Under the knife... again.

I had my left knee scoped in July. It's amazing how quick you can be up and about after that type of surgery, but it takes a long time for it get back to "normal". At least that's the way it was when I had my right knee done in December. I know... I'm falling apart! Well, in the process of limping around I managed to develop some tendinitis in my right foot. This went on for about a month, and then about 3 weeks ago I tripped a little bit and when I caught myself I felt a strain on another part of the right foot. At first I thought it was more tendinitis, but after a couple of weeks it started to feel a little different and more severe so I went back to the doctor. He said it looked like a stress fracture and sent me to his foot specialist. When I saw him a week later he told me I had a definite break on the Navicular bone. See below:




Here's an interesting coincidence... the foot specialist is Gene and Kristine's son in law, and he is going on the convention cruise with NSP! Anyway, he told me that the latest x-rays he took showed that the two halves of the broken Navicular bone had drifted apart 2 millimeters. This was not good because they would probably rub up against other bones of the foot and cause arthritis later on. He kept asking me about how I broke it and was puzzled when I described it in such a low-key manner. Apparently this type of fracture is usually the result of a traumatic injury. He recommended that he operate to screw the bone back together and also to see if he could find out why it happened in the first place. There was also the chance that he would have to put a bone graft from another part of the foot in between the fracture gap if he couldn't get the bone to come together cleanly.

This examination took place Tuesday, Oct 16 and he scheduled me for surgery the next day. He didn't want to wait until after the cruise because there was a chance to bone fragments would drift even farther. So this meant if was still going to go on the cruise I would be hobbling around in a cast from just below the knee down. I thought I would have the operation, then figure out what to do with the convention.

On the day of the surgery the doctor got backed up and didn't get to me until about 6 pm. The procedure took an hour and a half, and there was good news and bad news. The good news was that the two part fit together nicely and there was no need for a bone graft. The bad news was that the drill bit he used to start the hole for the screw broke off in the bone! He said it was nice and tight in there and it would be kind of a mess to try and get it out so he decided to leave it in! So now I have a screw and a drill bit holding my navicular bone together as shown:





During the operation the surgeon discovered that the blood supply to this part of the foot was not good. He called it "osteo necrosis" and decided this was why the bone was so brittle that it broke without a traumatic injury. See I told you I was falling apart!

I'm doing pretty good with recovery so far. The cast greatly limits my mobility but I have crutches and get around OK. Susan keeps saying I'm not a good patient--on the way home I made her take me to the new house because they just put in our granite counter tops and I had to see how they turned out. The ubiquitous stairs in our house also make it tough.

I decided to go ahead with the cruise convention. We have a wheelchair lined up and fortunately we're booked into a suite on the only level that has wide halls so that will make it easier. At least I won't have to go on any of the dumb tours, but the scuba diving is definitely out. I'll let you know how it turns out.