It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Bone Disorders Message Board

  • Posterior Tibial Tendon reconstruction with Calcaneal Osteotomy

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 02-10-2008, 08:40 AM   #1
    SweetPea2
    Newbie
    (female)
     
    Join Date: Nov 2005
    Location: suburb of Chicago
    Posts: 6
    SweetPea2 HB User
    Question Posterior Tibial Tendon reconstruction with Calcaneal Osteotomy

    I'm 56 and had this surgery on 12/27/07. Came out of surgery in a cast, am NWB (non weight bearing) until tomorrow! (6 weeks since surgery). The cast was changed and the staples and stitches removed at 4 weeks. Was sent to the ER on 1/26/08 and found out I had a blood clot in my calf. Was hospitalized for 6 days on heparin and coumadin and was put into a cam boot (cast had to be taken off to do an ultrasound to find the clot).
    I have been using a walker with wheels instead of crutches because I have fibromyagia and arthritis and degenerative disc disease that greatly weakens my "good" right leg.
    I don't see how I could have avoided the clot since I could not put weight on my left (surgical) leg. This was a very frustrating and scary set back. Has anyone else experienced this? (Since I have had stomach ulcers, I could not take aspirin.) The surgeon just said that this is a very rare occurence with foot surgery. Lucky me.

    This boot is removable and will become my walking cast, tomorrow when my foot will be xrayed and Lord willing I can begin to put weight on it.

    I am concerned with the condition of my skin under the boot. I've gently taken it off to change socks a couple of times. The skin is flaking off in heaps, requiring the vacuum to clean it all off the sheets of my bed. But even worse, the skin on the bottom of my foot, around the toes, and around the incisions is moist and peels off in clumps. This can't be good! It's gross and I'm afraid of a skin infection or cellulitis or who knows what. Does anyone have any experience with this or advice?
    Thanks!

     
    Sponsors Lightbulb
       
    Old 02-10-2008, 07:14 PM   #2
    rochestersown1
    Junior Member
    (female)
     
    Join Date: Jan 2008
    Location: rochester, usa
    Posts: 27
    rochestersown1 HB User
    Re: Posterior Tibial Tendon reconstruction with Calcaneal Osteotomy

    hi sweetpea,

    Sorry to hear about your blood clot...I hope you're okay.

    I had PTTD surgery on 6/15/07 and I'm still recovering. It's been tough. My doctor had me on a blood thinner for about 3.5 months to lessen the possibility of a blood clot. It sucked being on Coumadin (blood thinner). It gave me a rash, but I had to remain on it. That was no fun.

    As far as your skin on your foot. Dont be alarmed. All the skin on my operated foot peeled off. I think that's a common thing. Just think...your foot is in a cast and you are not allowed to get it wet, so the skin will get dry. As far as the skin being moist....you ought to check with your surgeon. The skin around my incisions was also very dry.

    Good Luck with everything...and be patient. Recovery is slow for this type of surgery.

     
    Old 02-11-2008, 05:48 AM   #3
    SweetPea2
    Newbie
    (female)
     
    Join Date: Nov 2005
    Location: suburb of Chicago
    Posts: 6
    SweetPea2 HB User
    Smile Re: Posterior Tibial Tendon reconstruction with Calcaneal Osteotomy

    Thanks, Rochester!
    It's reassuring to hear that the skin condition is normal. I wish the doc had warned me. I've never had a cast before so I didn't know what to expect.
    It sounds like you're off the Coumadin now. That must have been really hard having a rash for such a long time!
    When they told me the things I couldn't eat, I almost laughed! What a pity having to limit green leafy veggies. As long as it wasn't chocolate, I didn't care!
    Well, today I go have my foot xrayed. And then, hopefully, get permission to start being able to put weight on that foot. I've never felt so dependent in my life during the past 6 weeks!
    Thanks again for replying to my post. You were very helpful to me and I appreciate it. God bless you!
    Jan

     
    Old 02-11-2008, 03:24 PM   #4
    jana65
    Member
    (female)
     
    Join Date: Mar 2007
    Location: Barney, GA
    Posts: 92
    jana65 HB User
    Smile Re: Posterior Tibial Tendon reconstruction with Calcaneal Osteotomy

    I, too am looking at the possibility of having this surgery, so I read these posts with lots of interest ! Sweet Pea, I was wondering if you had ever had a problem with blood clots before ? And how did they find out it was a clot ? Were you in lots of pain in your leg ? I am 60 yrs. old and I am very worried about everything that CAN/COULD go wrong !!! I am having an MRI in the morning because I went to a podiatrist last week ( for a 2nd opinion ) and he wanted me to have a current one. The Orthopedic surgeon I saw on January 2 said he trained w/o using MRI's and he relies on x-ray. Both of these doctors are very young ( less than 5 yrs. out of med school ) and I think I will probably get some more opinions before I make a final decision about surgery. They have both told me that they would set me up appts. in Atlanta at Emory or at Shands in Gainesville.
    The podiatrist seems to think that there is a possibility we could just go in and fix the tendon. That's why he wants the MRI done, so he can get a better idea of what's going on.
    The coumadin/blood clot issue is one I haven't even thought about !! I wish I was like rochester and months out of all this decision making !!!
    jana65

     
    Old 02-11-2008, 03:34 PM   #5
    rochestersown1
    Junior Member
    (female)
     
    Join Date: Jan 2008
    Location: rochester, usa
    Posts: 27
    rochestersown1 HB User
    Re: Posterior Tibial Tendon reconstruction with Calcaneal Osteotomy

    Thank You for the blessing sweetpea...I need as many as I can get!

    The thing with green leafy veggies...I love them. I don't eat meat, so I eat chicken instead, and I eat a ton of green leafy veggies. It was tough being on the Coumadin...not only did I have red cheeks from the rash but I was miserable without my salads.

    Jana...please seek many different opinions. Try going to surgeons outside of your metro area if at all possible. Usually doctors in a tri-county area all know one another, so it's always good to talk to docs that don't know each other. Also, some docs may suggest to just fix the tendon, but it may be your foot's bone structure that caused the tibial tendon dysfunction. So, please...I don't want to preach or anything...just be careful. Also, its good to get an MRI...my MRI revealed lots of things...yes, it didnt reveal the best news in the world to my surgeon...but still my MRI gave my surgeon a "heads -up" on most of the crap going on in my foot and in my Achilles Tendon. It doesn't hurt to get one. X-Rays don't show you enough detail. I actually also had a CT Scan done of a few bones per my doctor's request. Just make sure you do your homework! It's a big decision.

     
    Old 02-11-2008, 08:30 PM   #6
    SweetPea2
    Newbie
    (female)
     
    Join Date: Nov 2005
    Location: suburb of Chicago
    Posts: 6
    SweetPea2 HB User
    Re: Posterior Tibial Tendon reconstruction with Calcaneal Osteotomy

    Hi Jana,
    According to my doctors, the chances of getting a blood clot after foot surgery are very rare. There is more of a concern if it is knee or hip surgery. I cannot take aspirin because of my history of having had 2 stomach ulcers. Otherwise my surgeon would have put me on aspirin shortly after surgery. I was just very unlucky.
    I have never had a blood clot before this. But I started noticing pain in my calf that started getting worse, plus I was running a low-grade temp that started getting higher too. It was a Saturday that I called the doc's office and the doctor on call told me to go to the ER because he didn't want to take chances. They had to cut the cast off of me and do an ultrasound and sure enough, there was a clot. But as I said, this is rare with this kind of surgery.

    To diagnose my foot problem, my surgeon xrayed my foot and did not use an MRI because I have a pacemaker and can't have MRI's. But it wasn't hard for him to see the signs of serious tendon problems. He's a foot specialist. He pointed out that my arch was quite flat. His recommendation was to do the tendon reconstruction and cut the heal bone and slide it over to give my arch more support (the calcaneal osteotomy). I jumped at the chance of having this surgery because I was in quite a lot of pain in my left foot.

    It's good to find out as much as you can about what you can expect from this surgery and the recovery time under normal circumstances. It does take a considerable recovery time. I was told 3-4 months. But it's sounding like it will take more than that. I was non weight bearing on that foot for 6 weeks. I used a walker with wheels. I just saw the doc and he xrayed my foot and was pleased with how the heel was healing. So now I have permission to begin to walk on that leg, still using the walker for support. I'm in a removable boot instead of a walking cast. I see him again in 6 weeks. At that time I think I'll be out of the boot and will start physical therapy.

    At some point you have to decide who you trust the most and then trust their judgment. I decided that my orthopedic surgeon, who is a foot specialist, knew what he was talking about. I had even heard from other sources that he has a very good reputation. So I prayed about it and decided to trust him.

    I wish you the very best and hope that you can come to a decision that will give you peace. I'll pray for you!
    Jan (SweetPea)

     
    Old 02-13-2008, 01:30 AM   #7
    jana65
    Member
    (female)
     
    Join Date: Mar 2007
    Location: Barney, GA
    Posts: 92
    jana65 HB User
    Re: Posterior Tibial Tendon reconstruction with Calcaneal Osteotomy

    Thanks so much for your reply. I'm glad to know that the blood clot is rare and that you're doing well now !
    I just got my diagnosis on January 2nd, even though I have had problems with this foot for about the last 10 yrs. I have 2 doctors I am seeing presently - one and orthopedic surgeon and the other a podiatrist. Both are young, great reputation and well trained. Both have offered to refer me to a doctor with more experience, which I will defintely do BEFORE I committ to surgery.
    I had an MRI on Tuesday, ordered by the podiatrist. I am anxious to see what he says about the results !

    Jana65

     
    Old 02-13-2008, 04:42 AM   #8
    SweetPea2
    Newbie
    (female)
     
    Join Date: Nov 2005
    Location: suburb of Chicago
    Posts: 6
    SweetPea2 HB User
    Smile Re: Posterior Tibial Tendon reconstruction with Calcaneal Osteotomy

    I sincerely wish you the best with whatever decision you arrive at. I'm so glad you are a little more at peace! I've been praying for you and I will continue!
    God speed!
    Jan

     
    Old 02-13-2008, 04:39 PM   #9
    hey19
    Veteran
    (female)
     
    Join Date: Apr 2007
    Location: Michigan
    Posts: 450
    hey19 HB User
    Re: Posterior Tibial Tendon reconstruction with Calcaneal Osteotomy

    Wow, I just read through this series of posts again and I have to say that, Sweet Pea, your story is the most similar to mine so far that I have read.

    I am 50, have a mild form of lupus (autoimmune like fibromyalgia and arthritis), some stomach/digestive issues, and just had surgery on 12/27... the same day as yours... and on my left leg as well. The story differs after that, but I thought I would reply to your post and also give some support/insight to those considering the surgery.

    I had my first surgery (yes, more than one) on 12/1/06 with an orthopaedic surgeon who never did an MRI -- I wish he had. I had the FDL transfer, achilles lengthening, osteotomy, and bone graft (think I covered it all). I never had any hardware holding this all together. I was in my first cast for only five weeks. After the cast came off, my doctor was guided solely by x-ray, upon which he said it looked like the bones were almost fused ("almost" should have been a red flag.). I was then allowed to slowly start bearing weight with the boot, slowly increasing my time. At seven weeks, I began physical therapy. In pretty short order, I began having pain with a side to side movement during therapy and one of the therapists said it looked like something had changed in the shape of my foot.... I noticed it too. It looked as though the ankle was collapsing. Sure enough, that's what finally came to be. This post is getting long so I won't go into huge details here, but I finally found a new surgeon who performed my second surgery on 12/27. Again, I have lupus, so it would stand to reason with such an autoimmune disorder that things should be taken slowly and with as much testing and caution as possible... and that's exactly how it's going this time. The rest of the story: The second surgery took three hours, first with my bone being broken at the osteotomy site to facilitate realigning things properly, the area cleaned up meticulously of bone fragment and "debris" from the improper union, my heel bone cut off and repositioned, and a tarsal metatarsal fusion..... all being held together with seven screws! I was in my temporary cast for nearly two weeks before stitches were taken out, etc. I'm in a cast now that will come off next week (hopefully) after being on for eight weeks, then I will have the walking cast for anywhere between six to eight weeks... it depends. Amazingly throughout all of this, I have not experienced any pain to speak of... only in physical therapy, and it's no wonder -- the partially-fused bone graft was separating. I am very, very, very fortunate not to be having pain, but for as fortunate as I feel, I also feel just as nervous to start bearing weight next week.

    As far as blood clotting... I have shown positive for Factor V Leiden, a blood clotting disorder. I have never once had a problem because of it and wouldn't even know I had if not for my sister. My sister had suffered a few mini strokes and underwent total aortic bypass surgery at 50! She also has fibromyalgia. All of what I read and hear makes my wonder what link, if any, autoimmune disease has to tendon problems. Our family also has a history of hypermobile joints caused by tendon problems. IAgain, I am a very, very, very fortunate woman in that I only have this trouble with my ankle and such a mild lupus that I otherwise live a perfectly normal life. I am slender, exercise, don't smoke, etc..... I work at all these things because I'm afraid not to. I also, luckily, enjoy it.

    One last thing.... and then I'll quit for now (pretty windy, aren't I?).... about the skin on your foot. I wish somebody had told me about that too!!!! I thought something was wrong with me! After last year's surgery, on "cast off" day, the first thing I did when I came home was to head directly outside to the hot tub I had missed so much. I was frightened to death to see my skin coming off in sheets right in the water!!!! Once I realized what it was and got over it, I felt a whole lot better! I recovered enough that by the three month mark, I was able to fully resume my gym membership as well as my miles-long walks. It was too bad, however, that my foot was very deformed at this point... that in turn caused an uneven gait and a dull ache in my hip. That's when I started seeking opinions for the seconed surgery... I knew something had to be done. And at this point, I am extremely happy to have done it. I just know things will work out for me this time. I have no pain and the leg feels good and strong .... and ready to be free from this cast! (Sorry to talk so long!)

    Quote:
    Originally Posted by SweetPea2 View Post
    I'm 56 and had this surgery on 12/27/07. Came out of surgery in a cast, am NWB (non weight bearing) until tomorrow! (6 weeks since surgery). The cast was changed and the staples and stitches removed at 4 weeks. Was sent to the ER on 1/26/08 and found out I had a blood clot in my calf. Was hospitalized for 6 days on heparin and coumadin and was put into a cam boot (cast had to be taken off to do an ultrasound to find the clot).
    I have been using a walker with wheels instead of crutches because I have fibromyagia and arthritis and degenerative disc disease that greatly weakens my "good" right leg.
    I don't see how I could have avoided the clot since I could not put weight on my left (surgical) leg. This was a very frustrating and scary set back. Has anyone else experienced this? (Since I have had stomach ulcers, I could not take aspirin.) The surgeon just said that this is a very rare occurence with foot surgery. Lucky me.

    This boot is removable and will become my walking cast, tomorrow when my foot will be xrayed and Lord willing I can begin to put weight on it.

    I am concerned with the condition of my skin under the boot. I've gently taken it off to change socks a couple of times. The skin is flaking off in heaps, requiring the vacuum to clean it all off the sheets of my bed. But even worse, the skin on the bottom of my foot, around the toes, and around the incisions is moist and peels off in clumps. This can't be good! It's gross and I'm afraid of a skin infection or cellulitis or who knows what. Does anyone have any experience with this or advice?
    Thanks!

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Posterior tibial tendonitis ??? momofmmsd5 Foot & Ankle Problems 20 12-17-2011 03:44 AM
    Posterior tibial tendon tear m4g3 Foot & Ankle Problems 27 04-27-2010 06:49 AM
    Posterior Tibial Tendon Surgery and running after surgery smile2006 Foot & Ankle Problems 17 06-10-2009 11:18 AM
    Posterior tibial tendon transfer and osteotomy scheduled next week mjjenner Foot & Ankle Problems 16 06-04-2008 06:58 PM
    Severe Tendinitis: Posterior Tibial Tendon PLEASE READ! scarlett777 Foot & Ankle Problems 20 07-18-2007 01:09 PM
    Posterior Tibial Tendon Surgery debincalif Foot & Ankle Problems 246 07-17-2007 07:15 PM
    Posterior Tibial Tendon Problems b51kitty Foot & Ankle Problems 92 07-17-2007 06:33 PM
    Posterior tibial tendonitis arras Foot & Ankle Problems 24 06-12-2005 10:38 AM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 02:46 AM.





    2019 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!