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Should I get surgery?

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Old 08-04-2011, 08:38 AM   #1
Join Date: Aug 2011
Location: Ohio
Posts: 6
JohannaB HB User
Should I get surgery?

Hi, I'm fifteen years old and was told I had OCD of the ankle at the start of June. I was then was given crutches and a cam boot and was non-weight bearing for 6 weeks to see if the ocd lesion would heal on its own. We went back to the doc 6 weeks later and he ordered another mri. We then went back again a week later and discussed the results. The lesion did not heal at all it is 1.2cmx1.1cm, I also have stage 4 ocd. There is a fragment not attached to the talus bone and there is fluid inbetween the talus bone and fragment,making it almost impossible to heal on its own without surgery to rid of the fluid and drill so new cartilage can grow. I'm a 15 year old girl, I'm also an athlete who loves basketball and is the starting point guard. If I get surgery I cannot play this year,nor can I run track this year either, and possibly never again. I was wondering if there are any foot and ankle specialist on here that could give me some advice due to my young age and already having stage 4. If I play basketball before I get surgery could you also tell me what could happen? Thanks, it's much appreciated, I want to be informed before I go talk to the surgeon in late August. If you would like more info just ask and I will add it

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Old 08-05-2011, 09:12 AM   #2
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dexatech HB Userdexatech HB Userdexatech HB Userdexatech HB Userdexatech HB Userdexatech HB User
Re: Should I get surgery?

"If I get surgery I cannot play this year,nor can I run track this year either, and possibly never again. "

I know you are young and into sports, but please make any decisions based on your future, not whether you will miss basketball season. Don't mess up your future over a basketball game. Sports is sports but the rest of it is your life.

If I knew then what I know now..................

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JohannaB (08-05-2011)
Old 08-05-2011, 09:27 AM   #3
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Join Date: May 2011
Location: Orange County, California, USA
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LivesNearStore HB UserLivesNearStore HB UserLivesNearStore HB UserLivesNearStore HB UserLivesNearStore HB UserLivesNearStore HB UserLivesNearStore HB User
Re: Should I get surgery?

Johanna, if you were my daughter--and my daughter is only 7 and not doing any team sports yet--here is what I would advise you.
  1. Get a 2nd opinion from an orthopedist who specialists in foot/ankle or a podiatrist who does sports medicine
  2. Unless you're about to qualify for the 2012 Olympics, don't do sports this season and risk your foot for years afterward (what Dexatech said)
  3. If you choose surgery, ask the doctor if the bone fragment can be fixed into place with pins or screws, perhaps combined with drilling to form a blood clot
  4. Ask both docs: If fragment cannot be fixed in place, should I get OATS or allograft instead of just microfracture?
  5. If you don't get surgery, ask your doc if you can have a new MRI every 3 months to make sure the OCD is not growing
  6. Remember if you have successful surgery, you can return to sports next year (2012-2013) and the year after. If you don't have surgery and the OCD is growing, you might never run again.

I know you love sports and you're good at what you do. But ask yourself if one more season of sports glory is worth the risk that you won't be able to play sports in college. If you don't have surgery and keep playing basketball and running, your OCD will probably get bigger. Nothing is for sure, so it might not get bigger, or it might even heal a little and get smaller, especially since you're young. But based on what your doctor said, it probably isn't going to heal itself unless you get surgery. If you do get surgery, I suggest you explore whether fixing the fragment in place or getting a graft (OATS or similar) might have a better chance of success than regular microfracture.

I strongly encourage you to get a 2nd opinion from a foot and ankle specialist (DPM or ortho), ideally one who treats athletes. And ask your parents to read some of the OCD threads here for research.

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JohannaB (08-05-2011)
Old 08-05-2011, 10:47 AM   #4
Join Date: Aug 2011
Location: Ohio
Posts: 6
JohannaB HB User
Re: Should I get surgery?

Thank you both, my mom has looked to get a second opinion, I have been going to a podiatrist, and will meet with a surgeon on the 29th, but there aren't verymany foot and ankle specialist around here, and most do not accept our insurance. I'm thinking by reading other posts on here that because of the size of my lesion and stage I have, I will probably skip microfracture and go straight to OATs, I've come to my senses a little with sports, I love basketball but i dont want to be walking with a cane when I'm thirty. Sports for me probably won't go any further than highschool, but my Junior and Senior year I'd really like to play, given that when I do there is not a lot of pain or damage that could be done. I was also wondering if I do get the OATs surgery, how much of school will I miss, and should I use a wheelchair when I get back to school?

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