Ankle Fusion

Chris197
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Chris197
Edited Date/Time 6/14/2017 4:37pm
Hey guys,

I know a few of you have had ankles fused so I thought I'd ask, how do you get on riding?

It's been a year since mine was done(after a year of pain) and it's feeling good. No pain anymore. I am keen to start riding again and was wondering if you encounter any issues while riding? It's my right leg so gear changes will be fine. I'm slightly worried about putting extra stress on my knee and catching it in ruts etc.

If anyone has any advice that would be great!

Thanks Chris

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GILLETT
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GILLETT 10/19/2012 5:42am
10/19/2012 5:42am
I'm in the same boat and wondering the same thing, except mine is my shifting ankle. Damn.......
Chris197
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Chris197 10/19/2012 5:50am
10/19/2012 5:50am
Have you tried yet? I still have a little movement in my forefoot. It really loosened up after the fusion.
Roscoe33
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Roscoe33 10/19/2012 6:02am
10/19/2012 6:02am Edited Date/Time 10/20/2012 5:47am
The biggest thing is to maintain your balance, this can be very hard with the pain of recovery.

limping is a good example of pain avoidance this is what causes long term issues.

good luck, stay focused and you'll stay busy.
GILLETT
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GILLETT 10/19/2012 7:05am
10/19/2012 7:05am
Chris197 wrote:
Have you tried yet? I still have a little movement in my forefoot. It really loosened up after the fusion.
I haven't yet. My best friend is a Ortho surgeon and he told me to wait another year. But my ankle is so shot it already has the "loose" forefoot, so i can't imagine fusing it will really be any worse. But i'm dealing with constant pain, and when i wake up i have the Gangsta walk for at least an hour.

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Chris197
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Chris197 10/19/2012 7:21am
10/19/2012 7:21am
Sounds like what I had- very stiff and sore in the mornings and limping all over the place.
My original injury was 3 years ago and I was in constant pain until my fusion. Since the fusion there is no pain and I can walk any distance with no limp. I was also worried about the outcome of a fusion but honestly it is a massive improvement and has got me back doing the things I couldn't do before. Well worth the recovery time in my opinion.
Trav138
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Trav138 10/19/2012 7:38am
10/19/2012 7:38am Edited Date/Time 10/19/2012 7:39am
Chris197, i am in the same boat except mine is both ankles. My right is the worst being a massive pilon fracture. How long did they wait to do your fusion after your accident. They are telling me a year at least,because of the bone grafting and scope of the injury. I have heard of guys saying that fusions are really not strong enough to handle moto, just what i heard, and am sure each case is different. Jacked up ankles are no fun,good luck and keep us posted. Edit just saw your last post.
Chris197
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Chris197 10/19/2012 7:49am
10/19/2012 7:49am
Trav138 wrote:
Chris197, i am in the same boat except mine is both ankles. My right is the worst being a massive pilon fracture. How long did they...
Chris197, i am in the same boat except mine is both ankles. My right is the worst being a massive pilon fracture. How long did they wait to do your fusion after your accident. They are telling me a year at least,because of the bone grafting and scope of the injury. I have heard of guys saying that fusions are really not strong enough to handle moto, just what i heard, and am sure each case is different. Jacked up ankles are no fun,good luck and keep us posted. Edit just saw your last post.
Sounds like your injury was similar to mine. I had 4 surgeries before the fusion. I had an infection which slowed the bone healing and when it finally healed I was left with chronic osteoarthritis which led to the fusion pretty much 2 years after the injury. I was lucky that my graft worked and I didn't get another infection which led to a good recovery from the fusion. All the best
dvfan12
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dvfan12 10/19/2012 7:59am
10/19/2012 7:59am
GILLETT wrote:
I'm in the same boat and wondering the same thing, except mine is my shifting ankle. Damn.......
I've had my left ankle fused for over 4 years now. It's not nearly as bad as I was worried about regarding walking normally and shifting the dirt bike. You actually shift more w/ your foot vs. up/down ankle movement. That said I ride a 450 and probably don't shift as much generally.

Fwiw, you have to remember with a fused ankle, in addition to very little to no movement there's no cartilage in there. No buffer, so impacts are harder, more severe, a little jolting/shocking sometimes. Reflexively I end up shifting my weight quite a bit to my good foot on flat landings or big impacts. One nice thing about riding or cycling vs. ever running again for example is you instinctively cheat and rely a little more on your good foot/side.

About a year ago I broke my tib/fib just above where the steel bar ends near my calf muscle (my fusion is similar to the x-ray above from the OP.) I saved a high-side upon landing a relatively fast low-flying triple. The ortho surgeon said it was and is always going to be a weak vulnerable part of my tibia - where the steel bar ends because the steel isn't going anywhere. But who knows for sure, It may have broken with a normal leg too...

To those considering or going through a fusion don't hesitate to PM me or ask questions.
GILLETT
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GILLETT 10/19/2012 8:02am
10/19/2012 8:02am
GILLETT wrote:
I'm in the same boat and wondering the same thing, except mine is my shifting ankle. Damn.......
dvfan12 wrote:
I've had my left ankle fused for over 4 years now. It's not nearly as bad as I was worried about regarding walking normally and shifting...
I've had my left ankle fused for over 4 years now. It's not nearly as bad as I was worried about regarding walking normally and shifting the dirt bike. You actually shift more w/ your foot vs. up/down ankle movement. That said I ride a 450 and probably don't shift as much generally.

Fwiw, you have to remember with a fused ankle, in addition to very little to no movement there's no cartilage in there. No buffer, so impacts are harder, more severe, a little jolting/shocking sometimes. Reflexively I end up shifting my weight quite a bit to my good foot on flat landings or big impacts. One nice thing about riding or cycling vs. ever running again for example is you instinctively cheat and rely a little more on your good foot/side.

About a year ago I broke my tib/fib just above where the steel bar ends near my calf muscle (my fusion is similar to the x-ray above from the OP.) I saved a high-side upon landing a relatively fast low-flying triple. The ortho surgeon said it was and is always going to be a weak vulnerable part of my tibia - where the steel bar ends because the steel isn't going anywhere. But who knows for sure, It may have broken with a normal leg too...

To those considering or going through a fusion don't hesitate to PM me or ask questions.
Thanks for the info. Pretty much word for word what i was wondering.
Chris197
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Chris197 10/19/2012 8:18am
10/19/2012 8:18am
GILLETT wrote:
I'm in the same boat and wondering the same thing, except mine is my shifting ankle. Damn.......
dvfan12 wrote:
I've had my left ankle fused for over 4 years now. It's not nearly as bad as I was worried about regarding walking normally and shifting...
I've had my left ankle fused for over 4 years now. It's not nearly as bad as I was worried about regarding walking normally and shifting the dirt bike. You actually shift more w/ your foot vs. up/down ankle movement. That said I ride a 450 and probably don't shift as much generally.

Fwiw, you have to remember with a fused ankle, in addition to very little to no movement there's no cartilage in there. No buffer, so impacts are harder, more severe, a little jolting/shocking sometimes. Reflexively I end up shifting my weight quite a bit to my good foot on flat landings or big impacts. One nice thing about riding or cycling vs. ever running again for example is you instinctively cheat and rely a little more on your good foot/side.

About a year ago I broke my tib/fib just above where the steel bar ends near my calf muscle (my fusion is similar to the x-ray above from the OP.) I saved a high-side upon landing a relatively fast low-flying triple. The ortho surgeon said it was and is always going to be a weak vulnerable part of my tibia - where the steel bar ends because the steel isn't going anywhere. But who knows for sure, It may have broken with a normal leg too...

To those considering or going through a fusion don't hesitate to PM me or ask questions.
Thanks for the input. I was told my ankle would be unlikely to break but it could break above the rod, the next weakest point-obviously what happened to you. But like you said it may have broken without the rod.

Does it feel ok if you accidentally catch it in a corner or stab it down to save a fall? That's my main area of concern, not having the ankle to absorb any shock.

Also was there any problem with healing your fresh break because of the rod?
dvfan12
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dvfan12 10/19/2012 9:21am
10/19/2012 9:21am
GILLETT wrote:
I'm in the same boat and wondering the same thing, except mine is my shifting ankle. Damn.......
dvfan12 wrote:
I've had my left ankle fused for over 4 years now. It's not nearly as bad as I was worried about regarding walking normally and shifting...
I've had my left ankle fused for over 4 years now. It's not nearly as bad as I was worried about regarding walking normally and shifting the dirt bike. You actually shift more w/ your foot vs. up/down ankle movement. That said I ride a 450 and probably don't shift as much generally.

Fwiw, you have to remember with a fused ankle, in addition to very little to no movement there's no cartilage in there. No buffer, so impacts are harder, more severe, a little jolting/shocking sometimes. Reflexively I end up shifting my weight quite a bit to my good foot on flat landings or big impacts. One nice thing about riding or cycling vs. ever running again for example is you instinctively cheat and rely a little more on your good foot/side.

About a year ago I broke my tib/fib just above where the steel bar ends near my calf muscle (my fusion is similar to the x-ray above from the OP.) I saved a high-side upon landing a relatively fast low-flying triple. The ortho surgeon said it was and is always going to be a weak vulnerable part of my tibia - where the steel bar ends because the steel isn't going anywhere. But who knows for sure, It may have broken with a normal leg too...

To those considering or going through a fusion don't hesitate to PM me or ask questions.
Chris197 wrote:
Thanks for the input. I was told my ankle would be unlikely to break but it could break above the rod, the next weakest point-obviously what...
Thanks for the input. I was told my ankle would be unlikely to break but it could break above the rod, the next weakest point-obviously what happened to you. But like you said it may have broken without the rod.

Does it feel ok if you accidentally catch it in a corner or stab it down to save a fall? That's my main area of concern, not having the ankle to absorb any shock.

Also was there any problem with healing your fresh break because of the rod?
Chris197: I'm very careful about where and when i put out my left fused foot when cornering to the left. It's probably the only area my riding was affected or different (read: a tad bit slower and less confident.) Keep in mind, as most of us know, every injury is different and unique to their owner. it's hard for me to explain but I just don't want to catch my fused ankle in a corner or really jolt it. not that it's that fragile but it is "handicapped" so to speak. to compensate i'll try to stand longer through the corner if i can Stefan Everts it a little Smile and i'm way more mindful about my technique as i'm going through the corner so i avoid any big jolting dabs. ultimately i don't take left hand turns for granted anymore. i also don't race anymore - just track days. i try to keep myself from riding too above my head or any 1st turn pile up situations. (i'm a vet expert challenged more to complete a 20 minute moto session vs. finding more speed...)

Good question about healing my fresh break. I swear us moto guys know way too much about Orthopedics... Smile There were several options. I chose to wear a Taylor Spatial Frame (Google it.) Benefits were quick and easy surgery vs. taking old hardware out and putting new in. Downsides are obvious if you look at the thing. In addition, getting the bolts removed in doc's office vs. being under anesthesia wasn't fun either (because I wanted to save another insurance deductible since my 1st injury/surgery was in December and new year meant new deductible.)
Torco1
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Torco1 10/19/2012 1:15pm
10/19/2012 1:15pm
Is an ankle replacement out of the question for you guys? Or what about those cadaver ankles they just started doing? I too am in need of a fusion on my left ankle but the surgeon told me I should wait as long as I can before having it done. I had a hip replacement about 10 years ago at the age of 27 and that has been holding up great so far with riding and everything. I know ankle replacements haven't been around as long as hip replacements and there is a lot less bone to work with, but with all the advancements in technology I'm sure something with come along soon........hopefully anyway.
Chris197
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Chris197 10/19/2012 4:36pm
10/19/2012 4:36pm
Torco1 wrote:
Is an ankle replacement out of the question for you guys? Or what about those cadaver ankles they just started doing? I too am in need...
Is an ankle replacement out of the question for you guys? Or what about those cadaver ankles they just started doing? I too am in need of a fusion on my left ankle but the surgeon told me I should wait as long as I can before having it done. I had a hip replacement about 10 years ago at the age of 27 and that has been holding up great so far with riding and everything. I know ankle replacements haven't been around as long as hip replacements and there is a lot less bone to work with, but with all the advancements in technology I'm sure something with come along soon........hopefully anyway.
My surgeon advised against a replacement as he said it doesn't suit people who want to be active. Apparently it can wear out quickly whereas a fusion is pretty solid and the only downside is a lack of motion, which you get used to very quickly anyway. I was lucky enough to have a surgeon who wanted to get me back riding and active, rather than the majority who are so negative about motorcycles.

One last question dvfan12- Is your left leg muscle wasted away? Did you find anyway of building it back up. It is hard to build calf muscle without an ankle. I just want to get as strong as possible before I start riding again. My bad leg is about half the size.

When I do start riding it will be much the same as you-no racing, just track days etc. I can imagine my confidence will have taken a big hit.

Thanks
dvfan12
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dvfan12 10/19/2012 7:26pm
10/19/2012 7:26pm
Torco1 wrote:
Is an ankle replacement out of the question for you guys? Or what about those cadaver ankles they just started doing? I too am in need...
Is an ankle replacement out of the question for you guys? Or what about those cadaver ankles they just started doing? I too am in need of a fusion on my left ankle but the surgeon told me I should wait as long as I can before having it done. I had a hip replacement about 10 years ago at the age of 27 and that has been holding up great so far with riding and everything. I know ankle replacements haven't been around as long as hip replacements and there is a lot less bone to work with, but with all the advancements in technology I'm sure something with come along soon........hopefully anyway.
Chris197 wrote:
My surgeon advised against a replacement as he said it doesn't suit people who want to be active. Apparently it can wear out quickly whereas a...
My surgeon advised against a replacement as he said it doesn't suit people who want to be active. Apparently it can wear out quickly whereas a fusion is pretty solid and the only downside is a lack of motion, which you get used to very quickly anyway. I was lucky enough to have a surgeon who wanted to get me back riding and active, rather than the majority who are so negative about motorcycles.

One last question dvfan12- Is your left leg muscle wasted away? Did you find anyway of building it back up. It is hard to build calf muscle without an ankle. I just want to get as strong as possible before I start riding again. My bad leg is about half the size.

When I do start riding it will be much the same as you-no racing, just track days etc. I can imagine my confidence will have taken a big hit.

Thanks
Chris197: I lost muscle tone in the front of my leg -- that muscle that sits along your tibia. i think it's called the Tibialis anterior. you'll notice it protrude out when you lift your ankle up and down. but i was in a cast, couple of operations and crutches for over an 8 mo period trying to avoid the final fusion surgery. so i had atrophied quite a bit. but i pretty much got everything back (including the calf muscle) mostly from cycling and it doesn't look that different from the other leg aside from that front muscle i mentioned. it's a little flatter there on my lower leg where it s/b rounder/protruding more. i guess it's really impossible for me to work it out at this point due to the lack of up/down movement now but it doesn't bother me (meaning i'm not self conscience of it.) the multiple surgery scars are very obvious though.

btw, it hasn't affected my cycling at all (once i got that leg back in shape.) I shimmed my fused ankle shoe a few mil's and that's about it. jogging is out of the question though, for me. it'd be really sore afterwards and i look pretty funny trying to run normally.

bottom line is our bodies are amazing at adapting and recovering.
Chris197
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Chris197 10/20/2012 12:45am
10/20/2012 12:45am
Torco1 wrote:
Is an ankle replacement out of the question for you guys? Or what about those cadaver ankles they just started doing? I too am in need...
Is an ankle replacement out of the question for you guys? Or what about those cadaver ankles they just started doing? I too am in need of a fusion on my left ankle but the surgeon told me I should wait as long as I can before having it done. I had a hip replacement about 10 years ago at the age of 27 and that has been holding up great so far with riding and everything. I know ankle replacements haven't been around as long as hip replacements and there is a lot less bone to work with, but with all the advancements in technology I'm sure something with come along soon........hopefully anyway.
Chris197 wrote:
My surgeon advised against a replacement as he said it doesn't suit people who want to be active. Apparently it can wear out quickly whereas a...
My surgeon advised against a replacement as he said it doesn't suit people who want to be active. Apparently it can wear out quickly whereas a fusion is pretty solid and the only downside is a lack of motion, which you get used to very quickly anyway. I was lucky enough to have a surgeon who wanted to get me back riding and active, rather than the majority who are so negative about motorcycles.

One last question dvfan12- Is your left leg muscle wasted away? Did you find anyway of building it back up. It is hard to build calf muscle without an ankle. I just want to get as strong as possible before I start riding again. My bad leg is about half the size.

When I do start riding it will be much the same as you-no racing, just track days etc. I can imagine my confidence will have taken a big hit.

Thanks
dvfan12 wrote:
Chris197: I lost muscle tone in the front of my leg -- that muscle that sits along your tibia. i think it's called the Tibialis anterior...
Chris197: I lost muscle tone in the front of my leg -- that muscle that sits along your tibia. i think it's called the Tibialis anterior. you'll notice it protrude out when you lift your ankle up and down. but i was in a cast, couple of operations and crutches for over an 8 mo period trying to avoid the final fusion surgery. so i had atrophied quite a bit. but i pretty much got everything back (including the calf muscle) mostly from cycling and it doesn't look that different from the other leg aside from that front muscle i mentioned. it's a little flatter there on my lower leg where it s/b rounder/protruding more. i guess it's really impossible for me to work it out at this point due to the lack of up/down movement now but it doesn't bother me (meaning i'm not self conscience of it.) the multiple surgery scars are very obvious though.

btw, it hasn't affected my cycling at all (once i got that leg back in shape.) I shimmed my fused ankle shoe a few mil's and that's about it. jogging is out of the question though, for me. it'd be really sore afterwards and i look pretty funny trying to run normally.

bottom line is our bodies are amazing at adapting and recovering.
I was also in cast for 8 months. It's nice to know someone else has been through the same thing and still able to ride.
Thanks for sharing. Hopefully be back riding in 3 months after I work on some more strength.
kbremer
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kbremer 1/8/2014 2:32pm
1/8/2014 2:32pm
I had mine fused 7 weeks ago. I was up and around on crutches right away. I was walking again in a boot in 3 weeks and now I am out of the boot and walking almost normally with very little pain. I had it done by Art Ting in Fremont Ca, he does a lot of MX riders. He put in 6 screws ( no plates or rods) and he did it arthroscopically which is why my recovery has been so quick. I only had 6 small incisions where the scope and screws were inserted. He expects that I will not have any limitations and will be riding again in another 4 - 6 weeks. It is already a huge improvement over the pain I was dealing with for so long. I do have mobility in my lower foot so it is not stuck in a totally fixed position.
Chris197
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Chris197 1/9/2014 4:27am
1/9/2014 4:27am
kbremer wrote:
I had mine fused 7 weeks ago. I was up and around on crutches right away. I was walking again in a boot in 3 weeks...
I had mine fused 7 weeks ago. I was up and around on crutches right away. I was walking again in a boot in 3 weeks and now I am out of the boot and walking almost normally with very little pain. I had it done by Art Ting in Fremont Ca, he does a lot of MX riders. He put in 6 screws ( no plates or rods) and he did it arthroscopically which is why my recovery has been so quick. I only had 6 small incisions where the scope and screws were inserted. He expects that I will not have any limitations and will be riding again in another 4 - 6 weeks. It is already a huge improvement over the pain I was dealing with for so long. I do have mobility in my lower foot so it is not stuck in a totally fixed position.
Sounds like a very fast recovery. My subtalor joint was fused too hence the rod. Hope it all heals well for you. Make sure it's fused properly before riding
mtb4life
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mtb4life 6/27/2016 12:17am
6/27/2016 12:17am
In99 I shattered both ankles coming up short Dr said worst case he ever saw. Three Surgeries external fixator wheel chair for a year. Got way into cycling. Said I would never race Moto x again but itchen bad Worried bout coming up short again Are the ankles actually stronger with all that metal in there ? I have metal in both but ones fused Anybody actually race after fusion?!! Help 50 year old still chasin the dream

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Bineano
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Bineano 6/27/2016 5:48pm
6/27/2016 5:48pm
Chris 197...I had a sub-talar fusion 4 1/2 years ago (left/shifting side) and have no issues with riding EXCEPT blown shifts here and there. It's not the up and down that gives me grief, rather the "pulling in" of the left foot to grab the shifter.
I'm thinking the fused right side may be easier to deal with? I dunno...
Anyway, to shift I need to kinda wiggle my butt off to the left and get my foot under the lever. It's a goon shift, but wtf, it's riding!
As for actually riding, I have no issues, and haven't had any issues with dabbing feet in corners or coming up short YET! Knock on wood..

My fused side leg is considerably smaller in size to my "good" side (which is getting a total replacement within 2 years).
It's been impossible for me to regain muscle that doesn't get used anymore. I envy the fellow that got his calf back!

Running is totally out of the picture for me, not going to happen. My Wife and I used to run a lot together, so it was a huge goal to return to running again. My Surgeon said early on that I would never run again, and I told him I would so!
He was right, shit :-(
Riding MX is fine though, buy good boots and use good judgement! Save the teenager moves for the teenagers :-)
Anders
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Anders 6/14/2017 12:19pm
6/14/2017 12:19pm
If anyone is still reading this thread, please let me know who you would recommend for ankle fusion. We live in Texas, but will travel anywhere for the best. My husband has seen the specialists near us, but we know how important it is to have the best doctors, so we are looking for the best. It's been 3 years since he broke his tib/fib, he's in a lot of pain and needs to move ahead with fusion.

Please and thank you!
Tracktor
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Tracktor 6/14/2017 12:40pm
6/14/2017 12:40pm
I Pilon fractured my right ankle in 2004. I need both an ankle joint and knee joint but have been trying to buy time. Since my ankle is basically ruined the doc said try cortisone shots every three months or so. It has been an absolute life saver! So far I have bought myself 1 1/2 years of almost ankle pain free time. If anything I am finding I have been able to go longer before needing another. I know it isn't helping the joint but it's destroyed either way so any time is good..............
moscrop940
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moscrop940 6/14/2017 4:37pm
6/14/2017 4:37pm
Anders wrote:
If anyone is still reading this thread, please let me know who you would recommend for ankle fusion. We live in Texas, but will travel anywhere...
If anyone is still reading this thread, please let me know who you would recommend for ankle fusion. We live in Texas, but will travel anywhere for the best. My husband has seen the specialists near us, but we know how important it is to have the best doctors, so we are looking for the best. It's been 3 years since he broke his tib/fib, he's in a lot of pain and needs to move ahead with fusion.

Please and thank you!
Anders.

I've already posted several times, but here it is again.

Years of not being able to walk, decided to get it fixed . BEST DECISION I HAVE EVER MADE.

Dr. Tanler Volkmann at the Foot and Ankle Institute Valencia, CA literally gave me my life back

If you are interested, read the below link that will tell you everything you need to know about what Volkmann did for me, and what he will do for you

http://www.footankleinstitute.com/blog/ryans-story/

If you want more info, let me know, I'll drop you a PM with my info
Anders
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Anders 6/15/2017 8:52am
6/15/2017 8:52am
Thank you, moscrop940!

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