@orthpest Thanks for responding. I am still trying to see the right consultant. I've been offered total fusion or TAR. I can't really decide at present, but I know having this op could be potentially dangerous for infection, which as a Type 1 diabetic, I want to avoid. The physio afterwards is very important to me too, and having had surgery to release a frozen shoulder in 2021 I got none afterwards and still have limited range of movement, which is really not OK.
I'm interested to hear what lifespan they give a TAR? Will you get side to side movement at all?
My injury was a spiral compound fracture to lower tibia & upper fibula in 1990. It was pinned & screwed in 91, then I fell and the tip of the pin went into the ankle joint, which was bad. Finally had the metalwork removed in 95 before the insurance company would settle, but lost 20mm in length of the tibia. 28-30 years later the pain started for real. I had ankle arthroscopy in 2017 to remove bony spurs, but the pain is getting slowly worse. Real issue is a corn at my 5th metatarsal due to change in gait. I don't see the foot pain getting any better with either fusion or TAR. I actually wish I had demanded the leg lengthened back in 1991, but that's history now. The team at Barts in London actually tried to get me to consent to amputation, but I point blank refused because my foot was totally OK. That's the **** they try & force on people with diabetes!!