Hi all,
Members do not see these Ads. Sign Up.
I have a patient who is undergoing HAV surgery in March 2020 following many years of conservative management with orthoses, footwear adjustments and surgical advice.
She is a 60YO fit and active female who has been compliant with all advice; worn her custom orthoses, got all the right footwear and managed her symptoms well up to this point. She is now looking at retiring from her very busy job and has finally decided to have the surgery.
Along the way she has been diagnosed with all the regular accompanying forefoot injuries including at the last ultrasound examination performed on the Rfoot (most sypmptomatic foot) in 2017:
- Full thickness, full width tear of the 2nd PPlate
- 5.4mm neuroma with 19mm X 9mm bursitis of the 2nd webspace
- IM bursitis of all other webspaces
- Partial width degenerative tears of the 3rd and 4th PPlates
She will have the surgery done by an orthopaedic surgeon who has advised her that the PPlate tears / neuroma won't be fixed / removed during the surgery as there is no need.
I was surprised to hear this as I thought to aid and maintain forefoot stability and ongoing symptoms, both of these injuries would be addressed. Especially in a younger patient who has plans to continue her daily walking activities and traveling in her retirement.
So I am curious to hear from some surgeons and any others with similar patients about what their processes would be in this situation.
Thanks all for your time
Have a safe and happy holiday
Rachael
Loading...
- Similar Threads - Should existing forefoot
-
- Replies:
- 1
- Views:
- 314
-
- Replies:
- 3
- Views:
- 724
-
- Replies:
- 5
- Views:
- 1,144
-
- Replies:
- 5
- Views:
- 2,162
-
- Replies:
- 4
- Views:
- 1,971
-
- Replies:
- 41
- Views:
- 8,714
-
- Replies:
- 62
- Views:
- 8,968