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Wednesday, January 14, 2015
Partial Sesamoidectomy for Fractured Sesamoid: Email Report from Patient
This patient and I communicated in 2013 over her fractured sesamoid and conservative treatment.
You probably won’t remember me – we chatted quite a while back about my sesamoid stress fracture (see below) and you were a huge help to me! I still follow your blog religiously, and noticed someone had contacted you about outcomes from partial sesamoidectomy last week – a relatively new procedure.
After a fair amount of conservative treatment failing me (and some impatience to get back to Ironman racing as well as being able to be on my feet for work 40+ hours a week), I saw one of Australia’s best lower limb surgeons Dr Ben Forster (might as well give him some credit over the internet), who operated. He had planned to bone graft the sesamoid, but the bone fell to pieces once he got in there so he cleaned it up and did a partial sesamoidectomy instead, leaving about 2/3 of the (healthy) bone in tact. He also did a (planned) Dorsiflexion Osteotomy of my 1stMetatarsal at the same time, to decrease future risk of re-injury given my age, injury history and urge to return to long course racing.
Anyway long story short, the surgery was a huge success. The rehab process was LONG (9 months back to running, including 6 weeks in plaster NWB’ing, 8 weeks in a boot, and many, many hours of rehab exercises and patience). I got back to running 8km very comfortably before becoming pregnant, and have been able to maintain running up until 8 months pregnant – even with 11 exra kilos on board! My foot is not my limiting factor and I hardly ever think about it any more, it feels great, so I have full faith in a successful return to racing once the baby arrives.
Anyway I hope that my experience can help you and some of your patients with some hope on the situation.
Thanks again for your help and please never stop doing what you’re doing, your work is amazing!