Facebook Pixel
Q: 

Living with an ankle fusion and subtalar fusion--Any advice?

By March 30, 2010 - 9:51pm
 
Rate This

In January of 2009, I fell from a ladder and suffered a catastrophic open-bone fracture of my talus. Not only was the talus shattered, but I immediately developed a serious infection and subsequent deep wound. 9 surgeries, 8 months of IV antibiotics, 9 months on a VAC device, and 15 months of walking in a boot, later . . . I am now looking at life following a complete ankle and subtalar fusion (no part of my ankle moves--except my toes). I am overjoyed that my fusion surgery was successful and am looking forward to learning how to walk again! I was just given the go-ahead from my doctor to begin using MBT shoes and to start physical therapy. I am just wondering if others have walked this road before and have any advice or insight. Thanks so much. Anneh8sldrs (Anne hates ladders)

Add a Comment241 Comments

(reply to Anonymous)

Fusion will limit the motion of your ankle. There are three main ankle joints. You should ask your surgeon several questions...
Will you have one or more joints fused now?
If not a full fusion (triple arthrodesis) now, will you need to return in future year(s) for additional fusions?
Will you need any of the bones in your foot fused or reconfigured (called an osteotomy) because of the ankle fusions?
Ask your Dr/surgeon how these fusions will effect your activity level? Pain after vs pain now? What is the recovery time? How likely are you to need revisions or repairs?

The ankle fusions will leave you with an ankle that will not flex. The more joints of your ankle that are fused, the more immobile. Triple Arthrodesis would completely fuse your ankle. If you are active, or hope to ever be, an ankle fusion will significantly effect how active you can be.

I faced multiple limb salvage procedures, first a double osteotomy and tendon transfer, and following that by a year or more (depending on how quickly I recovered) a second procedure for ankle fusion - likely a triple arth. Each of these two salvage ops carried a year, maybe more of recovery (back to full weight bearing). Each would leave me with more scar tissue and likely more pain. And they left me with no hope of getting back any of my once active lifestyle. Since my foot/ankle were the only thing holding me back, I chose amputation, Ertl Procedure. With this and a prosthetic, I'll get hiking, biking, and maybe a little running, tennis, and racquetball.

February 15, 2017 - 3:46pm
(reply to BoneBreaker)

I applaud you for your courageous decision to amputate. I understand your reasons and was in a similar situation deciding the fate of my foot. I chose not to amputate, yet...

I'm still healing from my 5th surgery, a revisional subtalar fusion which is 50% healed. I'm in less pain but I'm still limited from the active lifestyle I had 4 years ago when I first fell. I'm trying to find a new lifestyle and it is hard. I'm 48 - too young to be old and too old to be young, yet, I feel like an 85 year old. Foot/ankle injuries are debilitating!

I hope you are back up and running, literally!

June 14, 2017 - 9:36am
EmpowHER Guest
Anonymous

I elected to get an ankle implant. This is a wonderful alternative. The recovery was 6 weeks and my ankle is fully functional. I am so happy that I insisted on this alternative although some podiatrists don't seem to know about this alternative.

December 2, 2016 - 3:58pm
EmpowHER Guest
Anonymous (reply to Anonymous)

Did you get the talus replacement surgery or an ankle replacement surgery? As far as I know there is only one dr in the county who does the talus replacement. I am not a candidate for an ankle replacement but probably would be for the talus replacement. It is experimental at this point. If you had this procedure I would love to hear more about it. Either way I am glad for your successful surgery. Who would have known how devistateing an ankle injury can be.

April 15, 2017 - 3:21pm
EmpowHER Guest
Anonymous (reply to Anonymous)

who is the dr that does a talus replacement?

June 21, 2017 - 2:06pm
EmpowHER Guest
Anonymous (reply to Anonymous)

Who is the dr. that does a talus replacement and where is he located?

May 15, 2017 - 7:56pm
EmpowHER Guest
Anonymous

I am 40 y/o disabled veteran in 1998 I suffered a R open ankle dislocation and nerve damage I have had two surgeries on ankle and I have tried syn visc injection to no avail, scheduled for fusion December 15 2016 looking forward to it as i have limited range of motion and nerve and bone pain been almost 20 years walk with a limp and soldiering it out with no meds sometimes I wish i could cut it off but my surgeon has lots of experience in fusion not sure about nerve pain but i have been bone on bone and fragments floating in ankle last option for me will keep you all updated.

November 29, 2016 - 6:48pm
EmpowHER Guest
Anonymous (reply to Anonymous)

I am a 37y/o disabled veteran myself. I had my ankle fused on September 27th of 2016. This was the 6th surgery I have had on my ankle. I am now over 3 months out and am still having severe pain. My incisions have healed perfectly and the x-rays look good, but there is still a lot of swelling and my ankle is much warmer than the rest of my leg. My doctor believes something is wrong and has ordered an MRI. It will be two weeks before I see him again. I'm pretty freaked out to say the least. Not looking forward to another possible surgery.
I also have nerve damage from a previous surgery which has left my skin extremely sensitive as well as leg pain from mid thigh down. Dr put me on lyrica now and it really isn't helping. I've had lower lumbar injections called a sympathetic nerve block. They work sometimes and don't others. An implant may be required at some point. Hoping you have much better results than I'm having. Wishing you the best and thanks for your service!

January 8, 2017 - 1:42pm
EmpowHER Guest
Anonymous (reply to Anonymous)

Hi friend I'm 10 weeks post op I had a ttc open ankle fusion and a bone graft.had no choice could not walk att all . So it has to be said my only option. U really need to get ur home ready because ur are in for a very hard ride first week or so wasent to bad lots of pain killers etc . And once u get a full cast on u feel better in ur mind at 7 weeks I had my cast of and have bin in a air walker boot on for the last 3 weeks I'm up and about at back at work part time. I'm pretty much pain free . I've to go back end of jan to get the all clear . Plz take it very easy defo a big job but u will get there just try to look how much u improve each week. Hope all goes well and keep smiling .

December 7, 2016 - 1:37am
EmpowHER Guest
Anonymous

I had a very traumatic accident while at work in 2015, I supervised a landscaping crew a was ran over by a lawnmower. It shattered my right ankle and broke my foot completly off my tibia, I had to have a internal fixation and recieved an external fixation just to try and put things back in place. Things didnt get well as the doctors thought so they then suggested ankle fusion, after much thought and prayer ankle surgery was an option to help the recovery better. After months after having the surgery im still unable to bear any weight, still in pain and the doctor still has no real answers to when will I ever walk again. Im two months away from it being almost a year since my last surgery, there was talk about possibly having a bone grafting procedure but I said no because none of the past proposed solutions have worked so I'm uneasy to rushing to have something else done. Is there anyone with any advice as to what I should do next, anything will help?

November 26, 2016 - 9:14pm
Image CAPTCHA
Enter the characters shown in the image.
By submitting this form, you agree to EmpowHER's terms of service and privacy policy
Add a Comment

All user-generated information on this site is the opinion of its author only and is not a substitute for medical advice or treatment for any medical conditions. Members and guests are responsible for their own posts and the potential consequences of those posts detailed in our Terms of Service.