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Can a CT scan miss a nonunion after fusion

Discussion in 'Ask your questions here' started by Cassidy, Oct 8, 2019.

  1. Cassidy

    Cassidy Member


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    Hello,

    I have had several fusions from a missed lisfranc injury and what they are calling a collapsed arch. I have been having pain still when walking I'm 12 months post op. My surgeon ordered a CT scan to make sure it's not a nonunion causing the pain. The results state that the 4th and 5th TMT joints show bone growth. However my surgeon feels it's likely still a nonunion, but she called it a fibrous union and said I would need a revision.

    Is it possible or common for a CT scan to miss a nonunion? I do have 2 plates and 10 screws in the area of the arthrodesis as well. Also if they go in for a revision and remove the hardware can they tell if it's a fibrous union or is it just a total guessing game?
     
  2. poddoc

    poddoc Guest

    Lisfranc's injuries are hard. On physical exam it can be very difficult figure out which bones should be fused.
    You should consider second and third opinions with someone who can see the actual x-rays and ct scan pictures.

    A question for you is the risk of the surgery not solving the problem worth the downtime of recovery. One reason for fibrous unions is repetitive loading during the recovery period. A question for the surgeon is what do you think the odds of success are. Lisfranc's injuries are difficult to treat.
     
  3. Cassidy

    Cassidy Member


    Thank you!

    This has been a 3 1/2 year battle for me, I have had all five TMT joints fused along with tendon work and inter-cuneiform spaces fused. This Surgeon has been my 9th opinion because all agree surgery was necessary, but non agreed what should he done. My surgeon feels the pain I have is more than hardware related and believes correcting the non union will improve pain.

    In October of last year I had the 4th and 5th fused along with the inter-cuneiform spaces and an FHL tendon transfer (FDL failed previously). I was NWB for 17 weeks and then pwb in a boot for 6 weeks. I am having a previous surgeon look at the CT scan to see what he thinks and then I will go from there. All I really want is to walk decently for part of the day.
     
  4. Ankle_Pain

    Ankle_Pain New Member

    I'm sorry to hear that you continue to struggle with difficulties, Cassidy.

    Get many more opinions.

    I wish you the best of luck.
     
    Cassidy likes this.
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