Monday, 31 January 2011

The good news and the bad news

K wire

This morning we had Violet's pre-surgery measurements, goals for surgery, assessment and also has a review of the x-ray taken from Saturday with her Orthopaedic Surgeon.

Good news is: No break or fractures! Which I am so very pleased about!

Bad news is: Her foot is so bad now that he has decided to serial cast for this week, so we took one cast off to only have another put on, Violet was not impressed, but what can you do.

He said if we don't serial cast now then she will be in even more pain than expected post op. So we have her first serial cast on until Wednesday and then they will re-cast until Friday. So she will be starting school with a serial cast, I am sure the school will be thrilled to know this later today when I let them know.

Today we also heard in more detail about Violet's procedures for her surgery, as mentioned before they are the following procedures:

Steindler Release = Plantar Fascia Release
Decancellation of the Cuboid Bone to help with Forefoot Adductus
Tendo-Achilles Lengthening
Abductor Hallucis Lengthening to help with Metatarsus Adductus
Tibialis Posterior Lengthening

She will be obviously having incisions from her calf down for most of these procedures, bone cut out and also an incision under her foot, which sounds like torture.

She will be in the cast and K-wires for 6 weeks and then a further 2 weeks of casting once the k-wires have been removed.

This will be followed by intensive physiotherapy.

We have organised all the equipment needed post op i.e leg board, commode etc

During hospital stay, the pain relief will be administered via either Spinal Block or Epidural. ..which was news to me. She will also be sent home with either Valium or Endone (Oxycodone)

Really hoping this will all be worth some ways I think I need the next 3 weeks to mentally prepare myself!


Alison said...

Wow - that surgery sounds BIG.

Hopefully it will make a huge difference to her quality of life and ability to walk.

What a way to start the year. What does Violet think of it all?

And don't forget that when you're stuck down in the hospital with a grumpy 5 year old I am only 10 mins away and can bring supplies...chocolate, alcohol, whatever is needed!!! Maybe Violet will share her valium with you??

Missy said...

Oh Sarah....glad to hear there is no fracture or break in her foot.
Gosh it certainly made me take a big deep breath hearing what Violet will have to go through.
I cant imagine how you are feeling about this and even little Violet.
I will be thinking of you and Violet throughout the op and post procedure and I hope that this will help Violet's foot and reduce the pain she has now.
It sounds like they will really manage her post op pain well, which will certainly be the key to recovery.
Good luck and big hugs

Mazzmerise said...

thinking of you all with what is ahead♥
glad the scans came back with no break but still a big surgery ahead
Hugs to you all ♥♥

Belinda said...

Glad there is no breaks!

Surgery sounds so full on, but I'm sure it'll be so worth it. Alison's offer of alcohol is one you should take her up on!

A big month for you all. Thinking of you. Xx

Josephine said...

Ugh, that sounds horrible! But I'm sure Violet will be a trooper through it all, and that it will all be worth it in the end! And as long as they give her enough pain meds, I would hope that recovery won't be too bad for her.

Michelle said...

Certainly glad that there are no fractures to complicate things - they sound complicated enough! Perhaps the valium that they are sending Violet home with is for Mom instead...

It sounds like a lot - but if she gets the lifetime of benefit from it that you hope for then eventually these few months will seem small. Good luck and we'll be thinking of you!

Melissa and Luke Young said...

The surgery does sound big... Violet and of course you will be in my thoughts. I cant even imagine how you are feeling at the moment.. Big hugs !!!