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Failed flatfoot reconstruction

Discussion in 'Ask your questions here' started by Cassidy, Jan 26, 2018.

  1. Cassidy

    Cassidy Member


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    Hello again....

    I understand that no one except my surgeon can give specifics to my case, with that being said I have a general question about options after a flatfoot reconstruction has failed.

    On October 10, 2017 I had flat foot reconstruction that included the following:

    Gastrocnemius Recession
    Calcaneal Osteotomy (heel slide)
    Removal of the accessory navicular bone
    FDL tendon transfer
    Spring ligament repair

    I also had a 3rd TMT joint fusion and hardware removed from my first Metatarsal (both related to a lisfranc injury).

    I have found out that I have recurrent flatfoot with pronation and abduction of the forefoot, this has all been per my surgeon. He has said revision surgery will likely need to be done in the future. 2 question, 1) is revision surgery time sensitive (does it do harm to wait a while before correcting it again) and 2) when it comes to revision surgery are there more options available than fusing the bones?

    Thank you
    Cassidy
     
  2. Maureen 17

    Maureen 17 Guest

     
  3. Maureen 17

    Maureen 17 Guest

    I am in exactly the same position with the same questions!!
    Hopefully someone will reply. I do know that Cleveland Clinic does a different type of fusion that supposedly retains a little more side to side movement than traditional fusion. Not sure if that’s an option after failed foot surgery.
     
  4. Cassidy

    Cassidy Member

    I have found out since this post that I have severe arthritis in the 4th and 5th TMT joints and also that my tendon work has fsiled. I have seen surgeons who all agree that I need fusion of the 4th and 5th TMT joints, but they can't agree on treatment for remainder of the issues, all agree I need things done though. So I am continuing to seek opinions and hoping to find some that agree and or I feel confident in. I hope you can find some answers for yourself as well!

    Thanks
    Cassidy
     
  5. Mary G

    Mary G Guest

    Cassidy I am in the same situation in September 2020. So much pain when I walk.
    Anxious to know what has happened for you
     
  6. Cassidy

    Cassidy Member

    So sorry, I just saw your reply. In October 2018 I had another reconstruction. During that surgery they fused the 4th and 5th TMT joints, fused 2 inter-cuneiform joints, re repaired the spring ligament, removed all existing hardware, and did an FHL tendon transfer since the FDL transfer failed. I was in a cast for 12 weeks then in a boot. I had an ulcer that created complications and I ended up being non weight bearing for 17 weeks. I was then in a boot for 6 weeks and did extensive PT. I continued to have pain , but fortunately some of the areas that were problematic were some what better. In January 2020 I had surgery to remove the hardware, debride the paroneal tendon, and had a PRP injection into the ankle. I did find relief in the inner midfoot and calf pain I had been having. Unfortunately I find myself still in pain with every step due to the outer midfoot and ankle. I am trying custom inserts, rocker bottom shoes and a wedge. If it's not better in another few months I will be getting an MRI. My surgeon said the peroneal tendon was very scared and torn and was difficult to debride, my 5th metatarsal also sits low now as well and I believe is posing an issue. If you would like to talk I am the admin of Flat Foot Support Group on facebook, please feel free to message me anytime.
     
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