Sesamoidectomy-both bones out?? - Foot Problems Message Board

BUNIONPAIN · 01-18-2009, 07:31 AM

Hello, I have an extensive history. I have had two previous bunion surgeries on the same foot. Both a failure in my opinion. I first had a lapidus procedure done to correct a severe bunion, according to other doctors I have seen this was the wrong procedure for me. So I found another doctor, an orthopedic surgeon to do my second surgery. Well she did above and beyond what was necessary and made my foot pretty much worse (or at lease equally the same). Now I am in extreme pain, can not walk normal, can not wear any shoes comfortably (even sneakers), I have pain under my big toe (sesamoid area), toe cramps all the way up my foot, heel pain. And the list goes on and on.

So I have been seeing more doctors and getting different opinions or no answers at all.

First doctor want to wants to fuse the big toe joint.

I have asked him several questions on this. One big one was will I walk normal afterwards? His answer was he can not determine that. Since I already had the other first ray joint fused (lapidus-which is not healed and needs redone), it is less likely I will walk normal or without a limp, but still possible. To me that does not sound to reassuring.

Another doctor just wants to fix the fusion that has not healed and let the rest alone. I asked him if that woud fix my pain, he said some of it, but not most of it. So why bother with him

So I have several other appointments scheduled with doctors to get more opinions.

I have been doing some internet research on my own. Here are few questions I have:
Has anyone ever had both sesamoid bones taken out, without having the joint fused? If so does your big toe hammer or lean toward the second toe? Or is the toe floppy at all?

Has anyone ever had both joints of the first ray fused? If so do you walk normal? Can you wear normal shoes or even a small heel?

Has anyone every had a chilectomy after two surgeries and had a good outcome?

I am only 28 and think i am too young for a big toe fusion. I don't want to make the wrong decision and end up ruining my life (more than I have already). So any input would be greatly appreciated. If you have any opinions please let me know.

Thanks!!!

jmt1 · 02-04-2009, 08:55 AM

I just had the second sesamoid in my right foot removed. The surgeon didn't fuse the joints, she removed it.

BUNIONPAIN · 02-05-2009, 05:08 PM

HELLO and thank you for your response. It is greatly appreciated. So you had both sesamoid bone removed from the same foot? I have been reading that if you remove both sesamoid bones the toe will "cock up", does your toe cock up or lift up off the floor at all? Also it says it will lean toward the second toe, does your toe lean toward the second toe at all? How does your foot feel, are you out of pain?

Thank you so much for your response. I am having a lot of trouble finding a good doctor to help me.

Thanks again.

jmt1 · 02-07-2009, 10:14 AM

Its been three weeks since the second sesamoid was removed. I'm still in a boot and my toe if very stiff. I've read several articles related to claw foot after having both sesamoids removed, it is not encouraging.

BUNIONPAIN · 02-08-2009, 06:01 AM

I know it is very discourging, but my doctor says she can balance it out so that does not happen. But I am still worried, I have been through two surgeries already that have gone wrong. I am not feeling very confident. Please keep me posted on your recovery, I still have to make my decision.
thanks again.