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Amputation after Triple Arthrodesis ?

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[#282]
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Hello,

This is in the nature of an odd question, so please bear with me.

I have undergone a series of 4 surgeries over the last 2 years, Perennial Tendon Debridement, moving of my heel bone, and most recently a triple arthrodesis. I have a phenomenal Orthopedic Surgeon whom I have a ton of confidence in.

Here is my dilemma. I have been an extremely active executive, with an outstanding employer that has provided me a great deal of time for these procedure and recovery. However, this latest surgery has honestly made (in my opinion) walking much more difficult and pain much more extensive. I feel like I have been diligent in following all protocols and therapy. However, I am at a point where the foot problems are starting to have a significant negative impact on my mental health, and is starting to have a negative impact on my employment. I should also note that the pain is pretty darn extensive, and while medication does help some, I do not want to spend my life on narcotics.

Being an engineer, I have done a bit of self evaluation on how to “fix” the situation. I believe I have reached the point that I would prefer to have the foot completely amputated and move forward to live and function with a prosthesis. From all of my research, it appears that the current state of prosthetics offer a very high level of functionality and quality of life. I am not terribly fond of the notion of losing a portion of one of my limbs, but I believe that if it allows me to return a high level of functionality and better quality of life, it seems to be the correct end state to shoot for. I should note that I am most definitely not a person that has my self worth and self value tied up in body image, so I don’t believe that will have a significant level of impact on my long term mental health.

I would love any feedback and thoughts you all might have. I am not afraid to have this conversation with my surgeon, but I also don’t want to come off as a complete nut job if I do.

Thank you all in advance!
Scott


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Scott - this is not an easy decision. All the amputations I have been involved in are necessary to save a life (usually a diabetic non-healing ulcer with infection). I guess it all comes down to if you can manage the pain of your current situation and the impact that is having on your quality of life.


Topic starter
18/04/2013 12:34 am

First, thank you so much for taking the time to post a response.

You hit the nail on the head, it is totally a quality of life issue for me, in no way do I feel that it is physically life threatening.

That being said, I am blessed beyond compare to have a job that most would kill for. However, that job requires me to be heavily on the move on airplanes and visiting many various cities. Given that I have gone through two years of on again off again limited mobility (even with taking my knee walker and hiring a driver wherever I go), it does come down to the ability to maintain that pace and this my employment.

What I am really curious about is if you all think my Doctor, who is absolutely a gem, is going to think I have slipped off my rocker for talking to him about what I am thinking?

Thanks again for your time!
Scott


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