Surgery to correct foot Inversion on ...

Surgery to correct foot Inversion on 44 yr old w/out CP, has SCI

Posted in the Cerebral Palsy Forum

Since: Jan 08

Ronkonkoma, NY

#1 Jan 9, 2008
Hi all,
I am a 44 year old quadriplegic male with a C-4 - C-5 spinal cord injury. I recently saw an orthopedic surgeon at the Hospital for Special Surgery in New York regarding a problem I was having with an overlapping toe on my left foot. Before the doctor even took a look at my toe he started to ask questions regarding my left foot which has moderate to severe inversion and foot drop. I've never considered having these surgically corrected but the procedures he mentioned did sound promising. However, I was quite skeptical as my initial visit was only for a consultation regarding the overlapping toe and here he was talking about operating on other parts of my foot.

My reason for seeing this particular doctor was for his excellent reputation. At the time I saw him he was about to drop out of the Medicare network. This meant any surgery he'd perform on me would have to be paid for out of pocket. When I explained to him that Medicare was my primary insurer he said he would gladly perform the entire surgery for free! Any suspicions I had of this doctor's motives went out the window and I now am scheduled for surgery on January 14 to correct the overlapping toe, perform a heel cord lengthening and tendon transfer to correct the foot inversion. My question to the group is do you know any adults that have had these procedures done to correct the foot drop and inversion and if so how did they make out? Were the surgeries a success? What problems, if any, did you have after the surgery both long and short term? Did you experience much post surgical pain?

The doctor said that he's had a high success rate with these types of surgeries but most were performed on children with cerebral palsy. I've been through eight surgeries since my accident in 1981 and a few of those surgeries did more harm than good which makes me a bit nervous about going into this surgery. I did get a second opinion from a physiatrist who said this surgery would help and that there is usually a high success rate. While the problems with my left foot do have a large impact on my day to day activities, I'm having a hard time deciding whether surgery would be right for me at this time. Any info is greatly appreciated!
BJK

Morristown, NJ

#2 Jul 1, 2008
Well, Quadzilla -- did you have the surgery, and how did it go? What are your results?
Jackie

Flagtown, NJ

#3 Jun 2, 2013
I would love to know if you had the foot drop surgery. I have a foot drop as a result of nerve damage and have an ortho at HSS however I'm scared to have the surgery.
Quadzilla

Stamford, CT

#4 Jan 1, 2015
Hello everyone,
sorry for the (7 year) late reply, I'd forgotten about this post and just now got a email from Topix that I had replies waiting. I did have the tendon lengthening surgery and surgeries to correct my left foot inversion and overlapping toe in late 2008 at The Hospital for Special Surgery in NYC by Dr. Walter O'Malley. The surgery went well and I no longer have problems with foot drop and inversion on my left foot. Unfortunately, I'm still having problems with the overlapping big toe but it's not nearly as bad as it was prior to the surgery. Sorry, I don't recall the reason the doctor gave to explain why the overlapping toe was still occurring but unfortunately there was nothing else he could do. I was a bit PO'd that he couldn't correct the problem but couldn't complain as the problem with the foot drop and inversion are completely gone, the foot now sits flat on the foot pedal of my wheelchair and has great range of motion. Even though he wasn't able to correct the overlapping toe, I'd still recommend Dr. O'Malley and/or HSS to anyone needing orthopedic surgery.
Quadzilla wrote:
Hi all,
I am a 44 year old quadriplegic male with a C-4 - C-5 spinal cord injury. I recently saw an orthopedic surgeon at the Hospital for Special Surgery in New York regarding a problem I was having with an overlapping toe on my left foot. Before the doctor even took a look at my toe he started to ask questions regarding my left foot which has moderate to severe inversion and foot drop. I've never considered having these surgically corrected but the procedures he mentioned did sound promising. However, I was quite skeptical as my initial visit was only for a consultation regarding the overlapping toe and here he was talking about operating on other parts of my foot.
My reason for seeing this particular doctor was for his excellent reputation. At the time I saw him he was about to drop out of the Medicare network. This meant any surgery he'd perform on me would have to be paid for out of pocket. When I explained to him that Medicare was my primary insurer he said he would gladly perform the entire surgery for free! Any suspicions I had of this doctor's motives went out the window and I now am scheduled for surgery on January 14 to correct the overlapping toe, perform a heel cord lengthening and tendon transfer to correct the foot inversion. My question to the group is do you know any adults that have had these procedures done to correct the foot drop and inversion and if so how did they make out? Were the surgeries a success? What problems, if any, did you have after the surgery both long and short term? Did you experience much post surgical pain?
The doctor said that he's had a high success rate with these types of surgeries but most were performed on children with cerebral palsy. I've been through eight surgeries since my accident in 1981 and a few of those surgeries did more harm than good which makes me a bit nervous about going into this surgery. I did get a second opinion from a physiatrist who said this surgery would help and that there is usually a high success rate. While the problems with my left foot do have a large impact on my day to day activities, I'm having a hard time deciding whether surgery would be right for me at this time. Any info is greatly appreciated!

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