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It's been a year since the procedure. Less than a week  after it, I fell. Using an iwalk approved by the surgeon that I easily acclimated to, the peg leg caught on something on the floor behind me and instinctively I tried to extend my leg backwards to catch myself, which I naturally relied on and just kept going with gravity. Landed on my toes with ankle at 90°. Pain at pin insertion was as expected, but a new far more concerning pain on top of my foot where the leg and foot meet, navicular area. Went to ER next day got x-rays, they said things looked ok and the surgeon eventually agreed. 3 MONTHS later, time for the pin to come out. But it won't, not easily anyway. So painful and stressful. The resident said "it usually slides right out..." After tugging and twisting and pulling it came out, and looked like a roughly 15-20° bend in the 4" or so long pin. Nevermind that I wasn't informed that my second toe would be about 50% of what it was and that the decision was made to do this was based on his words that a very active lifestyle put on hold could be resumed despite his knowledge of the limitations. I want to know how a major deviation in the shape of the pin wouldn't show on x-ray??? Pain in upper tarsal in persistent. No running or jumping possible because my toe acts like a kick stand brake and feels like it will snap when I endure the discomfort and try to run. The issues with the care from this doctor is honestly unbelievable (didn't even get loaner crutches to get from car to my house after surgery!), but that's another issue. Oh, he shortened the planter to address the hyper laxity of my collapsed arch.

Is there a procedure that could free the joint of my 2nd toe? Break it maybe? Joint replacement? 

Thanks,

Adam, age 45. 

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Health Hero
1626 posts

Hi, Adam.

Yes, there are several procedures that may be used to free the joint of your 2nd toe. These include arthrodesis (fusion of the joint), arthroplasty (joint replacement), osteotomy (cutting of the bone), and soft tissue release (release of the surrounding soft tissues).

As for your other question, a major deviation in the shape of the pin would not show on an x-ray if the deviation is too small or too subtle to be visible in the x-ray image. If the deviation is large enough to be visible, then it may appear as a slight variation in the shape of the pin. However, it would be difficult to identify the exact nature of the deviation without additional tests or analysis.

Will you change your doctor before the procedure?

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