A New Boot

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Friday I saw an orthopedic surgeon about my broken foot. I was nervous when the very young doctor came in and sat down. He had my MRI on the screen that he referred to throughout the appointment. There was also another x-ray taken.

The first thing he said to me was, “I’m so sorry that this has happened to you.” The doctor explained everything about the results and the possibilities of treatment. The doctor let me know that this was rare for the talus bone to have Avascular Necrosis (AVN).

He and I laughed when he talked about me hearing that I have something else that’s rare. He discussed that I had all types of unusual conditions and diseases, and that I was accustomed to hearing that from doctors.

I agreed and said that I have all the weird stuff. Sometimes it’s better to laugh than to cry. This was one of those days.

He explained that Core Decompression surgery wasn’t a good idea for my ankle, even though it’s been used before to bring more blood flow to the talus. Without blood flow to the area, the bone death occurs. (https://stanfordhealthcare.org/medical-conditions/bones-joints-and-muscles/avascular-necrosis/treatments/core-decompression.html)

He suggested giving the talus some time for the fracture to repair by postponing any surgery. He told me that the surgeries available to me are terrible. The doctor said the operations were complex and if they failed, I would have bad function of that foot.

I had read that the operations were all going to cause severe pain, possibility of poor healing, and iffy results. I don’t really understand all the terminology or how to compare them, but they all look awful. Decompression could be the neck step. Bone fusion should be used much later if the bone dies and/or collapses.

There is a poor prognosis for having this health problem. Bone fusion is also called Arthrodesis and there is a long recovery time. Reviews of the medical studies of these surgery options didn’t show great results. Long-term results aren’t easy to come by.

I hope that the doctor’s plan works, so that I don’t end up as one of those with “sub-optimal results that can happen to any surgeon.” ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961266/). I have read of disability, severe arthritis and loss of use.

Of course, I’m praying and hoping for the best. I don’t want to have severe pain and a useless foot. I’m sure that I’m not the only one. So, I try and remind myself that there are those who have done well.

Now I’m just following doctor’s orders and wearing this big ole’ boot on my left foot. Thankfully, it’s easier to get around with the boot compared to the wheelchair. Everything is quicker when I’m walking. Using a wheelchair temporarily certainly makes me thankful for the ability to walk.

@copyright, Lisa Ehrman

Disclaimer: I’m not a medical expert. This post contains my experiences and opinions and is not meant to be taken as medical advice. If you have a medical concern, please consult your personal physician.

10 thoughts on “A New Boot”

  1. Oh boy! Im sorry to read that you are going through another hurdle! Thankfully you have the boot though rather than being non weight bearing

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