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CaptainKB

AKA ERTL Revision Post Surgery

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It's been 12 days since my surgery and I go to have my staples removed in 3 days. My initial amputation and recovery occurred during a 31 day stint in the hospital and my recovery took place under very heavy sedation. This procedure however was quite painful, even though I had a morphine pump. I was in the hospital for 4 nights and was very happy to get home to my family.

The doc removed between a golf ball and tennis ball size amount of scar tissue (his words) from the bottom of my stump. He removed the bone spurs and capped/sealed my medular canal. He also attached muscles that were not attached during my initial amputation. He finished up by removing 2 nueromas and burying the nerves in muscle. The procedure was 3 hours.

I am hopeful that the revision will allow me to be able to wear my prosthesis with much less pain than before.

I have a few weeks before I am fit for a new socket.

I will keep you posted.

Thanks

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Hi CaptainKB,

Good to hear the revision went well. I have had bone spurs removed twice from my AK stump. When I asked my orthopedic surgeon about capping the distal femur he did not think it would help. I hope things with a new socket goes better for you.

Freddy

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Good to hear that things are over and you are on the mend. It's hard to give up your independence I know. I've been without my leg for 3 weeks now.

Hope things go smoothly with your fitting.

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Neal, I have been reading your posts on your recovery and I hope things are getting better. I have it easy compared to what your duties are on a daily basis. You are an inspiration simply because of your positive attitude.

Wish you well.

Captain

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It's been 12 days since my surgery and I go to have my staples removed in 3 days. My initial amputation and recovery occurred during a 31 day stint in the hospital and my recovery took place under very heavy sedation. This procedure however was quite painful, even though I had a morphine pump. I was in the hospital for 4 nights and was very happy to get home to my family.

The doc removed between a golf ball and tennis ball size amount of scar tissue (his words) from the bottom of my stump. He removed the bone spurs and capped/sealed my medular canal. He also attached muscles that were not attached during my initial amputation. He finished up by removing 2 nueromas and burying the nerves in muscle. The procedure was 3 hours.

I am hopeful that the revision will allow me to be able to wear my prosthesis with much less pain than before.

I have a few weeks before I am fit for a new socket.

I will keep you posted.

Thanks

Hello there! Sounds like they found alot of problems and hopefully fixed them! Can I ask where you had the revision done and your doctor if you don't mind? The Ertl will be the only way I go if I have to ever have a revision done.

I have had problems with pain and cramping in the past and not quite sure yet if it is socket fit or my legs. How did you know that you had all of this inside your leg going on...scar tissue, muscles not attached and neuromas?

I am so glad this part is over for you..now you will be getting better...thank you for your info in advance...

Flip

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It's been 12 days since my surgery and I go to have my staples removed in 3 days. My initial amputation and recovery occurred during a 31 day stint in the hospital and my recovery took place under very heavy sedation. This procedure however was quite painful, even though I had a morphine pump. I was in the hospital for 4 nights and was very happy to get home to my family.

The doc removed between a golf ball and tennis ball size amount of scar tissue (his words) from the bottom of my stump. He removed the bone spurs and capped/sealed my medular canal. He also attached muscles that were not attached during my initial amputation. He finished up by removing 2 nueromas and burying the nerves in muscle. The procedure was 3 hours.

I am hopeful that the revision will allow me to be able to wear my prosthesis with much less pain than before.

I have a few weeks before I am fit for a new socket.

I will keep you posted.

Thanks

Hi .... My revision was a bit different from yours,Captain ....My stump had quite a bit of grafting and the end of the stump was causing problems .... I had a few more inches taken off the tib with the good tissue/muscle from the side of the leg re-fashioned, so it cushioned the end and back of the stump, and joined existing skin graft on the front. I had an epidural left in for about five days, and was in hospital for eight days... I was amazed how much techniques had improved in 40 years. I was just under three months out of my leg.

Mine was done almost exactly two years ago, its not an ERTL, but has worked out really well, and I am so glad I had it done. So hope you are as pleased with yours Captain, and that it all works out, good luck with your new socket.

Ann

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It's been 12 days since my surgery and I go to have my staples removed in 3 days. My initial amputation and recovery occurred during a 31 day stint in the hospital and my recovery took place under very heavy sedation. This procedure however was quite painful, even though I had a morphine pump. I was in the hospital for 4 nights and was very happy to get home to my family.

The doc removed between a golf ball and tennis ball size amount of scar tissue (his words) from the bottom of my stump. He removed the bone spurs and capped/sealed my medular canal. He also attached muscles that were not attached during my initial amputation. He finished up by removing 2 nueromas and burying the nerves in muscle. The procedure was 3 hours.

I am hopeful that the revision will allow me to be able to wear my prosthesis with much less pain than before.

I have a few weeks before I am fit for a new socket.

I will keep you posted.

Thanks

Hello there! Sounds like they found alot of problems and hopefully fixed them! Can I ask where you had the revision done and your doctor if you don't mind? The Ertl will be the only way I go if I have to ever have a revision done.

I have had problems with pain and cramping in the past and not quite sure yet if it is socket fit or my legs. How did you know that you had all of this inside your leg going on...scar tissue, muscles not attached and neuromas?

I am so glad this part is over for you..now you will be getting better...thank you for your info in advance...

Flip

Flip, I had mine done by a an Orthopedic Surgeon in Lake Forest, Illinois. He has been present along side one of the Ertl's in Oklahoma City for both AKA, and BKA procedures. My leg doc set me up with him and I was able to interview two patients from my leg docs office that had the procedure done by him. One AKA and one BKA.

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It's been 12 days since my surgery and I go to have my staples removed in 3 days. My initial amputation and recovery occurred during a 31 day stint in the hospital and my recovery took place under very heavy sedation. This procedure however was quite painful, even though I had a morphine pump. I was in the hospital for 4 nights and was very happy to get home to my family.

The doc removed between a golf ball and tennis ball size amount of scar tissue (his words) from the bottom of my stump. He removed the bone spurs and capped/sealed my medular canal. He also attached muscles that were not attached during my initial amputation. He finished up by removing 2 nueromas and burying the nerves in muscle. The procedure was 3 hours.

I am hopeful that the revision will allow me to be able to wear my prosthesis with much less pain than before.

I have a few weeks before I am fit for a new socket.

I will keep you posted.

Thanks

Hi .... My revision was a bit different from yours,Captain ....My stump had quite a bit of grafting and the end of the stump was causing problems .... I had a few more inches taken off the tib with the good tissue/muscle from the side of the leg re-fashioned, so it cushioned the end and back of the stump, and joined existing skin graft on the front. I had an epidural left in for about five days, and was in hospital for eight days... I was amazed how much techniques had improved in 40 years. I was just under three months out of my leg.

Mine was done almost exactly two years ago, its not an ERTL, but has worked out really well, and I am so glad I had it done. So hope you are as pleased with yours Captain, and that it all works out, good luck with your new socket.

Ann

Ann, thanks for the best wishes. I am glad to hear you are doing well after 2 years.

Thanks once again Ann.

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It's been 12 days since my surgery and I go to have my staples removed in 3 days. My initial amputation and recovery occurred during a 31 day stint in the hospital and my recovery took place under very heavy sedation. This procedure however was quite painful, even though I had a morphine pump. I was in the hospital for 4 nights and was very happy to get home to my family.

The doc removed between a golf ball and tennis ball size amount of scar tissue (his words) from the bottom of my stump. He removed the bone spurs and capped/sealed my medular canal. He also attached muscles that were not attached during my initial amputation. He finished up by removing 2 nueromas and burying the nerves in muscle. The procedure was 3 hours.

I am hopeful that the revision will allow me to be able to wear my prosthesis with much less pain than before.

I have a few weeks before I am fit for a new socket.

I will keep you posted.

Thanks

Hello there! Sounds like they found alot of problems and hopefully fixed them! Can I ask where you had the revision done and your doctor if you don't mind? The Ertl will be the only way I go if I have to ever have a revision done.

I have had problems with pain and cramping in the past and not quite sure yet if it is socket fit or my legs. How did you know that you had all of this inside your leg going on...scar tissue, muscles not attached and neuromas?

I am so glad this part is over for you..now you will be getting better...thank you for your info in advance...

Flip

Flip, I'm sorry I did not answer your questions correctly.

How did you know that you had all of this inside your leg going on...scar tissue, muscles not attached and neuromas?

First of all I could feel the scar tissue grow over a short period of time and it was painful. MRI scans and x-ray's revealed the spurs and the rest he found while scoping the inside of my leg. He suspected both the nueroma's and muscle detachment well before the procedure. He works out of 3 different hospitals in Northern Illinois.

Hope this helps.

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It's been 12 days since my surgery and I go to have my staples removed in 3 days. My initial amputation and recovery occurred during a 31 day stint in the hospital and my recovery took place under very heavy sedation. This procedure however was quite painful, even though I had a morphine pump. I was in the hospital for 4 nights and was very happy to get home to my family.

The doc removed between a golf ball and tennis ball size amount of scar tissue (his words) from the bottom of my stump. He removed the bone spurs and capped/sealed my medular canal. He also attached muscles that were not attached during my initial amputation. He finished up by removing 2 nueromas and burying the nerves in muscle. The procedure was 3 hours.

I am hopeful that the revision will allow me to be able to wear my prosthesis with much less pain than before.

I have a few weeks before I am fit for a new socket.

I will keep you posted.

Thanks

Hello there! Sounds like they found alot of problems and hopefully fixed them! Can I ask where you had the revision done and your doctor if you don't mind? The Ertl will be the only way I go if I have to ever have a revision done.

I have had problems with pain and cramping in the past and not quite sure yet if it is socket fit or my legs. How did you know that you had all of this inside your leg going on...scar tissue, muscles not attached and neuromas?

I am so glad this part is over for you..now you will be getting better...thank you for your info in advance...

Flip

Flip, I'm sorry I did not answer your questions correctly.

How did you know that you had all of this inside your leg going on...scar tissue, muscles not attached and neuromas?

First of all I could feel the scar tissue grow over a short period of time and it was painful. MRI scans and x-ray's revealed the spurs and the rest he found while scoping the inside of my leg. He suspected both the nueroma's and muscle detachment well before the procedure. He works out of 3 different hospitals in Northern Illinois.

Hope this helps.

It always surprises me just how much someone with a good medical background can "suspect" before even getting a look at the situation. I went for nearly a year with my damaged right foot being misdiagnosed by various and sundry doctors...but when they set me up with an actual foot and ankle specialist, he took one look at me standing there and said, "we'll do an MRI to confirm it, but you have a completely torn tibial tendon." And yes, the MRI confirmed his suspicions precisely. He spelled out the procedure he'd use to repair things "once the MRI confirms it," and that procedure is exactly what we did. His only bit of confusion was to ask me "how did you get in here, anyway?" and when I told him I walked, he gaped at me and said, "how long have you been walking on that?" and then shook his head in amazement when I said I'd been walking on it for nearly a year. "I have a really high tolerance for pain," I explained, and he said, "You MUST."

I'm really glad to hear that your surgeon also has a knack for accurate suspicions, Captain...and I hope that your recovery goes well!

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It's been 12 days since my surgery and I go to have my staples removed in 3 days. My initial amputation and recovery occurred during a 31 day stint in the hospital and my recovery took place under very heavy sedation. This procedure however was quite painful, even though I had a morphine pump. I was in the hospital for 4 nights and was very happy to get home to my family.

The doc removed between a golf ball and tennis ball size amount of scar tissue (his words) from the bottom of my stump. He removed the bone spurs and capped/sealed my medular canal. He also attached muscles that were not attached during my initial amputation. He finished up by removing 2 nueromas and burying the nerves in muscle. The procedure was 3 hours.

I am hopeful that the revision will allow me to be able to wear my prosthesis with much less pain than before.

I have a few weeks before I am fit for a new socket.

I will keep you posted.

Thanks

Hello there! Sounds like they found alot of problems and hopefully fixed them! Can I ask where you had the revision done and your doctor if you don't mind? The Ertl will be the only way I go if I have to ever have a revision done.

I have had problems with pain and cramping in the past and not quite sure yet if it is socket fit or my legs. How did you know that you had all of this inside your leg going on...scar tissue, muscles not attached and neuromas?

I am so glad this part is over for you..now you will be getting better...thank you for your info in advance...

Flip

Flip, I'm sorry I did not answer your questions correctly.

How did you know that you had all of this inside your leg going on...scar tissue, muscles not attached and neuromas?

First of all I could feel the scar tissue grow over a short period of time and it was painful. MRI scans and x-ray's revealed the spurs and the rest he found while scoping the inside of my leg. He suspected both the nueroma's and muscle detachment well before the procedure. He works out of 3 different hospitals in Northern Illinois.

Hope this helps.

It always surprises me just how much someone with a good medical background can "suspect" before even getting a look at the situation. I went for nearly a year with my damaged right foot being misdiagnosed by various and sundry doctors...but when they set me up with an actual foot and ankle specialist, he took one look at me standing there and said, "we'll do an MRI to confirm it, but you have a completely torn tibial tendon." And yes, the MRI confirmed his suspicions precisely. He spelled out the procedure he'd use to repair things "once the MRI confirms it," and that procedure is exactly what we did. His only bit of confusion was to ask me "how did you get in here, anyway?" and when I told him I walked, he gaped at me and said, "how long have you been walking on that?" and then shook his head in amazement when I said I'd been walking on it for nearly a year. "I have a really high tolerance for pain," I explained, and he said, "You MUST."

I'm really glad to hear that your surgeon also has a knack for accurate suspicions, Captain...and I hope that your recovery goes well!

Doesn't surprise me at all Cheryl ... this side of the pond I would suspect this is fairly normal. One of my relatives went back and forth to their GP for months with a painful foot, and told it was nothing, had to push for an x ray which revealed broken bones ... like you they had walked to the hospital and the hospital were horrified. Prior to my revision, I was repeatedly told by prosthetists that I was hypersensitive etc. I'd suggest to anyone these days, if they have pain don't be fobbed off, go and get it checked out.

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Hi captainkb, it has been a couple of years since your ERTL procedure. Wondering if you are happy with how it turned out. I have already had 1 reconstructive surgery for bone spurs and neuroma and now need another. Just heard about the ERTL procedure and trying to find some who has had it done for AK. Would really like to talk with someone who has had it done

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