Avascular Necrosis of the Talus Bone.
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Hi everyone, it looks like I have to make a decision between having my right ankle either fused or replaced when I see the Consultant at Wrightington Hospital next month.
I'm looking at carrying out research into the pros and cons to both procedures. I'm 52, fairly fit and active with a demanding full-time job. However, walking is becoming painful. To date, I have had three micro-fractures, steroid injections and a bout of MRSA for good measure. However, nothing has helped to resolve the pain.
Grateful for advice from those that have encountered similar injuries / procedures. One thing of particular concern is the ability to kneel and walk over steep uneven ground as well as driving a right handed manual car.
Regards
John.
0 likes, 1 reply
anne0606 john57390
Edited
I had an ankle fusion 15.months ago. unfortunately it wasn't successful. I am a non smoker & non diabetic, which are the main risk factors, I was just unlucky! However I had a second operation in August, with a bone graft. Fingers crossed it seems to be working and I am feeling very positive. Mine is my left ankle.
On reflection
You will be 6 weeks, non weightbearing, then about 6 weeks in an aircast boot! After that it will take a while to walk without aids.
If its your right foot you can't drive until you are out of a boot and your Consultant gives permission., check your insurance. A left foot is fine for an automatic car, if its OK with the insurance.
Hopping on crutches or a walking frame is awful. second time round I bought a "knee scooter" ... look on Amazon, about £130 or maybe cheaper on Ebay. absolutely brilliant! Worth the money
I also acquired a motability scooter, loaned from a kind friend. Forget images of Madge, on Benidorm, if you can get out and about it is worth it, for your mental health.
You can buy a waterproof cast protector , so that you can shower. Amazon or a local pharmacy. They do work!
occupational health will have many gadgets to help, eg a 'perch chair' to sit on in the shower, by the sink or at a kitchen work top . A bench seat over the bath, to sit on while showering, a frame around the toilet to help you stand up (on 1 leg), grab handles for the bath or at the side of the front door!.
If the access to your home means you have to step up, look at plans how to get in the house. After my first op I had to get in initially sitting on my bum and pull myself up! very undignified! My husband then built a wooden ramp !
If you have the space, maybe have a bed in a downstairs room(only if you have access to washing and toilet facilities).
Be aware that at the moment operations are not being carried out under general anaesthetic., due to the risks of Covid. They are giving spinal injections (epidural ) and nerve blocks and sedation. I was only told 1 hour before my op. However the recovery was far better than with a GA.
I had my operation at Chorley hospital, in Lancashire.
I hope everything goes well for you.
Anne