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Hello,
I'm new to this forum but thought my case may later offer some suggestions to those suffering from foot drop, compartment sydrome, and peroneal nerve damage.
About 4 years ago I had a champagne bottle explode when it hit the ground near my leg. It cut a fairly good size hole in my shin muscle. I went the emergency room and had it stitched up and it healed without any loss of function to any nerve or my leg. The only draw back was I was left with a muscle hernia in my shin area. In January I went to a plastic surgeon for something totally unrelated to my leg and asked him to just look at the spot on my leg. He assured me he could fix it and everything would be fine. Well, needless to say I'm writing here so everything wasn't ok.
The day of the surgery I came home with extreme pain in my ankle area and the top part of my foot. Since that day I have not been able to dorsiflex my foot and have a numbing feeling between my two first toes. My cosmetic surgern kept assuring me it was due to the stitches he put in being too tight. Finally after 3 weeks he went in and took the stitches out but improvement has not happened. I had an EMG and Nerve test done on 2/27 and found out the results just yesterday. The peroneal nerve is basically dead between the place on my shin and my toes. There was no activity at all. My orthopedic surgeon delivered the terrible news to me and was very helpful in helping me to understand what my options were. Basically, he wants to do "exploratory" surgery in hopes of finding what caused the nerve to stop functioning and to relieve the pressure that is still on the nerve. He has given me a 10% chance of improvement with the surgery. Basically, no percent chance without. My surgery is scheduled for this Thursday. Although the process started a month ago, the journey for healing and prayerfully getting to walk normally again will begin Thursday after the surgery.
If anyone out there has had a similar situation please let me know how you are doing and what I can expect. Does the fasciotomy leave hideous scars? Do you feel like you have a constant sprained ankle? The thought of never walking normally again is almost unbareable to think about.
[QUOTE=Alli1002;3466068]Hello,
I'm new to this forum but thought my case may later offer some suggestions to those suffering from foot drop, compartment sydrome, and peroneal nerve damage.
About 4 years ago I had a champagne bottle explode when it hit the ground near my leg. It cut a fairly good size hole in my shin muscle. I went the emergency room and had it stitched up and it healed without any loss of function to any nerve or my leg. The only draw back was I was left with a muscle hernia in my shin area. In January I went to a plastic surgeon for something totally unrelated to my leg and asked him to just look at the spot on my leg. He assured me he could fix it and everything would be fine. Well, needless to say I'm writing here so everything wasn't ok.
The day of the surgery I came home with extreme pain in my ankle area and the top part of my foot. Since that day I have not been able to dorsiflex my foot and have a numbing feeling between my two first toes. My cosmetic surgern kept assuring me it was due to the stitches he put in being too tight. Finally after 3 weeks he went in and took the stitches out but improvement has not happened. I had an EMG and Nerve test done on 2/27 and found out the results just yesterday. The peroneal nerve is basically dead between the place on my shin and my toes. There was no activity at all. My orthopedic surgeon delivered the terrible news to me and was very helpful in helping me to understand what my options were. Basically, he wants to do "exploratory" surgery in hopes of finding what caused the nerve to stop functioning and to relieve the pressure that is still on the nerve. He has given me a 10% chance of improvement with the surgery. Basically, no percent chance without. My surgery is scheduled for this Thursday. Although the process started a month ago, the journey for healing and prayerfully getting to walk normally again will begin Thursday after the surgery.
If anyone out there has had a similar situation please let me know how you are doing and what I can expect. Does the fasciotomy leave hideous scars? Do you feel like you have a constant sprained ankle? The thought of never walking normally again is almost unbareable to think about.[/QUOTE]


I am sorry to hear your story. I guess your peroneal nerve was squeezed (compartment syndrom) for too long and most likely the damage to it is irresversible. A fasciotomy, if performed within 24 hours from start of the compression, is possibly to save the nerve by releasing the pressure inside the compartment. The key is when the compartment syndrom is diagosed and when the surgery is performed. I had a compartment syndrom on July 9 last year and a fasciotomy surgery was done at 24 hours after the compression. I was not able to move up my toes before the surgery and my situation has not improved at all as of today.

Although I cannot move up my anke/toes, my foot does not drop either. It is at near neutral position. I feel I have an interal AFO while I never had a anke fusion.





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