Left ankle fusion **Post surgery W/photos**

moscrop940
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Temecula, CA US
Edited Date/Time 10/10/2016 4:21pm
Good morning guys.

I know that there have been several threads on the topic of ankle fusion, but seeing as how some of you may have had the surgery recently, I thought I would start a new one.

After 10 years of living with chronic ankle pain and having multiple "specialist" tell me to put some ice on it and take advil, I got an appointment at the Foot & Ankle institute yesterday.

The doctor spent an hour and a half with me yesterday and took X-rays from every possible angle, and what it came down to is my left ankle is completely shot. No cartilage anywhere in the ankle joint, all of the bones in the joint are rubbing together and deteriorating, bone fragments floating everywhere, etc etc.

He said with a custom brace my ankle may be able to last a few years, but the fact is that I am going to need a fusion.




The fusion is on my shifting foot, and I wanted to see if any of you guys have had the surgery, and how it affects it your riding.

Granted, my riding ability isn't my main concern with all of this. The ability to get out of bed everyday and take my daughter to the park without having to sit after 5 minutes outweighs not being able to shift worth a shit....but I just gotta know how difficult grabbing gears is going to be without being able to bend my ankle at all.




Thanks guys,

Moscrop
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Torco1
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Corona, CA US
8/18/2016 11:41am
I'm facing the same exact thing.....left ankle as well. I've been putting it off but it's just getting worse and worse.....now it's to the point where it'll get stuck in a certain spot and the jagged bone pieces feel like they get "locked" together, I literally have to put my foot flat on the ground and move my ankle around until it finally frees itself.....it doesn't feel all that great. The doctors just told me to deal with it for as long as I can because I wont like a fusion, especially on the side that I have to shift with. I'm not sure what to do yet......Ridge seriously almost has me convinced to let them cut it off like he had done.
Torco1
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Corona, CA US
8/18/2016 11:46am
This is pretty much what it always looks like......until I'm on it for a while, then it gets really swollen......







NV825
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8/18/2016 12:20pm
abn166 wrote:
My Mom had an ankle replacement, but it was explained by her doctor that this procedure means no more hard impacts anymore (running, jumping, etc.). This option would be more for people who are older and plan to not do anything strenuous other than just trying to get pain free from walking again. I think fusion would be the way to go if he still wants to do activities with impact.

The Shop

abn166
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Rancho Cucamonga, CA US
8/18/2016 12:39pm
abn166 wrote:
NV825 wrote:
My Mom had an ankle replacement, but it was explained by her doctor that this procedure means no more hard impacts anymore (running, jumping, etc.). This...
My Mom had an ankle replacement, but it was explained by her doctor that this procedure means no more hard impacts anymore (running, jumping, etc.). This option would be more for people who are older and plan to not do anything strenuous other than just trying to get pain free from walking again. I think fusion would be the way to go if he still wants to do activities with impact.
The doctor told me the same thing before my surgery. Since having my knee replaced 3 years ago I run several days a week and have run 3 marathons since the surgery.
rubarb
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8/18/2016 12:41pm
Damn, bad deal, good luck
NV825
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8/18/2016 12:45pm
abn166 wrote:
NV825 wrote:
My Mom had an ankle replacement, but it was explained by her doctor that this procedure means no more hard impacts anymore (running, jumping, etc.). This...
My Mom had an ankle replacement, but it was explained by her doctor that this procedure means no more hard impacts anymore (running, jumping, etc.). This option would be more for people who are older and plan to not do anything strenuous other than just trying to get pain free from walking again. I think fusion would be the way to go if he still wants to do activities with impact.
abn166 wrote:
The doctor told me the same thing before my surgery. Since having my knee replaced 3 years ago I run several days a week and have...
The doctor told me the same thing before my surgery. Since having my knee replaced 3 years ago I run several days a week and have run 3 marathons since the surgery.
His views were specific to only ankle replacements, not knee replacements.
DB125
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Modesto, CA US
8/18/2016 1:17pm Edited Date/Time 8/18/2016 1:19pm
I shattered but heels in 2004 and in surgery they were forced to fuse both ankles. Took me 3 years to feel "decent" and another 3-4 to feel "good". They still bother me at the end of a long day where im forced to be on my feet.

Not sure if the issues were because of the heels or the fused ankles.

In 2009 I was able to run 5 miles (3 days a week) but had to spend a few hours every night with my feet wrapped in ice. But having fused ankles never affected my ability to run or shift gears.
moscrop940
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Temecula, CA US
8/18/2016 1:26pm
Torco1 wrote:
This is pretty much what it always looks like......until I'm on it for a while, then it gets [i]really[/i] swollen...... [img]https://p.vitalmx.com/photos/forums/2016/08/18/147598/s1200_Ankle_2.jpg[/img] [img]https://p.vitalmx.com/photos/forums/2016/08/18/147599/s1200_Bad_Ankle.jpg[/img]
This is pretty much what it always looks like......until I'm on it for a while, then it gets really swollen......







Well my ankle doesn't look quite that bad, but its well on its way.

My whole thought it I might as well get it fused, because I can't see it being any worse than it is right now....and god forbid my ankle is worse off for having it fused, Ill chop off the SOB myself.

moscrop940
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8/18/2016 1:31pm
NV825 wrote:
My Mom had an ankle replacement, but it was explained by her doctor that this procedure means no more hard impacts anymore (running, jumping, etc.). This...
My Mom had an ankle replacement, but it was explained by her doctor that this procedure means no more hard impacts anymore (running, jumping, etc.). This option would be more for people who are older and plan to not do anything strenuous other than just trying to get pain free from walking again. I think fusion would be the way to go if he still wants to do activities with impact.
abn166 wrote:
The doctor told me the same thing before my surgery. Since having my knee replaced 3 years ago I run several days a week and have...
The doctor told me the same thing before my surgery. Since having my knee replaced 3 years ago I run several days a week and have run 3 marathons since the surgery.
NV825 wrote:
His views were specific to only ankle replacements, not knee replacements.
Thank you both for your thoughts...I certainly did my research on the ankle replacements as well as knee replacements (my right knee is shot to hell as well).

The knee replacements seem to be far more stable and secure than ankle replacements at the moment. The specialist I saw yesterday told me that while I could have an ankle replacement, but there would be no more physical activity....even my Monday night softball games would be a big no-no.

I will be getting second and third opinions of course, but everything I have heard/read/seen on ankle replacements all points to them being meant for people over 65 and don't lead a physical lifestyle.

moscrop940
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8/18/2016 1:35pm
DB125 wrote:
I shattered but heels in 2004 and in surgery they were forced to fuse both ankles. Took me 3 years to feel "decent" and another 3-4...
I shattered but heels in 2004 and in surgery they were forced to fuse both ankles. Took me 3 years to feel "decent" and another 3-4 to feel "good". They still bother me at the end of a long day where im forced to be on my feet.

Not sure if the issues were because of the heels or the fused ankles.

In 2009 I was able to run 5 miles (3 days a week) but had to spend a few hours every night with my feet wrapped in ice. But having fused ankles never affected my ability to run or shift gears.
Thanks for the words DB. Its rad to hear you didn't have any issues with shifting....Ive always been best at starts, would be a shame if not being able to shift tossed away the best part of my game haha.

Its great to hear that you were still able to live a physically active lifestyle. My biggest fear is not being able to keep up with my daughter after the surgery, but then again, I can't keep up with her as I am now with a shitty ankle...
snape99
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Picnic Point, NSW AU
8/18/2016 11:22pm
Not exactly relevant, but my right ankle is completely fused, have to lift my foot of pegs to use rear brake,. Other than that and not being able to run. It's not a problem. I ride a 450 and pretty much don't have to change gears. Maybe something for you to think of riding.
Ernosto
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FI
8/19/2016 2:36am
moscrop940 wrote:
Thank you both for your thoughts...I certainly did my research on the ankle replacements as well as knee replacements (my right knee is shot to hell...
Thank you both for your thoughts...I certainly did my research on the ankle replacements as well as knee replacements (my right knee is shot to hell as well).

The knee replacements seem to be far more stable and secure than ankle replacements at the moment. The specialist I saw yesterday told me that while I could have an ankle replacement, but there would be no more physical activity....even my Monday night softball games would be a big no-no.

I will be getting second and third opinions of course, but everything I have heard/read/seen on ankle replacements all points to them being meant for people over 65 and don't lead a physical lifestyle.

This is exactly what i was told.

Your story sounds very familiar. I had my left ankle fused few years back, after spending years (injured it in 2002) with all the pain from shattering my ankle and tib/fib. I had only the upper ankle joint fused, so there is some movement, but the doctor said that in about ten years the lower joint needs to be fused as well.

About riding with it, of course it isn't as good as it is with healthy ankle, but it's possible. I've been riding since i had it fused, but i have become a bit lazy in changing gears and i'm currently riding 250F. So lots of rev limiter abusing! Grinning I was testing a 450F and i think that would be a bit easier to ride cause you only need like 3rd and 4th gear.

But thinking about normal life, i am 100% happy with the result! All the pain from getting out of bed in the morning and days when you need to walk a lot etc are gone. Also all the lower back and hip pain went away cause i can walk normally without pain, and custom insoles further helped the case. I can't run with it, so everything including running has been out of question for me at least. I've been playing hockey a bit though, so that's somewhat doable.

Hopefully this "user recommendation" is helpful! And good luck! Smile
mark1960
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AU
8/19/2016 2:47am
Anything you can do to improve life with your children is worth it.

I myself just wasted 5 years with achillies pain and not particpating in my 3 boys early childhood.
Just now i had surgery and cant wait to participate in their lives.

Good luck.
fullfloater
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8/19/2016 3:16am
Fellow ankle sufferer here (talus). How does the fusion reduce/eliminate the chronic pain? That's some impressive ring around the collar you've got there Torco.
motomike894
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Waterloo, IN US
8/19/2016 3:36am
I'm in a similar boat but it's my foot not my ankle I shattered and dislocated it 15 years ago and if I walk too much or stand too much that night / next morning I can't even walk half time.

Two docs said fusion only thing that will make me pain free but then I also have screws and plate stuck in my foot forever ( I had bunch pins in it when I broke it that were all removed ).

Anyone had a foot fusion done ? I've tried going to chiropractor to loosen it up which he got it more loose but didn't really do shit for the pain and ache.
moscrop940
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Temecula, CA US
8/19/2016 7:59am
moscrop940 wrote:
Thank you both for your thoughts...I certainly did my research on the ankle replacements as well as knee replacements (my right knee is shot to hell...
Thank you both for your thoughts...I certainly did my research on the ankle replacements as well as knee replacements (my right knee is shot to hell as well).

The knee replacements seem to be far more stable and secure than ankle replacements at the moment. The specialist I saw yesterday told me that while I could have an ankle replacement, but there would be no more physical activity....even my Monday night softball games would be a big no-no.

I will be getting second and third opinions of course, but everything I have heard/read/seen on ankle replacements all points to them being meant for people over 65 and don't lead a physical lifestyle.

Ernosto wrote:
This is exactly what i was told. Your story sounds very familiar. I had my left ankle fused few years back, after spending years (injured it...
This is exactly what i was told.

Your story sounds very familiar. I had my left ankle fused few years back, after spending years (injured it in 2002) with all the pain from shattering my ankle and tib/fib. I had only the upper ankle joint fused, so there is some movement, but the doctor said that in about ten years the lower joint needs to be fused as well.

About riding with it, of course it isn't as good as it is with healthy ankle, but it's possible. I've been riding since i had it fused, but i have become a bit lazy in changing gears and i'm currently riding 250F. So lots of rev limiter abusing! Grinning I was testing a 450F and i think that would be a bit easier to ride cause you only need like 3rd and 4th gear.

But thinking about normal life, i am 100% happy with the result! All the pain from getting out of bed in the morning and days when you need to walk a lot etc are gone. Also all the lower back and hip pain went away cause i can walk normally without pain, and custom insoles further helped the case. I can't run with it, so everything including running has been out of question for me at least. I've been playing hockey a bit though, so that's somewhat doable.

Hopefully this "user recommendation" is helpful! And good luck! Smile
I really appreciate the words and the story man. Its great to hear that the fusion isn't holding you back.

I will have to have a full fusion, but after spending almost every waking minute researching after I got the news, I feel a lot better about the situation.


Ill just have to learn how to keep the shifting to a minimum, which will be tough! ha! But if thats the biggest issue I have out of all of this, I will be ecstatic.

Thanks again man!
abn166
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Rancho Cucamonga, CA US
8/19/2016 8:19am


After surgery maybe you can give this technique a try. Good luck with the surgery.
moscrop940
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8/19/2016 8:55am
abn166 wrote:
[img]https://p.vitalmx.com/photos/forums/2016/08/19/147730/s1200_7f039cfddf1778c35b59e9fd9b536565.jpg[/img] After surgery maybe you can give this technique a try. Good luck with the surgery.


After surgery maybe you can give this technique a try. Good luck with the surgery.
Hahahahahahaha thats gold man.


Thanks for you input and words. Really do appreciate it!
Chris197
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AU
8/30/2016 1:09pm
Hi there, I had my right ankle fused 5 years ago when I was 26, 1 year after I shattered it casing a double. It took a good year to recover from the op and get walking properly and pain free.
I'm now pain free and can do most things except run long distances. I play golf, ride mountain bikes and ride moto although no racing anymore. No one notices a limp or anything.
Being my right leg is probably easier to adapt than the shifting foot but I reckon it wouldn't take long to get used to changing gears.

I wouldn't hesitate to get it fused even if you don't plan on riding for a while it will greatly improve your quality of life. I was like you in pain every day so know what it's like battling away all day.

Also don't bother with a replacement, they are for non active people and won't last for you.

Any questions just ask, here's a link to a few videos of my ankle https://youtu.be/tXTSV_Z2udg
DL
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Menifee, CA US
8/30/2016 1:22pm
Ryno, did you damage that ankle jumping off my upstairs porch into the pool? Lol, just kidding. Bummer to have that much pain. Quite a few friends over the years mimic what Chris197 said. FYI Michael just had three fusions in his foot and is healing up now. Thankfully his ankle is ok.
abn166
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8/30/2016 2:38pm
Chris197 wrote:
Hi there, I had my right ankle fused 5 years ago when I was 26, 1 year after I shattered it casing a double. It took...
Hi there, I had my right ankle fused 5 years ago when I was 26, 1 year after I shattered it casing a double. It took a good year to recover from the op and get walking properly and pain free.
I'm now pain free and can do most things except run long distances. I play golf, ride mountain bikes and ride moto although no racing anymore. No one notices a limp or anything.
Being my right leg is probably easier to adapt than the shifting foot but I reckon it wouldn't take long to get used to changing gears.

I wouldn't hesitate to get it fused even if you don't plan on riding for a while it will greatly improve your quality of life. I was like you in pain every day so know what it's like battling away all day.

Also don't bother with a replacement, they are for non active people and won't last for you.

Any questions just ask, here's a link to a few videos of my ankle https://youtu.be/tXTSV_Z2udg
So what happens to your calf muscle after the ankle is fused? Does it get smaller since it's main function move the foot?
Uncle Tony
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8/30/2016 3:44pm




Good luck with your surgery! When you're ready to come back try these, work great with fused ankles
snape99
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Picnic Point, NSW AU
8/30/2016 5:25pm
Chris197 wrote:
Hi there, I had my right ankle fused 5 years ago when I was 26, 1 year after I shattered it casing a double. It took...
Hi there, I had my right ankle fused 5 years ago when I was 26, 1 year after I shattered it casing a double. It took a good year to recover from the op and get walking properly and pain free.
I'm now pain free and can do most things except run long distances. I play golf, ride mountain bikes and ride moto although no racing anymore. No one notices a limp or anything.
Being my right leg is probably easier to adapt than the shifting foot but I reckon it wouldn't take long to get used to changing gears.

I wouldn't hesitate to get it fused even if you don't plan on riding for a while it will greatly improve your quality of life. I was like you in pain every day so know what it's like battling away all day.

Also don't bother with a replacement, they are for non active people and won't last for you.

Any questions just ask, here's a link to a few videos of my ankle https://youtu.be/tXTSV_Z2udg
abn166 wrote:
So what happens to your calf muscle after the ankle is fused? Does it get smaller since it's main function move the foot?
I practically have no calf muscle with my right ankle fused. I've tried for the past 15 years to build it up but it's impossible . Lol
tuggy450
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Massapequa, NY US
8/30/2016 7:02pm
I used to wear ankle braces and jam my foot into boots around a size too small, that seemed to work ok for me, after multiple injuries, I learned to land and generally ride on my arches. I know everyone is told to ride on the balls of their feet, but without braces that was just impossible for me. I spoke to an orthopedic many years ago who said it was unlikely I would be walking on them in a few years, It is probably too late for you but maybe ankle saver footpegs for others with just aching ankles? Has any body tried them?.
moscrop940
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1078
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Temecula, CA US
8/30/2016 8:09pm
DL wrote:
Ryno, did you damage that ankle jumping off my upstairs porch into the pool? Lol, just kidding. Bummer to have that much pain. Quite a few...
Ryno, did you damage that ankle jumping off my upstairs porch into the pool? Lol, just kidding. Bummer to have that much pain. Quite a few friends over the years mimic what Chris197 said. FYI Michael just had three fusions in his foot and is healing up now. Thankfully his ankle is ok.
Haha no sir, luckily enough I landed that pool gap cleanly....good thing too because the ladies were watching hahaha.

Glad to hear Mikey is on the mend, ready to see him kill it in 17!!

Hope all is well sir, say hello to everyone for me
moscrop940
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8/30/2016 8:10pm
Chris197 wrote:
Hi there, I had my right ankle fused 5 years ago when I was 26, 1 year after I shattered it casing a double. It took...
Hi there, I had my right ankle fused 5 years ago when I was 26, 1 year after I shattered it casing a double. It took a good year to recover from the op and get walking properly and pain free.
I'm now pain free and can do most things except run long distances. I play golf, ride mountain bikes and ride moto although no racing anymore. No one notices a limp or anything.
Being my right leg is probably easier to adapt than the shifting foot but I reckon it wouldn't take long to get used to changing gears.

I wouldn't hesitate to get it fused even if you don't plan on riding for a while it will greatly improve your quality of life. I was like you in pain every day so know what it's like battling away all day.

Also don't bother with a replacement, they are for non active people and won't last for you.

Any questions just ask, here's a link to a few videos of my ankle https://youtu.be/tXTSV_Z2udg
Really appreciate the words Chris.

Glad to hear you are living a healthy/normal lifestyle after the procedure...gives me a lot of confidence heading into my surgery!
Chris197
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10/19/2012
Location
AU
8/30/2016 11:07pm Edited Date/Time 8/30/2016 11:09pm
Chris197 wrote:
Hi there, I had my right ankle fused 5 years ago when I was 26, 1 year after I shattered it casing a double. It took...
Hi there, I had my right ankle fused 5 years ago when I was 26, 1 year after I shattered it casing a double. It took a good year to recover from the op and get walking properly and pain free.
I'm now pain free and can do most things except run long distances. I play golf, ride mountain bikes and ride moto although no racing anymore. No one notices a limp or anything.
Being my right leg is probably easier to adapt than the shifting foot but I reckon it wouldn't take long to get used to changing gears.

I wouldn't hesitate to get it fused even if you don't plan on riding for a while it will greatly improve your quality of life. I was like you in pain every day so know what it's like battling away all day.

Also don't bother with a replacement, they are for non active people and won't last for you.

Any questions just ask, here's a link to a few videos of my ankle https://youtu.be/tXTSV_Z2udg
abn166 wrote:
So what happens to your calf muscle after the ankle is fused? Does it get smaller since it's main function move the foot?
Yes the right calf is half the size it should be because you can't excercise it fully with no ankle movement.
captmoto
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Rancho Cucamonga, CA US
8/30/2016 11:16pm Edited Date/Time 8/30/2016 11:19pm
My left ankle is shot too. Trying to get with an ankle guy at Kerlin Jobe. I also hunt and what I hear from people that hunt is that walking up or down semi steep terrain is harder. I've been told I can be treated with synvisc injections or pain meds.

6 months or so ago Jody at MXA mentioned a regular REM guy getting used to racing again with an ankle fusion. I might see if I can find him at a REM race.
VxeR
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IT
8/30/2016 11:23pm
I'd try out the Pivot Pegz too.

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