Foot dislocation (Lisfranc Displacement)

Discussion in 'Face Plant' started by blaster11, Sep 29, 2012.

  1. blaster11

    blaster11 Some days.....

    Joined:
    May 7, 2008
    Oddometer:
    7,221
    Location:
    Southern Maryland
    So since I scheduled the surgery this time It allowed me to better prepare the spaces where I would be spending all my time.
    Here are some of the things I did in preparation;
    - Declutter the room, anything which could hamper your movement most likely will.
    - We upgraded pillows last year during the event so I am pretty happy with them, got them through Marriot. http://www.pacificpillows.com/mapi.html?utm_source=bing&utm_medium=cpc&utm_campaign=%28roi%29+marriott+hotel&utm_content=marriott+pillow&utm_term=Marriott%20Pillows&utm_creative=e
    - I was always looking for a place to put stuff like my laptop, magazines, drinks, snacks, medications, telephone, etc. so this year I found a medical style table which rolls under the bed but has an adjustable top. It is adjustable for height and also angle for reading. I didn't see the need for the most expensive one and the one I got seems to work really well, I paid less than $70.00 for mine shipped. http://www.health-mobility.com/cgi-bin/category/Side_Overbed_Bed_Table
    [​IMG]
    - I had a small refrigerator like you would see in a dorm room out in the garage so I brought it in and filled it with water, sodas, and my ice packs. That is really nice so I am not always asking Dorito for ice or something cold to drink. I just put my bedside table back on top of that for additional storage.
    - We have a ceiling fan with remote and that is extremely handy when I am having hot or cold bouts due to the mediciation, seriously think about a fan to help moderate temperature.
    - Knee scooter, crutches, or whatever you need to get around need to be handy and available for use alone. Dorito picked me up a knee scooter, which is steerable, during the first episode. Luckily for me I kept it around not knowing I would need it again. A steerable knee scooter changed my life so don't underestimate it, I actually went grocery shopping with it last time it worked so well. Needed to give her a break.
    [​IMG]
  2. blaster11

    blaster11 Some days.....

    Joined:
    May 7, 2008
    Oddometer:
    7,221
    Location:
    Southern Maryland
    take your question somewhere else. So on the previous episode due to a minor infection I came out of the post surgery wrapping about a week earlier. Well this time it looked like I was going to have to go the distance to where they pulled the stitches, about 12 days. Well since the swelling has gone down the dressing doesn't fit very well causing some uncomfortable hot spots and things aren't staying in the alignment that Dr. Schon would like based on a discussion prior to surgery. So the plan was simple, recruit Dorito and we remove the bandages down to the stitches, rewrap and put on my walking boot, NO walking is planned until the green light is given by Doc man. Well she will have no part of this plan which is odd since she is the first one to rip the bandages off and tell me we don't need no stinkin' doctor to remove stitches. So, I make several failed attempts when I finally decide to call the big dog and plead my case. My case was plead successfully and although she will now at least support the effort I cant get her to take the coverings which cover the actual stitches off. So today I won a rather large battle, I didn't get all that I wanted.
    So here is what it looked like all wrapped up from surgery.
    [​IMG]
    Little piggies all tucked away
    [​IMG]
    What a pain to get all this crap cut off
    [​IMG]
    [​IMG]
    [​IMG]
    And there it is ahhhhhhh!
    [​IMG]
    Just look at the amount of packaging in there
    [​IMG]
    Toes seem to be still alive but definitely need a little cleanup. :lol3
    [​IMG]

    Sorry no gore today or X-rays but next week.....:evil
  3. blaster11

    blaster11 Some days.....

    Joined:
    May 7, 2008
    Oddometer:
    7,221
    Location:
    Southern Maryland
    Well today I got Dorito to take off the bandages down to the tape over the stitches. Now I can get a better idea of what went on, not that I know anything.
    A little dirty but nothing that won't wash off.
    [​IMG]

    As you can see there is a lot going on; All of the main top stuff should be for the install of the screws and and other work needed for the Metatarsal fusion piece (3); the smaller incisions back closer to the ankle should have been to "clean the junk out of the ankle";.
    [​IMG]
    [​IMG]

    This one is on the right side directly over the ankle bone as best I can tell, this is where they had to do the ligament repair. Pretty sizable incision...
    [​IMG]

    Just above the ankle incision where I think they scoped the ankle.
    [​IMG]


    It looks way better than it did after the first surgery a bit over a year ago....:puke2
    [​IMG]
  4. Dorito

    Dorito Dreamer and Doer

    Joined:
    Jul 31, 2010
    Oddometer:
    5,673
    Location:
    Maryland
    It's a bit depressing in the pharamacy these days, and clearly a few bad apples can ruin the bunch.

    They changed up Blaster's pain meds during the second day check. This meant that used more than the initial dosing. Doc office was more than happy to give a new script, but new laws prevent call-in refills for narcotics. :huh

    Fine. They USPS mailed the script.

    Now I have the script. Our "normal" CVS pharmacy was out of the them. Pharmacy #2 (Walgreens) which is litterally right next door, won't fill narcotic prescriptions without first verifying with the doctor (and that won't happen until next business day-Monday). Pharmacy #3 the next CVS has banker hours, and is closed.

    Finally, got the damn script filled at Safeway, but only becuase once upon a time we filled script there too.
  5. joints4sale

    joints4sale No. Not "That Kind".

    Joined:
    Jun 27, 2010
    Oddometer:
    3,154
    Location:
    Southern Maryland ---> Front Range, CO
    Next time you need help with narcotics, you know who to call.
  6. blaster11

    blaster11 Some days.....

    Joined:
    May 7, 2008
    Oddometer:
    7,221
    Location:
    Southern Maryland
  7. blaster11

    blaster11 Some days.....

    Joined:
    May 7, 2008
    Oddometer:
    7,221
    Location:
    Southern Maryland
    Going in for my first meeting post operation tomorrow, it will be interesting to hear how it went and how much trash was in the ankle. If he shoots X-rays I will try to get a digital copy so you can see what it looks like. :huh
  8. blaster11

    blaster11 Some days.....

    Joined:
    May 7, 2008
    Oddometer:
    7,221
    Location:
    Southern Maryland
    It went pretty much as expected other than I now have a sleeping shoe I have to wear at night because of the ligament repair and not allowing it to stretch in the wrong directions. So that's going to be a pain in the ass! The path ahead is basically 4 weeks until I can start putting weight on it/start driving. The routine is the same as last time; first day 40lbs of weight and adding 20lbs every 2 days as tolerated until up to full weight. The other thing which I found out is that due to the ligament I won't be able to even ride a stationary bike for another 4 weeks....I was hoping I could get started right away but I guess not. If I could get my big walking boot to work on the exercise bike I could immediately but I don't think that is feasible. He said everything looks good and is healing well. Oh and the stitches were removed today so that's another thing behind me as well.
    The ankle apparently had some trash and a sharp edge which was causing all the pain, he said it should be better now. Actually I am surprised that I haven't had more problems with the amount of times they have been twisted, beat, and battered.
  9. blaster11

    blaster11 Some days.....

    Joined:
    May 7, 2008
    Oddometer:
    7,221
    Location:
    Southern Maryland
    Well here are four shots of the hardware which I will be living with for the rest of my life....seems so final doesn't it. :D
    [​IMG]
    [​IMG]
    Side view
    [​IMG]
    [​IMG]

    So J4S....are these screws magnetic? I would think no since they are Titanium but then again..... Just curious if these will be a problem at airport security or not.
  10. Eyes Shut

    Eyes Shut See no evil

    Joined:
    Sep 25, 2007
    Oddometer:
    2,168
    Location:
    Santa Barbara, CA
    Titanium is non-magnetic. I traveled to South America last November, and got through every airport without any issues at all. I have titanium screws and a rod in my left leg and ankle.
  11. blaster11

    blaster11 Some days.....

    Joined:
    May 7, 2008
    Oddometer:
    7,221
    Location:
    Southern Maryland
    Thanks...I was pretty sure it is but you read these stories on the internet about people and telling you you have to get a note from your doctor to get through airport security and it just casts enough doubt to make you ask the question.
  12. NYTrainer

    NYTrainer Been here awhile

    Joined:
    Apr 6, 2010
    Oddometer:
    147
    Location:
    Geneseo, NY
    He may not be able to respond until he gets his foot out of his mouth.:d

    I did not respond sooner as I had not followed the thread, so I will now.

    As an ATC, I am not an MD & certainly not an orthopedic surgeon, but I do often work closely with them & have a great deal of respect for these professionals.
    An ATC cannot legally reduce a dislocation. It is beyond our scope of practice, at least in NY State.
    One reason is that, especially with a first-time DL, is the possibility of a fracture within the dislocated joint, which could cause additional damage if a reduction is attempted.
    I was surprised that, in the hospital setting, with X-ray equipment readily available, that an x-ray was not done before the reduction was attempted.
  13. blaster11

    blaster11 Some days.....

    Joined:
    May 7, 2008
    Oddometer:
    7,221
    Location:
    Southern Maryland
    Many X-rays were done at many different locations prior to any procedure.
  14. joints4sale

    joints4sale No. Not "That Kind".

    Joined:
    Jun 27, 2010
    Oddometer:
    3,154
    Location:
    Southern Maryland ---> Front Range, CO
    Most likely the cannulated screws in your foot are made of a Titanium alloy. They could be stainless steel though. In which case they may be an issue with the metal detectors. We do provide implant cards for our joint replacement patients for the purpose of clearing through a security checkpoint.
  15. blaster11

    blaster11 Some days.....

    Joined:
    May 7, 2008
    Oddometer:
    7,221
    Location:
    Southern Maryland
    So that begs the question though....are they magnetic? could I get an MRI done? How would I find out for sure?
  16. joints4sale

    joints4sale No. Not "That Kind".

    Joined:
    Jun 27, 2010
    Oddometer:
    3,154
    Location:
    Southern Maryland ---> Front Range, CO
    If you are talking about an MRI of your foot, then the point is moot no matter what the metal is, the scatter that is produced greatly reduces the effectiveness of the study. If the MRI is on another part of your body? Most orthopedic implants are MR safe as long as they are well fixed inside your body. As far as providing a concrete answer? The FDA prohibits me from giving you an answer unless the implant material has been officially deemed MR safe. The best answer is to provide the ordering physician and the radiology tech performing the scan with any information you have available.
  17. Dorito

    Dorito Dreamer and Doer

    Joined:
    Jul 31, 2010
    Oddometer:
    5,673
    Location:
    Maryland
    Time to see the good doc's work

    [​IMG]

    Been here before
    [​IMG]

    The worst of it
    [​IMG]

    And blaster is going out on the town. A entire new flotilla of booties, just in time for the winter fashion season! Two new booties. One for walking, and one for sleeping. We find out later the sleeping bootie is $30 on Amazon. I am sure insurance will charge us 4X that.
    [​IMG]

    Finally got blaster some decent hospital food. I've eaten more than one meal here, so 'bout time we had some raw fish together :D
    [​IMG]

    And the T-shirt for the day:
    [​IMG]
  18. blaster11

    blaster11 Some days.....

    Joined:
    May 7, 2008
    Oddometer:
    7,221
    Location:
    Southern Maryland
    The top actually looked really good considering that he had two good sized incisions....healing up nicely! The ankle a bit more swollen, bruised, and tender and the part which is slowing progress down. :D
  19. joints4sale

    joints4sale No. Not "That Kind".

    Joined:
    Jun 27, 2010
    Oddometer:
    3,154
    Location:
    Southern Maryland ---> Front Range, CO
    http://en.wikipedia.org/wiki/Broström_procedure
  20. Rex Nemo

    Rex Nemo horizon calling

    Joined:
    Nov 16, 2008
    Oddometer:
    321
    Location:
    SF Bay
    Those incisions look pretty darn good, given the recent-ness of the surgery. Right on.