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6 weeks post lisfranc surgery

I have finally made it to week 6 of my lisfranc recovery journey.  Physically and psychologically this is a gigantic mile stone in my recovery.Here are some pictures of  6 weeks post lisfranc surgery:

My incision if finally starting to heal. But my foot remains discolored with faint blue and red tones especially when not elevated.

Both sides of my ankle remain swollen, but the bruising is entirely gone. The black, yellow and green tones have disappeared.

I celebrated my 6 week milestone today by having lunch with a girlfriend at one of my favorite restaurants.  It was fabulous being able to navigate the stairs in our home, use crutches to get to her car and not be afraid of either the pain or re-injury.  It is a beautiful day and we were able to sit outside at a table by the lake. I was able to prop my foot up on the chair next to me and quite astonishing, there were times I completely forgot about my foot!!! I felt almost “normal.”   Pain free times have been few and far between and to experience pain free moments while celebrating this day was a true blessing!!

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5 weeks post lisfranc surgery

I am now at week 5 following my lisfranc fixation/fusion.

                            My foot and incision at 5 weeks

Swelling has started to go down and the bruising is almost gone

The right side is still swollen, but not as painful as last week.

My surgeon cleared me to start partial weight bearing which is a week ahead of schedule.  He said I could put on a sneaker and try walking around my living area with a walker!  It was tough getting the sneaker on my right foot as it is still a little swollen, but I did it with the laces tied loosely.

              My first time standing with the help of a walker

The first few moments felt like I was standing on sharp shards of glass!  That still didn’t take away the moment of exhilaration of being able to stand on 2 feet once again!!  I was able to walk a few clumsy steps but found it was still two painful. (level 7)

I called my physicians office to see if I was supposed to push through the pain or listen to the pain.  I was told following lisfranc surgery to always listen to my foot and the phrase “no pain, no gain” does not apply.

So now I am experimenting with taking careful steps wearing my cast/boot with the aid of either my walker or my crutches.  I still have to use my scooter for longer distances.

Partial weight bearing also means I can now navigate the stairs in our house with the help of our railings!!  I have a backpack that I can fill up so I can even manage doing some of my own laundry.

It feels like my life is slowly starting back up again, after being shut down for weeks……Re-hab starts in 7 days!!!!!

 
 
 
 
 
 
 

Monday, June 17, 2013

New technology for Lisfranc injuries and fusions

 
I had my 5 week post lisfranc surgery appointment last Friday and my surgeon said my healing couldn’t be more perfect! Together we looked at the 3 x-rays he had taken of my foot, and then he showed me the before surgery and after surgery x-rays plus a side view.  I commented that I had done some internet research on the titanium  plate he drilled into my foot and discovered it is new “state of the art” technology.  He smiled and said yes it is!  I mentioned to him that I was writing a blog, so he took pictures of my x-rays so that I could post them in my lisfranc blog:
    

                                      This is before surgery

Note the space between my first 2 metatarsals and how the metatarsal joints are out of alignment.

         This is 5 weeks following lisfranc open reduction surgery

Note the placement of the new titanium plate which corrected not only the space between my first two metatarsals, but aligned my joints once again.
 
 
 

This is a side view which shows how the plate is screwed into my metatarsals and cuneiform joints

 
 
 
 

This new titanium plate came on the market in 2012.  It cuts down on joint damage and  I won’t have to have additional surgery to have it removed.  It has now become a permanent part of me.  And the good news is that it is only 1.4mm thick and won’t set off metal detectors at the airport!  

 
I am posting the description of the new Lisfranc plates which I copied from Arthrex’s website.   If you would like more detailed information about the surgical procedure, check out this link:
 
 
under surgical technique guides click on “Lisfranc Reduction for Injuries and Fusions using Lisfranc Plates
 
 
 
 
“Lisfranc Plates offer multiple solutions and are easily contoured to patient’s needs
The new Lisfranc Plates were designed to provide fixation for acute Lisfranc injuries and fusions of the tarsal-metatarsal joints. The unique design allows for compression along the Lisfranc ligament and allows the surgeon to visualize the healing process during recovery. These plates come in three different sizes with both left and right plates to fit any patient and are contoured to fit the Lisfranc anatomy at only 1.4 mm thick. 

  • •  Allows visualization of the Lisfranc joint during healing process 
  • •  Compresses along the Lisfranc ligament—along the line of injury 
  • •  Eliminates the joint damage that may occur with the use of screws and guide wires 
  • •  Bridge-plating preserves the joint surfaces and results in larger surface area for bony fusion 
  • •  1.4 mm maximum thickness, provides minimal prominence and low profile contouring 
  • •  Contoured to fit the1st/2nd metatarsal—cuneiform joints 
  • •  Allows room for normal interfrag screw placement”

    (Taken from Arthrex’s website) https://www.arthrex.com/foot-ankle/lisfranc-plates

    I was also given permission from my surgeon to start partial weight bearing after only 5 weeks, which is a lot earlier than what other lisfranc surgeons are recommending to their patients.  I am sure it is because of these new plates! 

Here is what my foot looks like 4 weeks after my lisfranc surgery.  The swelling is down and the incision is almost healed.

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There is still a little bruising and ankle swelling on the right side:

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My foot still turns bright red and gets warm and swells when it is not elevated for any length of time.  And my big toe is still numb to the touch and throbs with pain, especially at night.

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