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  • What if I don't have triple arthrodesis?

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    Old 09-14-2005, 09:12 AM   #1
    Chi-Town
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    What if I don't have triple arthrodesis?

    I have already seen two orthopedic pyhsicians that specialize in foot and ankle and have received two completely different opinions. The first, initially
    said I would definitely need triple arthrodesis in the future. That is, until he
    operated and removed several loose bodies in my ankle that were causing
    tendonitis which was the cause of the sharp shooting pains I was having.
    Three weeks later he took x-rays of the ankle/foot he operated on and
    admitted he was SHOCKED to see that I had normal joint spacing in all the joint involved in the ankle. He kept ordering x-rays from all different views and the joints were normally spaced. When I questioned him about the
    triple arthodesis, he said in his opinion that would be the worst thing I could do. Apparently, osteophytes are forming on the edges of the bones and then they eventually break off to form loose bodies which then irritate the tendons.
    On x-ray, these osteophytes give the impression that the joints are completely gone, when in fact, it's the edges because there is plenty of
    cartilage between the jint itself. Okay, fast forward 2 years and no I'm having
    the same problem with my other ankle (the left). I seek a second opinion
    from another foot/ankle orthopedic specialist who takes the x-rays, MRIs, etc.
    and says in no uncertain terms I need triple arthrodesis on both ankles! and
    won't even discuss physical therapy, says joint debridement would offer no
    appreciable relief and never even got the record from the previous orthopedist
    I had seen. He then left me alone in the room while he checked in on other
    patients down the hall. All I heard him say was triple arthrodesis, you need a
    triple arthrodesis, a triple arthrodesis is the only thing that will help you, etc.
    to every patient he saw. Please, I would like any and all opinions on this.
    Oh, the first doc ordered MRIs also, but it wasn;t until he operated, removed the loose bodies and scraped the osteophytes off the edges that he was able to see healthy cartilage behind.
    Chi Town

     
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    Old 09-15-2005, 07:55 AM   #2
    snwtygr
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    Re: What if I don't have triple arthrodesis?

    Hi - I know what you're saying. I had 6 different opinions and they were all different in some way. I will say that half were MD and half were DPM. From what I saw the DPMs were more experienced and knowledgeable. One of the MDs I saw was from a major University and I didn't end up with him either. I did a ton of research. I ended up having bilateral triple arthrodesis. Yes it's a long recovery but I'm very happy I found the best doctor in the city who made an accurate diagnosis and knew how to EXPERTLY treat it. I was scared but the results are worth it to me. ( removed ) Keep us posted !

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    Old 09-20-2005, 07:12 AM   #3
    Chi-Town
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    Re: What if I don't have triple arthrodesis?

    Thank you snwtygr for your sharing your positive experience. So much of what I read about this on these boards has scared the HELLo out of me. I'm still researching and want to get more opinions. How long was your recovery? I'm self-supporting and have to work or I won't have the insurance to treat this condition. My job only allows short term disability for 12 weeks. Did your ankles get deformed looking during the time prior to your surgery? Are you able to work now? Ride a bike? Swim? Walk normally? Has arthritis developed in other places? Do you have pain? Less? Different pain?
    I'm sorry for grilling you like a franfurter, but any info would be truly appreciated!
    Thanks,
    Chi Town

     
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