Fused ankle?

Edited Date/Time 9/3/2022 6:03am
Any of you guys ride with one? I shattered both my ankles and broke my pelvis socket Saturday at GH. Pretty stupid crash but it happened. Had surgery on my right ankle and pelvis socket already. Waiting on the left one because swelling is so bad. Doc said only way to fix it is throw a rod in a fuse it. Probably not the correct terminology but you get the picture. Just wanted to see how you guys go with a fused ankle? Noticeably different? Thanks!
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8/26/2022 11:20am
Maybe get a second opinion before you do anything.
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Not-a-Fan
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8/26/2022 11:26am
That sounds like a wicked hit dude. Anyways I'm with dirtydeeds i wouldn't do anything just yet. We've all heard the stories of "this is the only way" and its not always the case. Better to find out beforehand imo.
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NicNak
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8/26/2022 11:39am
I broke my right ankle really bad in early 2020. got a fixator for a week then another surgery for some plates & screws in there & was back on a bike in 13.5 weeks. By thanksgiving 2020 my ankle went from getting better (was improving until about then) to significantly worse. weakened, started swelling again & was painful. I had developed necrosis & was suggested to get it fused. I was soaking my ankle in buckets of ice water every night for months. I tried to postpone it through the season but eventually i got it fused July 2021.

I was riding 5 months post fusion (not without a little pain & soreness). It got better & better & keeps improving! It's been just over a year. It does not bother me when I ride, once i put a boot on it's hardly noticeable, if even at all. It's also on my brake side so not sure if someone else has experience with the shifter side. For riding it's more than than fine, which i'm super grateful for. However, I used to run a lot (competitively too) & have not been able to run since. I cycle more. I still squat but need to put something under my heel (usually a weight or something the same thickness) to adjust for the ankle not being able to move. It was a process to learn how to walk without the ankle bending. It's a major adjustment. Not for the weak hearted if you want to recover well. I would say it's a lot stronger now & does not hurt like it did before. There are also multiple ways to fuse it. so curious if it would limit side to side movement or up & down movement. Could be a factor in your decision.

I would suggest attempting to get it fixed with rods & screws & hope you don't get necrosis. If you need to get it fused later you always can, however if you get it fused now then there is not going back. I'm also not a doctor, just my experience.
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NicNak
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8/26/2022 11:39am
where & how did you crash at GH to do that? sounds brutal.
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The Shop

8/26/2022 11:45am
NicNak wrote:
where & how did you crash at GH to do that? sounds brutal.
Wish I could tell you. I was wondering the same haha
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JMR1976
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8/26/2022 1:27pm
Had mine fused last October Im racing a MTB enduro race tomorrow. I still wear a custom brace to work or ride my bike. Worst part is it’s really hard to climb steep hills when walking.
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8/26/2022 1:42pm
I broke my talus in half on father's day 2002. "What would you like to do for Father's Day?" they asked...

I have screws in the bone but the ankle is not fused. It's still swollen (compared to the other ankle), it hurts and I still have limited range of motion anyway so I always wondered it it would have been better to just fuse it. I've ridden, raced and run since but running sketches me out now so cycling or lower impact cardio machines at the gym are a better option.

Good luck clarkgray432. It will take you 20 years to get those calf muscles back Smile
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Fog 25
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8/26/2022 1:57pm
Do yourself a favor get second opinion from Dr Little. He was able to put my leg and ankle back together back in 2016. He’s the doctor that did Tiger Woods leg also.
Clinical OfficeMark Goodson Building444 S. San Vicente Blvd.Suite 603Los Angeles, CA 90048Phone: 310.423.4566Fax: 310.423.9478
Clinical Office

Mark Goodson Building

444 S. San Vicente Blvd.

Suite 603

Los Angeles, CA 90048

Phone: 310.423.4566

Fax: 310.423.9478

Milton Little, MD

Milton Little, MD is a member of the Orthopaedic Trauma Service at Cedars Sinai Medical Center specializing in pelvis, acetabulum, peri-articular fractures in addition to non-union fracture fixation. He has published extensively in peer-reviewed journals including Journal of Orthopaedic Trauma, Journal of Bone and Joint Surgery and the Bone and Joint Journal (formerly JBJS Br) to name a few. He has published on numerous topics including ankle fractures, proximal humerus fractures, tibial plateau fractures and pelvic-acetabular fractures.

Dr. Little has completed his undergraduate degree at Stanford University. He graduated with honors from the University of Michigan Medical School in Ann Arbor, Michigan. After completing an Orthopaedic Residency at the Hospital for Special Surgery in New York City, he finalized his training with an Orthopaedic Trauma Fellowship at Harborview Medical Center-University of Washington.
Specialty: Orthopedics
Subspecialty: Trauma
Arthroplasty
Reconstruction
Education: Undergraduate: Stanford University, 2003
Medical School: University of Michigan Medical School, 2008
Residency: Hospital for Special Surgery, 2013
Fellowship: Harborview Medical Center, 2014
Click here to explore a list of publications by Dr. Milton Little
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8/26/2022 2:11pm
Fog 25 wrote:
Do yourself a favor get second opinion from Dr Little. He was able to put my leg and ankle back together back in 2016. He’s the...
Do yourself a favor get second opinion from Dr Little. He was able to put my leg and ankle back together back in 2016. He’s the doctor that did Tiger Woods leg also.
Clinical OfficeMark Goodson Building444 S. San Vicente Blvd.Suite 603Los Angeles, CA 90048Phone: 310.423.4566Fax: 310.423.9478
Clinical Office

Mark Goodson Building

444 S. San Vicente Blvd.

Suite 603

Los Angeles, CA 90048

Phone: 310.423.4566

Fax: 310.423.9478

Milton Little, MD

Milton Little, MD is a member of the Orthopaedic Trauma Service at Cedars Sinai Medical Center specializing in pelvis, acetabulum, peri-articular fractures in addition to non-union fracture fixation. He has published extensively in peer-reviewed journals including Journal of Orthopaedic Trauma, Journal of Bone and Joint Surgery and the Bone and Joint Journal (formerly JBJS Br) to name a few. He has published on numerous topics including ankle fractures, proximal humerus fractures, tibial plateau fractures and pelvic-acetabular fractures.

Dr. Little has completed his undergraduate degree at Stanford University. He graduated with honors from the University of Michigan Medical School in Ann Arbor, Michigan. After completing an Orthopaedic Residency at the Hospital for Special Surgery in New York City, he finalized his training with an Orthopaedic Trauma Fellowship at Harborview Medical Center-University of Washington.
Specialty: Orthopedics
Subspecialty: Trauma
Arthroplasty
Reconstruction
Education: Undergraduate: Stanford University, 2003
Medical School: University of Michigan Medical School, 2008
Residency: Hospital for Special Surgery, 2013
Fellowship: Harborview Medical Center, 2014
Click here to explore a list of publications by Dr. Milton Little
My X rays look the same. Appreciate that info man!
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NSP139
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8/26/2022 6:57pm
I shattered my right ankle tibfib Telus with what they call a pilon fracture at Barona 2001 .before they put me under for the emergency surgery they told me I had four options amputation, Fusion ,external fixation or screws and plates I told them don't cut anything off do the screw and plates I'll fix it later. I started riding 2 years later but it was brutal couldn't walk for 4 days after! So I hung up the boots too support my kid who is actually faster with me anyways LOL! About the 10-year Mark after the surgery I decided to get it fused all the pain went away it was amazing !! I've been mountain biking for about 5 years just got back into Moto about it a year ago now I have a screw coming out from the fusion but that is the only pain I have! taken that out soon hopefully but all is good! Rear brake is a little weird but you will learn at least I'm hoping I will LOL but definitely get a second opinion!!!
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NSP139
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8/26/2022 7:05pm Edited Date/Time 8/26/2022 7:06pm
Dr Alexander did mine from the alpinestars medical crew he's up in Murrieta!
SKIDLID
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8/26/2022 7:08pm
Broke mine in 2006 . Like others I first had an external fixator till another doctor could try to put it together. Dr told my wife if he can’t fix it amputation will occur. He put 25 pieces together. I didn’t have it fused. I have pain but I can run and play hockey. Maybe fuse would cure my pain but I am trying to put it off as long as possible . My Dr was Chris Coetzee in Mn. A word famous ankle expert.

Mossy940
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La Quinta, CA, USA
8/26/2022 8:01pm
You get use to riding in 3/4 gear.

Had a fusion on the left leg/ankle 6 years ago, doesn’t bother me nearly as much as I thought it would.

The only thing that bothers me is when I get a cramp in my foot…you literally have the pop off your shoe and rub the cramp out which can suck at times.

But getting a second opinion is a necessity, if for no other reason that the surgery is pretty gnarly and there is some serious down/recovery time. It’s worth it, but only if it’s necessary…..It was for me anyways.

Best of luck my dude
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dvfan12
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8/26/2022 8:06pm
Lots of good info / testimony here. i had my left ankle fused over 15 years ago. yes, you can still shift by using / lifting up on your lower leg. you adapt. and it's a small handicap if any while riding. however running (normally) is difficult though. like someone mentioned above, every injury is different, your healing process and the fusion protocol your surgeon employs. and there's also ankle replacement option.
motomike894
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8/26/2022 8:54pm
I shattered my navicular bone in foot and my foot dislocated had external pins and screws for like 4 months until they were taken out and was non weight bearing that whole time, I lost probably 20% of my movement in it from the accident it’s slightly disformed compared to other foot and if I stand a lot or walk alot I’m screwed for days after that it hurts.

I’ve just lived with it since 2002 but doctor said they could fuse my foot long time ago and it would most likely elimate all pain but I’d lose even more movement, so I’ve never done it, but sometimes wonder if I should look into it again and how much better it might make my life at times when that things hurting so bad I can’t even walk sometimes, then half the time or more I get around just fine with wearing good shoes or boots.

But has anyone here had there actual foot fused not ankle ? I’d like to hear some about that if so
SKIDLID
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8/27/2022 2:57am
I shattered my navicular bone in foot and my foot dislocated had external pins and screws for like 4 months until they were taken out and...
I shattered my navicular bone in foot and my foot dislocated had external pins and screws for like 4 months until they were taken out and was non weight bearing that whole time, I lost probably 20% of my movement in it from the accident it’s slightly disformed compared to other foot and if I stand a lot or walk alot I’m screwed for days after that it hurts.

I’ve just lived with it since 2002 but doctor said they could fuse my foot long time ago and it would most likely elimate all pain but I’d lose even more movement, so I’ve never done it, but sometimes wonder if I should look into it again and how much better it might make my life at times when that things hurting so bad I can’t even walk sometimes, then half the time or more I get around just fine with wearing good shoes or boots.

But has anyone here had there actual foot fused not ankle ? I’d like to hear some about that if so
Not sure if this is similar but I had a lisfranc fracture of the 1st metatarsal and have that fused. I don't notice any of that too much.
Jeff alessi
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Victorville, CA, USA
8/27/2022 5:16am
SKIDLID wrote:
Broke mine in 2006 . Like others I first had an external fixator till another doctor could try to put it together. Dr told my wife...
Broke mine in 2006 . Like others I first had an external fixator till another doctor could try to put it together. Dr told my wife if he can’t fix it amputation will occur. He put 25 pieces together. I didn’t have it fused. I have pain but I can run and play hockey. Maybe fuse would cure my pain but I am trying to put it off as long as possible . My Dr was Chris Coetzee in Mn. A word famous ankle expert.

(To the op get a second opinion however if your joint is already starting to create a pocket just get a fusion)

To the guy who posted this X-ray, I’ve seen a lot of different injury’s to the feet, Your going to absolutely need a fusion at some point! Your subtailor joint is one hard landing away from completely collapsing like mine did. Fusion was the best thing I ever had done when my foot started looking like yours did in that picture but yours is actually a bit worse. And mine was the worst I’ve ever seen. Mine collapsed after a hard landing and was done. Be easy on it and get as much time out as u can, once it goes it’s 8 months healing. Crazy to see an X-ray that looked just like mine.
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yzken250x
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Goodyear, AZ, USA
8/27/2022 9:13am




Right Ankle was fused in 2000 and I had no problem at all riding again. After 20 years of it being fused it started giving me some pain. Went and saw a specialist who talked me into having it replaced. Worst decision ever. More pain now and I can’t ride or even run. Going to give it a little more time and then decide if I’m going to go back to a fusion.
SKIDLID
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8/27/2022 9:42am
SKIDLID wrote:
Broke mine in 2006 . Like others I first had an external fixator till another doctor could try to put it together. Dr told my wife...
Broke mine in 2006 . Like others I first had an external fixator till another doctor could try to put it together. Dr told my wife if he can’t fix it amputation will occur. He put 25 pieces together. I didn’t have it fused. I have pain but I can run and play hockey. Maybe fuse would cure my pain but I am trying to put it off as long as possible . My Dr was Chris Coetzee in Mn. A word famous ankle expert.

(To the op get a second opinion however if your joint is already starting to create a pocket just get a fusion) To the guy who...
(To the op get a second opinion however if your joint is already starting to create a pocket just get a fusion)

To the guy who posted this X-ray, I’ve seen a lot of different injury’s to the feet, Your going to absolutely need a fusion at some point! Your subtailor joint is one hard landing away from completely collapsing like mine did. Fusion was the best thing I ever had done when my foot started looking like yours did in that picture but yours is actually a bit worse. And mine was the worst I’ve ever seen. Mine collapsed after a hard landing and was done. Be easy on it and get as much time out as u can, once it goes it’s 8 months healing. Crazy to see an X-ray that looked just like mine.
Jeff, if you are talking about my xray pic, I have 16 years on it currently
brocster
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8/27/2022 9:57am
Another here for pilon fracture, left leg, 4 plates 18 screws in 2017. 95% range of motion and can jog/run. It swells up on a long day on it but other than that I am good for the most part.

Was scared as hell at first. Was told by dr. Plates and screws, you’ll never be normal and always have the possibility of fusion and possible amputation. I’m doing pretty good, doesn’t hold me back from much of anything that I used to do. Skateboarding, wakeboarding and surfing is where it has its limitations but hey, I can ride moto, mtb, bmx and snowboard so I’m good.

Good luck and get a second opinion for sure.
8/27/2022 10:34am
I shattered my navicular bone in foot and my foot dislocated had external pins and screws for like 4 months until they were taken out and...
I shattered my navicular bone in foot and my foot dislocated had external pins and screws for like 4 months until they were taken out and was non weight bearing that whole time, I lost probably 20% of my movement in it from the accident it’s slightly disformed compared to other foot and if I stand a lot or walk alot I’m screwed for days after that it hurts.

I’ve just lived with it since 2002 but doctor said they could fuse my foot long time ago and it would most likely elimate all pain but I’d lose even more movement, so I’ve never done it, but sometimes wonder if I should look into it again and how much better it might make my life at times when that things hurting so bad I can’t even walk sometimes, then half the time or more I get around just fine with wearing good shoes or boots.

But has anyone here had there actual foot fused not ankle ? I’d like to hear some about that if so
I broke my foot back in 2000. Crushe my Navicular and other bones. Had it pined back together and rode for another year or 2 before it became too painful to enjoy. Around 2006 I decided to fuse it. That seemed to go well at first. about 6 months past the surgery I was at a local race and it started to feel like it was burning. I thought it was the shoe I was wearing , rubbing on the screw heads. I just dealt with the pain and stopped riding. But it got worse and worse. I had been dropped by my insurance and couldn't get coverage for it. then I finally was able to get coverage and long story short, I found out it was badly infected and I went through another year and a half or so of surgeries in around 2010 ish. Its now been about 11 years since the last surgery and I am pain free, I had lost so much movement from the swelling and scar tissue , and had so much pain that I was way more limited on what I was able to do before the successful fusion. I have not really ridden a dirtbike , but I have rode a MTB a little bit and I'm going to try and make time to do that more. I feel like I could ride again on a dirtbike. Shifting would be harder with the less movement. I lost more side to side movement than up and down. But I did lose some of the up and down too. When they scraped out the infected tissue they took out all of the fat so walking without shoes on was impossibly painful for a longtime and I am now starting to be able to walk on a hard surface barefoot again. But That was the infection. I'm able to run short distances with the right shoes. Highly cushioned running shoes , shoes that have a slight rocker to the sole help. I am so glad I had mine fused and do not have t limit my day because of the pian. At one point I never thought I would ever be pain free again. Idredded the first step of the day, putting my foot on the floor and it being swollen , and painful from the day before. If I was you I would go and talk to the best orthopedic surgeons you can find and ask them what you could expect from getting it fused as far as lost range of motion, etc. May navicular was about 3/4 of it was just chips . I also had a cuboid and other bones that were broken , but the Navicular was the one that had haunted me. After if had not healed . I am able to go out and hike, walk around at the track for hours , spend the day on my feet , all with my fused foot not being any worse than my good foot. I don't know if I just became more able to handle the pain , or if they improved on how they reduce pain from surgery, or if the infection damaged nerves , but the after surgery pain was much less after the 2010 surgeries than the 2000 and 2005 era . I would take a serous look into getting your foot fused! It has given me my life back. I'll look and see if I have the original X rays around . I had a fire in 2003 that I ended up losing almost everything I owned so I do not think those are around. I have the fused xrays when it was infected and the current successfully fused X rays along with a few photos of the process. My surgeon has both his hands inside my foot , one with the bone graft and one showing the plate being attached.
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Bineano
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8/27/2022 11:40pm
Broke both ankles in 2012 (both L and R talus, L calcaneus exploded and R tib) in a MVA, non-Moto.
I had a sub-talar fusion on the left side, and it’s reasonable for riding. I miss shifts now and then… 125s can be an issue, 250s not as bad, and 450s just leave it in 3rd/ 4th gear hehe. I thought riding would be a thing of the past, but not at all.
Not perfect, but quite tolerable.
I tried out a few double hinged boots, and no difference (for me). It was the fused ankle that was the limiter.

10 years later, and I’m facing a total fusion on the R side, as the arthritis is getting to be quite bad. This one has me REALLY scared, as I know what limitations came with a sub-talar fusion. I’m thinking a total fusion is that much more limiting?
Going back to my initial injury, I remember the Doc bringing up the fusion option, and I wasn’t thrilled at all about the idea. In hindsite, it really was the right choice for me!
Same Dr (9 surgeries later!) and he is trying to talk me out of a replacement, and going straight to the total fusion on my right, “good” side.
Again, not thrilled with that plan!
Brake side, not sure how that would even work, but of course everything else like walking, stairs, driving vehicles, etc

All I can say is, ankle injuries kinda suck, and I wish you well in your recovery ;-)
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Renner153
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8/28/2022 5:26am
Add one to the pilon fracture category. did both my feet and right ankle in September 2013. spent 4 months in an external fixator. Took a couple weeks after them getting out before I learned to walk again. Right foot/ankle are fused. Just under a year off the bike. Actually being in a riding boot is the best mine feel. Riding is fine as long as I don’t case it’s over jump really bad. And obviously dragging it in a rut isn’t fun either. The only thing I have noticed is, it’s harder for me to throw my weight around like I used to, and I can’t ride on the balls of my feet now. Learned how to compensate for that. Got a set of the fastway ext pegs to be able to lean my heels onto when going into a rut to keep from dragging my toes. Now everything is good.
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JDirt
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8/28/2022 4:54pm
Gotta love a good crash thread. I imagine if all the riders here donated their Titanium we could fill a junk drawer.
I broke my ankle in feb and it still sucks. Good luck
8/28/2022 6:11pm
JDirt wrote:
Gotta love a good crash thread. I imagine if all the riders here donated their Titanium we could fill a junk drawer. I broke my ankle...
Gotta love a good crash thread. I imagine if all the riders here donated their Titanium we could fill a junk drawer.
I broke my ankle in feb and it still sucks. Good luck
Yah I tried to get the old plate and screws when they swapped it out and they couldn't let me have it because of the infection I had . It was some type of bio hazard or something. I have been able to get other hardware when it came out. and I don't know why they couldn't have just bagged it and stuck a sticker on it. Might have been some type of liability the dr. didn't want. I thought it was strange at the time. But I was also separated and had to have my own room because of the infection. At first they didn't know what it was so it was kinda like on TV with them not allowing people into my room. And then after the figured it out they were still pretty protective . When they put my PICC line in I was in an operating room and they covered everything with plastic drop cloths. The floor , walls , the monitors , and they had full
fresh air suits with tear offs. It was crazy . I thought there was going to be a big mess!. I guess they did all of that so if there was an issue it could have been messy. And add in the MRSA infection they knew I had by then. I think they got rid of before they knew what the infection was or used the hardwear to help figure out what the infection was. It took around 5 days to figure out. They said the hardware was what started the infection so maybe it was just that. The part that was nice was having a private room. They used stainless in my foot because it needed to bend and Ti was more likely to brake. I think the plate I broke was also stainless , but I can't remember for sure. Crazy how much medical knowledge the average motocrosser has if they have been around for a few years.
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davermz450
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8/28/2022 7:12pm
I have a subtalar fusion on my right foot and very small amount of side to side movement on left. I Don’t ride moto anymore, just trail/hard enduro. The fusion didn’t change how I ride technique wise. My feet are 90% back to the way they were prior to the crash, 3 years later. The recovery of ankle surgery is a bitch. Buy some HOKAs and make some lifestyle adjustments. Couple years from now it will be just a bad memory.
shane509
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8/28/2022 7:17pm
Clark,

Send me some x rays or CT Scans if you can. I work with two fellowshipped trained foot and ankle surgeons here in south Mississippi. I would be more than happy to show them and let you talk to them.
I now work for a company that supplies all the nails, plates and screws to fix all our broken bones. I broke my femur (fixed with nail and screws) torn ACL, and proximal tibia fx. Have had two external fixator sad well. Funny how it all comes for circle. Wish a speedy recovery!
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8/31/2022 5:01pm
shane509 wrote:
Clark, Send me some x rays or CT Scans if you can. I work with two fellowshipped trained foot and ankle surgeons here in south Mississippi...
Clark,

Send me some x rays or CT Scans if you can. I work with two fellowshipped trained foot and ankle surgeons here in south Mississippi. I would be more than happy to show them and let you talk to them.
I now work for a company that supplies all the nails, plates and screws to fix all our broken bones. I broke my femur (fixed with nail and screws) torn ACL, and proximal tibia fx. Have had two external fixator sad well. Funny how it all comes for circle. Wish a speedy recovery!
Dam I really wish I would have seen this earlier. Kind of forgot about this thread. Thanks for the nice offer man. When I got out of surgery my doc actually told me it went a lot better than expected and I’ll have about 60% mobility now in my left ankle. Which is actually the mobility I grew up. Was born with severe club feet on both feet and never had full motion in my feet/ankles. So I’m hoping I’ll be right back to normal within a few months here. Hopefully in time to ride this winter! Thanks man 👍🏻
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MX252
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USA
8/31/2022 9:46pm
I wouldn’t do it if you want to use your joint, fusion will reduce your pain but your foot will never move again! Talk to your surgeon and determine the best path for you for your future which includes your life not just racing, I have had the Pilon fracture that has been a test study on how to repair a joint for life not just riding again, I now have a Titanium ankle replacement and my Rom is around 35% I can still rip on a 450 but I cant run my pain is very minimal and my golf game is single digit!! Fusion is last resort and only for pain management reach out if you would like to talk all my surgeries 5 to date are on record, this is the worst injury you can do to yourself quality of life is something you should be making your decisions on not racing.
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