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ConcernedMarine

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Cotton Osteotomy after an Evans Calcaneal ?

I went to the doc complaining of arch pain, heel pain, and ankle pain. X-rays showed that I had a large bone spur in between the talus and tibia in the front of my ankle. I had one surgery to remove the bone spur. 5 months later, I had the Evans Calcaneal with a bone graft and a Gastroc. Recession to correct my arch. During post op my doc saw that the hardware in the Evans was shifting and causing an impingement. I also lost most of the arch that was created. Within 6 months after that i had a hammertoe corrective surgery to correct the 2nd and 3rd digit. Now I am about 2 months out of that surgery and he is suggesting a Cotton Osteotomy and going in and adjusting the hardware from the Evans. Is this normal to have so many surgeries? Or to have a Cotton Osteotomy to correct a previous Osteotomy? All of the surgeries have been performed within a year, how long will it take for me to run again?

4563 day(s) ago

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DocPod 		Its is very unusual to need all that. but that does not mean that it is indicated. Without a clinical assessment and x-rays, its hard to give an informed opinion about your case, sorry.

As for running again, I have certainly advised others that it can take up to 12 months to get back to full running. The transition back needs to be long and slow and done very carefully, hence we allow 12 months for it to happen. We also hope it happens quicker.

I would certainly make sure you get some detailed explanation from your surgeon what they exactly think is going on.

Posted 4563 days ago

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ConcernedMarine
4562 day(s) ago
thank you for your advice!

ConcernedMarine
4562 day(s) ago
Yea i was worried about so many procedures. My surgeon explained that the reason why he wanted to perform the cotton was because of the front half of my foot is up too high and isnt making contact as i walk because i tend to walk on he outside of my foot. Ive been going to physical therapy, but the marine corps wants me healed by FEB or i will be medically discharged. I still cant even perform a single toe raise on that foot. (cant even lift the heel partially off the floor)

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