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A couple of days ago, someone posted about having their ankles fused

and they could wear regular shoes again and no AFOs. Just curious

about pros and cons of this procedure. I would like feed-back on this

subject, because until now had not heard of this.

Thanks,

Connie,

Pburg, OH

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Hi Connie, I guess that was me. I must start out by telling you that

I did not have the surgery just to not wear AFOs. For over 25 years

I wore metal upright braces. In 1987 my left ankle was so worn away

with Charcot Ankle that I was walking with my ankle twisted. Causing

me to fall a lot and lots of pain. The Doctor fused it with two large

screws.This involved 6 weeks of cast with limited weight bearing. And

4 months of therapy to get the strength back. In 1998 My right ankle

was also wearing away. A new procedure involved inserting a 10 inch

rod through the bottom of my foot, and attach it to the bone with 8

screws. And extremly painful post surgery. I was on pain pills for

about 6 weeks after. This time there was NO Weight bearing for 3

months.My husband made our home a bit more accessible, because I was

in a wheelchair all this time. Please understand this is a very

difficult surgery to go through. I needed to do range of motion

excercise twice a day to keep my muscles from going to mush. Because

my ankles were fused I no longer needed the braces. I can wear

regular shoes,that have low heels.(high heels and I would fall on my

face) For the first time in her then 21 years, I went shoe shopping

with my daughter.

I need to caution anyone who is contiplating this surgery. It is a

long and hard recovery period. It is very painful. I can't bend my

ankles at all. The other day I fell down,I did not hurt myself but I

could not get up. I had to scoot all the way down the hallway about

35ft to the garage steps. Then I could get up. I still can't walk far

so the wheelchair is still part of my life. I do walk better though.

Would I have this surgery again, You bet I would. But, this was a

LAST RESORT. If I didn't have this surgery, I faced never walking

again. My doctor has done this surgery before, and I checked him out

beforehand. PLEASE, don't think this is a surgery to just get rid of

AFO's. I apologise for the long post. If anyone has anymore

questions, you can post them here, or feel free to e-mail me at

murkam1@... I will be happy to help. I hope this helped.

Martha

> A couple of days ago, someone posted about having their ankles fused

> and they could wear regular shoes again and no AFOs. Just curious

> about pros and cons of this procedure. I would like feed-back on

this

> subject, because until now had not heard of this.

>

> Thanks,

> Connie,

> Pburg, OH

>

>

>

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Connie I had a triple arthodesis on my right foot, I have to say it

was agony 25 years ago and it is agony now I am only greatful that I

did'nt have the left foot done or I would be a complete cripple, the

surgery was performed in Australia and I do beleive that they have

improved on the procedure alot since then. It was the one of the most

regretful things I have ever done, I did not know I had CMT when the

surgery was performed.

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If you have your ankles fused, you do not need AFOs because your ankles will

not be able to move and you will not have footdrop. However you'll have no

more plantarflexion and this will stress your kness and your quadriceps

muscles, that may undergo overwork weakness. Gait too will be abnormal, as

if you were in a plaster cast.

I never recommend an ankle fusion unless there is severe and painful ankle

arthritis that does not improve with a drastic weight reduction.

Paolo Vinci

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Connie,

A lady in the Greenville support group, about my age

(early 50's) had the procedure 15-20 years ago. she

had hoped to get out of her AFOs, it really didn't

work. She still needs AFOs but says she would

probably be using a wheelchair full time if it were

not for the fusion. Personally I think this is a last

ditch thing and I'll put up with the hardware before

I'm cut on again. Another in the group has had a

fusion and got along fairly well (same age).

Hang in there!

Buckeye Jim Nash

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