Monday, January 14, 2008

Ankle Surgery

Procedure involves suturing the the affected tendon(s), peroneal brevis and/or longus. This means kind of ruffing up the edges so they adhere better and then suturing. About a 4 inch incision will be made to get in there. After suturing tiny little wholes will be made in the tendon to facilitate vascularity (blood flow).

The procedure is outpatient. Takes about an hour then I'll be around the hospital for about another 4 hrs to monitor that all is okay, I can 'void', etc. The I'll be discharged. Should be a same day procedure.

I will wake up in a boot. Weight baring - no crutches. Walk out. 3 weeks in the boot then start physical therapy. 8 weeks to full 100% recover is the prognosis without complications.

Possible complications include:
  1. Problems with a nerver that runs close to the area.
  2. Problems with the scar and a show rubbing up against it.
Both these problems were described as 'extremely' rare.

The rehab procedure using the micro fibulator - Dr Clark has been doing it for about a year. He has seen really good results with it.

As explained by Dr. Clark the MRI report shows both have partial longitudinal tears but he can't be sure both or torn until he goes in; surely at least one is torn per him

Questions
  1. Need to ask about the ligament - will that be repaired? I don't think it's part of the plan. Why not?
  2. Microfibulator? Will this be inserted? What's the name of it again and who makes the device? 'Arthur Care' makes the thing per main intern on this visit.
    1. possible conflict of interest here - promoting/testing a new product procedure
Today met with Dr. Clark and two interns - Tyler(2nd year) and another guy(Asian 3rd year) - what was his name?

No comments: