Friday, 11 May 2007
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I am approaching my third year with problems in my left foot and ankle. My history is as follows : September 2004 I suffered a Jones fracture - took 8 months to heal in casts and boot - no surgery. While doing PT for that injury the bone fractured again ! Another 8 months of healing. I am a typr 1 diabetic and my OS wanted to avoid surgery and screw placement dure to the potentail of infection.

I was doing well for a few months and then suffered another severe ankle roll due to the chronic instability. This produced a complex full thickness tear in my peroneal brevis tendon as well as subluxation. I had surgery in August 2006 for a repair, groove deepening and bone flap. After 14 weeks, I was walking and my ankle rolled due to a pivoting move and I felt a terrible pain. MRI showed the tendon had torn again but the repair was intact. I had surgery #2 in January 2007 for this repair. My Dr. found an explosion of scar tissue as well. The recovery was going well until the return of all symptoms when PT began me walking in shoes. The MRI now show the OTHER tendon has torn.

My OS says it is now evident that my 23 years of diabetes and recently diagnosed hypothyroidism has caused my tendons to degenerate. I am in excellent control but he says it happens over time. I am now scheduled to have a peroneal tenodesis on May 29th, 2007.

My question is - how does tying the two tendons together prevent them from further tearing ? Will this continue to be an issue. Is this the surgery of choice for this type of probelm ? Does this effect my mobility ? I am 47 years old and active. How do my diseases affect my tendons ?

Thank you for your help !
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