Osteochondritis Dissecans of the Talus - OATs Post Op

Posted by momamiya @momamiya, Jun 15 12:42am

Hi! I am a 38yr old female 4 months post-op of my 2nd OATs procedure (6 in total over the last 10 years with previous 2 ATFL surgeries, muscle correction with tendon repair and arthroscopic cartilage repair), and this time pain and coinciding mobility issues are increasing. Chronic pain 12+ years.

-No official PT was advised as my ligaments and tendons tear very easily but daily ROM exercises are being done at home.
-Last X-ray results at 3 months post-op FINDINGS: Medial plate and screw fixation of prior medial malleolar osteotomy
is without evidence of hardware complication. There are ongoing signs of
healing at the surgical line. Alignment is normal. There is however a
subchondral cyst formation of both the talar dome and tibial plafond Mild
degenerative changes of the posterior talocalcaneal joint, similar to prior.
Mild soft tissue swelling about the ankle.
-Surgeon prescribed Gabapentin to see if that would assist with pain no changes yet. A second surgical opinion told me I will never walk properly again and out of all the things he has dealt this is the one condition he would never want.

Looking for opinions or references; I have never met anyone else with an OCD/multiple OATs. Will try almost anything/go anywhere for pain resolution that will let me run around with my kids.

Thank you!

Hi @momamiya, and welcome to Mayo Clinic Connect!

I think @bridgetc14 would be a great connection as she has expressed difficulty with what you are going through to an extent.

Here are a couple of references you may be interesting in reading.
Osteochondritis dissecans of the talus:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295677/
Physical Therapy Guide to Osteochondritis Dissecans:
https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-osteochondritis-dissecans
I would like to ask, @momamiya, how you feel personally and for you to explain your situation from your point of view? Just so other members can resonate with your actual experience and not just a doctors diagnosis. Would you be willing to share that?

REPLY
@amandaburnett

Hi @momamiya, and welcome to Mayo Clinic Connect!

I think @bridgetc14 would be a great connection as she has expressed difficulty with what you are going through to an extent.

Here are a couple of references you may be interesting in reading.
Osteochondritis dissecans of the talus:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295677/
Physical Therapy Guide to Osteochondritis Dissecans:
https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-osteochondritis-dissecans
I would like to ask, @momamiya, how you feel personally and for you to explain your situation from your point of view? Just so other members can resonate with your actual experience and not just a doctors diagnosis. Would you be willing to share that?

Jump to this post

Thank you! @amandaburnett – I definitely can elaborate personally…The last 9 years have held 5 ankle surgeries with 4 of them in just the last couple years with less and less time til the next one, it was only 7 months in between the last. Whether it be my age, my ankle is just that bad or another reason; recovery and getting any type of pain relief is getting harder which is affecting mobility impacting quality of life. Currently after my OATs on 2/12/21 every time I weight bear there is a very intense burning/throbbing pain that wraps around the front of my ankle and if I’ve done to much during the day it effects when at rest as well; I am a person with a very high pain tolerance.so this is not something light. Trying to find a surgeon who will listen to my story and be willing to work with me on a more permanent solution or at least less frequency between each surgery (as I know OATs is not a permanent fix for Osteochondritis Dissecans) feels like an impossibility. I was never that athletic but always active with walking or yoga or hiking and now a days the most I can do is walk around the block before I’m to swollen or the pain is to intense…I really don’t mean to be all doom and gloom just at a point of total frustration.

REPLY
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