoot deformity which involved fusing two joints: talonavicular and calcaneal-cuboid. My surgeon warned me that the recovery would be 9-12 months and that I would lose side to side motion in my foot. I am not sure if you are going to have that issue with loss of motion. I used to be very active and played tennis, figure skated, did aerobics, etc. and I asked my surgeon about my activity level after my fusion. He said that I probably should stick to sports which didnt involve lateral motion and stick to things like biking, swimming, or the elliptical machine.
After the surgery, I limited myself to these more restricted sports as I found it would have been impossible anyway to play sports the way I used to. Unfortunately, last year I was told I had developed arthritis in the navicular cuneiform joint which is next to the talonavicular (which had been fused). So, as I mentioned in my last post, I had to have that one fused as well!
Anyway, I really hope your recovery goes smoother. My surgeon told me to expect 6-8 weeks on crutches (and in a cast) and then 6-8 weeks walking in a big air boot. After that, he told me I would do physical therapy and then return to previous levels of activity. With the fusion I had 5 years ago, that is exactly how it happened and after a year, I really had no pain at all and was able to move again. It is definitly a long process but hopefully one which will lead to you having less if no pain. A fusion is kind of a trade-off: do you want motion with pain or no motion without pain? It sounds like you dont have a choice and I wish you the best. Feel free to ask questions anytime!

 
Old 05-25-2006, 07:08 AM   #5
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chris1973 HB User
Re: Midfoot Fusion With Graft

Hi Diane,
Thanks for your previous reply! How are you? Like you I will probably need a talonavicular or navicular cuneiform joint fusion or both. I have been made aware that I would lose some motion in my foot. I believe they do not know how bad it is inside to decide what type of fusion will be best yet. They will probably make the decision during the surgery. I have made another appointment with my surgeon recently and I will probably get more information about the procedure at that time. We will then decide on a date for the surgery. They wanted me to try some insoles first for a few months, since I will need some after the operation anyway, and check what benefit they could be. The pain is unfortunately still here and my main concern is to know whether I will be able to walk properly after the recovery phase. I like travelling and I just wondered if I coulf just go for long walks or treks, without limping or feeling pain, when the recovery is complete. Did your first operation affected your walking in a way that made it difficult to go on long walks? Hope you are doing well!

 
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