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Upcoming Brostrum ? Blood thinners required ... Aprehensive

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Old 01-24-2014, 09:13 AM   #1
Jase T
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Location: Western Australia
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Upcoming Brostrum ? Blood thinners required ... Aprehensive

Hey guys new to thread . I know you've heard it all before but I'm a little apprehensive . Had complete ligament rupture of AtFl and Cfl 18months ago was treated conservatively , moon boot etc 7 weeks off work. Now I've had issues for about 6weeks. Back to the specialist . MRI scan has shown the ATFL has not healed. Specialist has me booked in for surgery in a month. Specialist said they will attempt to stretch the ligament down and pin it to the bone , if there is enough left . If not he will take a piece of ligament or tendon from elsewhere in the ankle and pin it both ends.
Apparently I will have to be cast for 6 weeks then moon boot for 6 weeks then 2 months of physio. And I'll need to go on blood thinners to avoid possibility of blood clots . Any of you guys have to do this? ... I'm a carpenter so I have to get this fixed , having to carry heavy things and twisting and bending a lot etc .
Guess I just need to talk .I didn't handle the 7 weeks the first time very well , mental health wasn't good. Not being able to help my wife round the house drove me bonkers .

Cheers for any help

Last edited by Jase T; 01-24-2014 at 09:18 AM. Reason: Oh and sorry if I don't reply right away but our time difference may be quite a few hours it's 12:16am here :)

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Old 01-24-2014, 11:09 AM   #2
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Re: Upcoming Brostrum ? Blood thinners required ... Aprehensive

Hi there

I'm 2.5 weeks out from a Brostrom-Evans-Gould. Both of my lateral ligaments were destroyed so I ended up having the tendon transfer as well as the Brostrom procedure. I'm being treated somewhat more liberally, I'm in France.

I was 4 days in hospital, 2 of those of IV pain meds and fluids. After surgery I was in POP, and they cut a window in this to access the wound on day 3. I've had a nurse visit every three days to change the dressing until last Tuesday, when I had the stitches removed and the POP replaced with a closed fibreglass cast. So that's 2 weeks in POP, 2 weeks in a fibreglass cast and then he plans to progress me into a boot, PWB.

I was given anticoagulant injections everyday in hospital and they have been continued and will be until I'm out of the boot. I also get my clotting factors checked once a week. The injections are simple - you can do them yourself. My husband does them for me every evening as he has a clotting disorder and is very familiar with them. I prefer to be anti-coagulated rather than risk a clot. Having seen my husband with several DVTs and twice with life-threathening PEs, I'm happy to get jabbed everyday!

Hope that helps. P

Last edited by Administrator; 02-11-2014 at 01:44 PM.

Old 01-24-2014, 02:41 PM   #3
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Re: Upcoming Brostrum ? Blood thinners required ... Aprehensive

Although my procedures were different I still needed to do anti-coag therapy, too. There are a number of choices, but I went with Aspirin therapy--very effective and inexpensive. I take 325mg Aspirin twice daily.
1/07/2014. FDL tendon transfer, 2 calcaneal osteotomies, gastrocnemius recess

Old 01-24-2014, 05:45 PM   #4
Jase T
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Location: Western Australia
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Re: Upcoming Brostrum ? Blood thinners required ... Aprehensive

Thanks for your post guys. So it seems blood thinners is a normal thing with this procedure. That helps cheers. Have a good day . And I'll keep in touch as the time goes on pre and post op.

Old 01-25-2014, 03:06 AM   #5
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Re: Upcoming Brostrum ? Blood thinners required ... Aprehensive

Good luck with your surgery. I am in Victoria - so not too far away - lol!!!
I was in a surgical splint 10 days then fibreglass cast 2 weeks - had to inject myself every evening for the 3.5 weeks - very easy to do, they showed me in the hospital and the needles are small and have a small coating on the needle part so very easy
6 Oct '12: OCD talar, lat menis lesion, decomp ant ankle, osteotomy post proc talus, synovec post ankle, modified Brostrom-Gould, release PTT

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