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Ankle / Worried about Pain after Microfracture in ANKLE!!!
« Last post by twells1303 on February 20, 2018, 09:16:13 AM »

I am 3.5 months post op.  I went in for an ankle scope to have a loose body removed and he ended up finding an osteochondral defect and "scraped" it (Microfracture).  I still have achy pain when I go on long walks or try to run.  It is bearable, but stiff when I get up from sitting, and achy throughout the day when I walk on it.  Is this normal?  Does it hint that the microfracture failed?  How long can it take to be virtually pain free.  I know my microfracture was off to the side and not in a major load bearing area.  I was non-load bearing for the first 6 weeks.  Any comfort and hope would be appreciated!
Ankle / OCD Surgery - 10 months
« Last post by Dunkerguy89 on February 14, 2018, 03:26:36 PM »
Hi All,

Quick background - I'm a 24 year old male who twisted my ankle pretty badly playing basketball March 2014. Eventually my foot healed but it never felt 'quite' right after the first year. There was pain in the dorsiflexion motion but could walk/run without a limp + discomfort when playing basketball for too long. My explosiveness on the court seemed to be wading also and that's when I knew something had to give.  Went to an orthopedic xrays, MRI, and ultrasound on my foot...let's just say the damage was somewhat extensive!

Basically I had a completely torn ATFL, a tarsal coalition, bone spurs, and you guessed it..OCD of the talus. Since it had been so long since the injury and we pretty much tried conservative options..doc said he can go in and fix all of it or I can just live with it. The procedure would be part arthroscopic/open. He'd clean the extra debris floating around + shave down the spurs while repairing the torn ligament and filling the hole in my cartilage. He basically poked a bunch of holes in it and let the (low) blood flow start and then put diced up pieces of cadaver tissue in to replace it to hopefully promote healing. I opted for surgery back in March 2017 and wanted to let you guys know where I am at.

Let me start off saying I would consider my surgery a success. The pain that I had pre surgery is completely 100% gone and that was a big concern of mine. I was 8 weeks NWB and went through PT for about 8 weeks. I started playing basketball again 5v5 in July 2017 (4 months post) with the OK from surgeon + therapist. Of course I was a little sore getting back into it but that was expected and every month I had significant improvements.

The only issue now is my dorsiflexion...I'm still somewhat limited there. When I do a knee to wall test, I cant get my knee past my toes...not even close. I stretch my calf for a little bit and work the motion and after about 5 minutes I can successfully go knee to wall with not too much resistance. If I sit down in about 5-10 minutes my ankle will stiffen right back up. I've expressed this to my doctor and for whatever reason he doesn't seem too concerned and just says keep stretching it everyday....sometimes it just takes people longer to get that back. It's just a little discouraging as it feels I'm not making much progress in that area especially being almost a year out.

Other than that I can pretty much run walk climb whatever for as long as I want with (slight) soreness the next day but it isn't enough to cause any limp or stop myself from play if I REALLY wanted to on back to back days.

The only question I have for everyone is how long did it take for dorsiflexion to return? Do you think that is lacking from the OCD repair? Feel free to ask me anything as well because I'm sure I left something out!
Ankle / Re: Diagnosed with OCD
« Last post by gyohannes on January 29, 2018, 10:20:24 AM »
Hello Alan, thanks for your advice. Yes i have the MRI result of my right ankle taken on 11-16-2016. The report reads, 'There is an osteochondral defect of the medial taller dome measuring 15 AP by 8mm TR by 11mm in depth.Subchondral cyst formation and prominent bone marrow edema with sclerosis is noted.' No unstable fragment is identified. I am not sure what all this means but I welcome any help i can get towards understanding the size of the lesion. What is the appropriate procedure for this particular lesion. 11mm in depth seems pretty deep but then i may be wrong. Does this help?
Ankle / Re: Diagnosed with OCD
« Last post by Alan on January 28, 2018, 11:31:57 PM »
Hello Gideon. Glad to see you've successfully posted.

Do you have the MRI of your injury saved on file somewhere? or even the physical copy. Doctors will need to reference this or else they might make you take another MRI.

I recommend starting with that: get your MRI and get it analyzed, specifically, size of your defect, location of defect, and any other relevant details. Once you find these please post them here, as well as bring them to your doctor's visits.

Finally, you may want to research other users' experiences withi doctors on this forum. It's a rare injury so generally we tend to use the same small circle of doctors.
Ankle / Diagnosed with OCD
« Last post by gyohannes on January 28, 2018, 11:25:09 PM »
Hi my name Gideon and i was diagnosed with OCD a little over a year ago. The surgeon recommended surgery but I was writing a PhD dissertation at the time and did not want the surgery to distract me so I put off the surgery until I completed writing the dissertation. I am not yet done but i can't bear the pain anymore.If i get up in the middle of the night to use the john i have to literally drag my feet because i am afraid i will bump into something that will cause pain to my ankle. I am planning to go see several orthopedic surgeons and wondered what i could do in terms of doing my homework to interact intelligibly with the surgeon regarding the OCD in my bone.What are some of the things i should look for and consider in an orthopedic surgeon? How do you assess an OPS (orthopedic surgeon)?I would really appreciate if anyone out there can give me some pointers. Thanks in advance!
Ankle / Re: De Novo Graft and Dr. Baravarian
« Last post by Alan on January 23, 2018, 12:13:23 AM »
Hey Tiziana, I emailed kingtywin and asked if he'd come back and share his experience, as he's the only one here who seems to have had experience with Dr Baravarian.

Also it helps if you be as detailed as possible. What is the exact size of your defect, what other procedures besides Denovo, etc.

welcome to the forum.
Ankle / De Novo Graft and Dr. Baravarian
« Last post by tizib03 on January 19, 2018, 04:16:47 AM »
Hello There,
I am new here. My name is Tiziana and after several years of dealing with a large OCD of the Talus conservatively, I have decided to explore surgical options. I have just consulted with Dr. Baravarian in LA and he is proposing a De Novo graft and other procedures to also repair a tendon. My defect is considered very large. I am looking for people who have had experience with this particular surgeon and this procedure. Thank you in advance.
Ankle / Re: Response Bias?
« Last post by MoeH on January 18, 2018, 11:11:40 AM »
I agree. I find this forum extremely helpful. And thank you for the participation stats. They provide a much better idea than my attempt at conjecture.
Ankle / Re: Response Bias?
« Last post by Alan on January 18, 2018, 01:15:59 AM »
This forum only has several hundred members with only 10% of them contributing to discussions so the sample size is nowhere near big enough to draw any conclusions.

The contributions here are really sporadic and that's fine. People come when they need help or are in pain. If they aren't in pain , then they frankly don't need the help. So yea I'd agree that most who "recover" from their OCDs just move on with their life. Hell I even go weeks without contributing anything sometimes because I get busy.

That said I still think the anecdotes are helpful. We have more stories about surgeries and recoveries than any one doctor can provide you.
Ankle / Re: Response Bias?
« Last post by MoeH on January 18, 2018, 12:34:31 AM »
In other words, most of us responding in this forum, are those who continue to have challanges.
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