duke’s AchillesBlog

Just another AchillesBlog.com weblog

    • duke has completed the grueling 26.2 ATR miles to full recovery!
      Goal: 365 days from the surgery date.
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    September 2011
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  • ATR Timeline

    • Name: duke
      Location: Pennsylvania
      Injured during: basketball
      Which Leg: R
      Status: 2-Shoes

      600 wks  5 days Post-ATR
      600 wks  1 day
         Since start of treatment

Archive for September 23rd, 2011

surgical consult

Posted by duke on 23rd September 2011

I had a formal consult with the foot and ankle specialist the day after my injury.  The resident came in first, examined me and sent me off for an x-ray to see if I had calcification in my tendon (none seen, a good thing).  He reviewed a bit about operative versus non-operative management.  He talked to me about something called a “wheel a-bout” (a rolling knee walker) that I could use while I was recovering.  “The older ladies who break their ankles love zooming around on these things.“  Quite comforting.

I met with the orthopedic surgeon.  We discussed operative versus non-operative options in detail including the risks of re-rupture and the operative risks (including infection and clots).  He went over more recent data supporting a non-operative approach.  He told me he might need to do a release to free up extra tendon from my calf and could possibly need to do a tendon transfer from my big toe as well.  After weighing the issues,  I opted for surgery and was scheduled for the following Monday.

He gave me a copy of his rehab protocol (which is fairly similar to this one:  http://www.mcworthopaedics.com/pdf/mark-richards-achilles-tendon-protocol.pdf).  I asked when he thought I could drive again (4 to 6 weeks) and whether he thought I might be able to return to work the week after the surgery (he thought it was possible if I could keep my foot up).  He reassured me with some anecdotes about some of the patients he had successfully treated in my age range.  I had a new splint put on and I was out the door.

That left me with a weekend to surf the web, prop my foot up and continue to debate with myself about whether the surgical approach was the best one for me.

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