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Problems after the triple arthrosdesis


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Old 12-29-2008, 07:19 PM   #1
JRazz
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Problems after the triple arthrosdesis

I had triple arthrosdesis right ankle surgery on June 16 2008. It was a 6Hr. surgery...5 days in the hospital. After 6 months annd 3 weeks of being in a cast annd on crutches,I was put in a fracture boot on Dec. 15 of 2008. Today is Dec.22.... I feel EXACTLY as I did walking into the hospital the morning of June 16. NOTHING has changed!!! The pain is intense enough to take the top of your head off with EACH step!! 11 pins, rods,screws and plates have NOT done their job! 13 different casts,5 CAT Scans have NOT changed the outcome! Amputation below the knee is now a "VIABLE OPTION". I am NOT diabetic... Not overweight,Iam 6"2 200lbs. former college football player...a high school history teacher of 35 years. And now I can not stand in one position for more than a few seconds because of the pain! I hope your experience was MUCH better. Has anyone else had this kind of pain this far after the operation?

 
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Old 12-29-2008, 08:19 PM   #2
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Re: Problems after the triple arthrosdesis

I'm very sorry to hear you are having so much trouble.

Was the fusion successful?

Keep in mind that after 6 months of not walking, you shouldn't expect things to be right immediately after. Are you in physical therapy? Are you permitted to bear full weight yet, or are you still partial weight bearing? And who said amputation was a viable option?

Last edited by janewhite1; 12-29-2008 at 08:20 PM.

 
Old 12-30-2008, 06:23 AM   #3
catldyfromnpt
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Re: Problems after the triple arthrosdesis

hi,
first of all. PLEASE get a second opinion. After all those months in a cast, you need physical therapy to learn how to walk again.
(i had this exact same surgery on June 12th. I'm still in a cast only because I had to cancel my last 2 appts due to snow. my doctor told me after I got the cast off and went into the boot, I'd have 4-6 months physical therapy)
Please let us know how you're doing and get that second opinion. if, for some reason the fusion didn't take or theres another problem, it can be fixed. no reputable doctor would suggest amputation. I can't even imagine how you felt when you heard that.. keep us posted.. please.
~Maryanne

 
Old 12-30-2008, 07:03 AM   #4
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Re: Problems after the triple arthrosdesis

Wait, are you saying your doctor took the cast off, put you in a boot, and said, okay, walk now?

Of course you are in severe pain! It'll take weeks for you to learn to walk again, taking it slowly, partial weight bearing with crutches easing up to full weight bearing. Even if your foot was perfect, walking for the first time in 6 months is going to hurt.

I agree you should get another opinion. You still have quite a bit of recovery ahead of you.

 
Old 12-30-2008, 09:00 AM   #5
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Re: Problems after the triple arthrosdesis

I have to second what JaneWhite1 is saying. I had my cast off Nov. 18 from a more simple triple than yours (didn't involve the ankle). I had to stay NWB until the first of Dec. Then begin therapy and slowly work up weight bearing. I started therapy Dec. 2. After Drs. appt. Dec. 16, I was released to work up to full weight and they really started pushing in Pt. Suddenly I felt like I was back in Sept. before my surgery. I could barely stand any weight at all. After suffering a few days, I went to therapy and told them I really couldn't do what they were asking as I was in too much pain. They stepped back, did some laser treatment and massage for the pain. After about 3 sessions of this, I am finally beginning to walk with my walker again. I tell you all this to agree with the others that the transition from cast to boot is traumatic and learning to walk all over again has setbacks. Your surgery sounds so extensive and you were in a cast three months longer than me. I can remember how incredibly disappointed, frustrated and down right scared I felt when the pain came back. I am also a teacher and need to return to work Jan. 12 or...I don't know what will happen. But ultimately working with a good therapist has restored my hope. I know I'll have to do things differently but I will do them!

Please get some additional opinions. I can understand feeling like amputation is an option but help to return to health is what you really need.
L.

 
Old 12-30-2008, 12:32 PM   #6
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Re: Problems after the triple arthrosdesis

JRazz,
If I understand your post correctly, you are the one saying that amputation is a viable option. I understand you feelings, 4 weeks after my TA I was infected with MRSA. I lost approximately 1/3 of the flesh in my right foot, and the pain was like no other. I was asking for a hacksaw Ė no joke! My first surgery was 10/9, and last night I was told I could lightly place heal of my foot on the floor. In 10 days, I will go to a boot with crutches and PT. I was told this will be a slow and yes, painful process. Remember, movement is good because it gets the blood where it needs to be, but it also causes swelling which is going to be a source of pain. I agree with Jane and Maryann, get a second opinion, donít take things too quickly and be patient.
~Kathy

 
Old 12-30-2008, 05:29 PM   #7
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Re: Problems after the triple arthrosdesis

jrazz, don't expect to be awesome right away. i had triple may 9th. when i first went into the boot it was excruciating. but day by day, week by week it got better. i can now take my doggie for a walk. you can't expect to be perfect right away, your foot hasn't touched ground in 6 months! it will get better, i promise. hang in there.
shelley

 
Old 12-31-2008, 10:36 PM   #8
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Re: Problems after the triple arthrosdesis

JRazz - I wish you freedom from pain and a better year in 2009. I spent my birthday in the hospital in the agonizing pain from this surgery and feel like everything from that day on has been so changed. But light is beginning to show and I'm finally beginning to trust that it isn't a train! I don't exactly understand the extent of your pain and frustration. But I do know the anger and fear of a body that won't cooperate.
Keep holding on.
Linda in SD

 
Old 01-01-2009, 08:35 AM   #9
JRazz
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Re: Problems after the triple arthrosdesis

In my question to all of you ,I failed to mention I was diagnosed with a Charcot fracture....3 of them! I was placed in a Crowe Walker boot from Oct. through May of 2008. My surgery was on June 16 2008. 7 months latter, i'm know weight- bearing{partially} but nothing has changed!! I DID have a second opion from one of the top ankle and foot surgeons in the country. .He recommened her to do the surgery in Flint, Mich as it was much to my home.

Last edited by JRazz; 01-02-2009 at 01:41 PM.

 
Old 01-01-2009, 10:46 AM   #10
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Re: Problems after the triple arthrosdesis

Okay, I'm still not clear on your situation. Do you know why you had Charcot fractures? Or where exactly they were? They most often occur with diabetic neuropathy, but you said you aren't diabetic? How did all these problems start?

What ever happens, you can talk about it here. Even if we don't have answers, we do understand your pain and frustration.

 
Old 01-06-2009, 03:45 AM   #11
JRazz
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Re: Problems after the triple arthrosdesis

I wish I had the answers as to "WHY" Degenterative arthritis is the best the DR"s could come up with. No rhyme...No reason in my case .Iwas diagnosed with 3 fractures in the supporting bones of the ankle. I wasplaced in a Crowe Walker from OCT.2007 untill june of 2008 . My surgery was on June 16.It was a 6 hour opertation.... 5 days in the hospital. I was in a cast and on crutches untill Dec. 2008. 7 Months. Totally non-weight bearing! I am now undergoing PT 5 days a week to literally learn to walk again. The pain is constant...meds don't help. You feel as if you will lose your sanity at times. To be able to take my beautiful Newfoundland dog for a walk again or get back on my bike and do my daily 10 miles... these are the things I miss... these are the things I question I wil EVER do again!!! At 57, I'm not ready to cash it in . I've worked extremely hard my entire life to keep in peak condition. Now this! Who ever coined the phrase"Life isn't fair" new what they wre talking about. A simple pain free step...I'd be the richest man in the world!!!

 
Old 01-06-2009, 05:45 AM   #12
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Re: Problems after the triple arthrosdesis

I'll be going through the same thing once I start PT, learning to walk again. My doctor told me that my foot/ankle would never be 100% but I would feel 'a hell of alot better' I'm trying to stay optimistic.some days are easier than others.. you'll get thru it.. its hard, but you will. hang in there.
~Maryanne

 
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