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peroneal groove and ankle fusion surgery Expand / Collapse
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Posted Sunday, May 17, 2009 8:00 PM


 

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Last Login: Friday, May 22, 2009 7:22 PM
Posts: 2, Visits: 6
Hello,
My situation is rather involved but I will try to summarize. I had surgery in January of this year to address degenerative issues associated with cerebral palsy which I was born with. I had an achilles debridement, toe flexor release, FHL transfer, and a calcaneal osteomy. I am now in a permanent non-articulating afo or leg brace. I am having severe peroneal tendon subluxation; the tendon snaps back and forth across the ankle bone, ouch! I saw my doctor last week and we decided to repair the peroneal tendon with a groove surgery and to perform ankle fusion. I wonder if I can ask what the recovery will be like. My doctor said that if he can't do both surgeries at once because of time constraints then he would do them six weeks apart. This is my last option so my decision has been made to go forward with the surgeries. I want to know if I'll be able to walk fairly normal afterward, to wear normal shoes? I don't have unusual expectations, I just want to know what I can expect from start to finish. Thank you for any input you can offer.
Kris
Post #4204064
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Posted Sunday, May 17, 2009 11:53 PM


 

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Last Login: Yesterday @ 11:05 PM
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Hi Kris..didn't know what a FHL transfer was..so i found these links...i guess i was initially supposed to have tendon transfer , but since i had the pronation they talk about below..they started with subtalor, and eventually did a triple arthodesis, which they also moved the heels position, and lengthened the achilles tendon all at the same time...

I know what a AFO brace, had one years ago, and might need one for the right foot again, or have to start wearing my Arizona Brace, just last week, a  foot doctor, told me i could avoid an ankle replacement for a longer time, if i wore either brace...The left foot came out good.

I would think they do the tendon surgery first..and sorry about that tendon snapping..that sounds VERY painful....BUT you may be surprised at the out come of that surgery, and i hope you can delay a fusion of course a longer recovery, for at least 8 to 10 weeks, non/weight-bearing

I guess some posters here have had subtalor and can wear high heals, i cannot, i find that a good shoe store, that knows how to fit problem feet can help you best. I have to wear extra depth athletic shoes, 3/4 heel, but if i don't have to drive..i have found some nice shoes,  a little pricey, but wide enough to accomadate orthotics ..such as my Finn Comfort Clogs, or even some nice sandals..or they have Drew mary Janes..cool Khaki color..as long as your shoes don't make your feet hurt

 

Also, there is a nice little website..myfootshop.com..it is run by a podiatrist..he will answer your questions in a few days, he is selling foot care products also, at a good price..but there are a lot of foot categories, such as surgery, etc, foot conditions..you might find something..i have saw some links i think about this tendon surgery

 

Good luck and i hope you get out of pain real soon/nothing worse than sore feet

 

 

 

 

Foot Ankle Int 2000;21:638-642. - FHL Transfer: - FHL transfer/augmentation is a reasonable option ... age 61) underwent FHL transfer for treatment of chronic ...
www.wheelessonline.com/ortho/ achilles_ tendinitis_tendinosis - Cached

 
PreOp Planning:  
    - tendon transfer is chiefly indicated for stage II tenosynovitis;
    - subtalar joint must demonstrate nearly a full range of inversion;
    - early synovectomy of the tendon sheath not only relieves discomfort but will possibly delay or
           prevent attenuation or rupture;
    - in presence of correctable hyperpronation, transfer of FDL  tendon to distal posterior
           tibial tendon
stump is considered;
    - if subtalar joint cannot be brought into nearly full inversion because of long-standing
           deformity, then tendon transfer is contra-indicated;
           - in this case consider subtalar arthrodesis




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Methotrexate 15 yrs, Enbrel 3 yrs, Humira 5 yrs, Rituxan 1 yr, now diagnosed with PSA and RA, back to Enbrel 50mg.x2 a week
Post #4204098
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Posted Monday, May 18, 2009 4:50 PM


 

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Last Login: Friday, May 22, 2009 7:22 PM
Posts: 2, Visits: 6
Pat,
Thanks for replying. I appreciate all the info you sent. I just want to be prepared and know what to expect after surgery. Thanks again!
Kris
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