u/ChasingMindfulness — reddlx

Quick context: I have been recommended left ankle surgery to avoid potential arthritis going forward in my 30s. Currently 28M.

I have been told the following from my consultant:

“Large osteochondral defect of the talus on a background of ankle instability due to stretched ATFL and CFL ligaments, likely related to a fixed heel varus alignment.

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Non-operative management would include continued use of insoles and regular physiotherapy exercises to strengthen the lateral ligament complex.

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Given that he is only 28 years of age, surgical treatment is advised. This would involve:

1. Stabilisation of the ankle with augmented reconstruction of the ATFL and CFL

2. Correction of heel alignment with a calcaneal osteotomy

3. Fixation of the osteochondral defect via a medial malleolar osteotomy

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This is a significant procedure and would require an overnight inpatient stay. Post-operatively, the leg would be immobilised in a plaster cast for two weeks, followed by a walking boot for a further four weeks. He would be non-weight-bearing for the first four weeks, after which he may begin weight-bearing in the boot. Physiotherapy would commence from six weeks post-operatively, with a return to sports and higher-level activities expected from around six months.”

My foot at the moment feels relatively fine, with the very odd time that my foot feels pain. I love playing sports so would it be a horrific idea to play this Sunday before my pre op consultation on the 14th. Should I not want surgery my consultant would be entirely against it but wanted you guys to chime in with thoughts.