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Our Photo Gallery
These are Cindie's (Tygger2)
ankle fusions.
ankle fusions.
This is Diane's ankle. Hers was done
in a manner to modify it so that she
might have an ankle replacement
one day. Diane says:
in a manner to modify it so that she
might have an ankle replacement
one day. Diane says:
"I don't have my pre-fusion xrays digitized but I just looked and most of those screws now are
from the tibia-talus fusion (ankle fusion) performed Oct. 2004 or from the sub-talar fusion (talus
fused to the calcaneous) performed about 3 years ago. I think just two of the screws in the xray
now are from the trauma repair, because they pulled some of the original ones out to make room
for the fusions.
I was glad Cindy posted her photos too - I've seen a lot of fusion xrays by now and there are
many versions. My fusion was done in a slightly different
way than traditional fusions to allow the surgeon to theoretically
implant an ankle replacement in the future, assuming the AVN ever goes
away. (In the past fusion was the 'end of the line' - once done, an
ankle replacement could not be done. Now they can retain the fibula
and cut from the center, and it retains enough bone to allow the ankle replacement gizmo to be
implanted. I thought that was very comforting to know the option was still out there.)"
from the tibia-talus fusion (ankle fusion) performed Oct. 2004 or from the sub-talar fusion (talus
fused to the calcaneous) performed about 3 years ago. I think just two of the screws in the xray
now are from the trauma repair, because they pulled some of the original ones out to make room
for the fusions.
I was glad Cindy posted her photos too - I've seen a lot of fusion xrays by now and there are
many versions. My fusion was done in a slightly different
way than traditional fusions to allow the surgeon to theoretically
implant an ankle replacement in the future, assuming the AVN ever goes
away. (In the past fusion was the 'end of the line' - once done, an
ankle replacement could not be done. Now they can retain the fibula
and cut from the center, and it retains enough bone to allow the ankle replacement gizmo to be
implanted. I thought that was very comforting to know the option was still out there.)"
This is a bone scan taken just before my left knee was replaced.
Note the right side of my body: the artificial hip and knee look like
empty spaces in the film. Those are the metal and plastic
components that you 'see'! Also, see the large spot on my right
arm? That is the site of the isotope injection. The AVN in my elbow is
just behind that spot, more to the left of it. Note spot in left elbow,
more AVN. Look on the right side of my torso/spine: that's AVN in
one of my ribs.
You can clearly see bone cellular activity below the hip prosthesis,
which an MRI later showed is a new site of AVN. You can see how
bad the left knee was and how much bone was affected! Also, note
spots of AVN in both feet and ankles. It doesn't show up well in this
minimized picture, but if it were larger, you could see a grayish area
within the dark black in that knee. That represents the actual, dead
and 'missing' bone. Ditto for the areas just above my ankle areas
(see how faint they appear). You can clearly see the AVN in my feet,
with right foot being the worst. Both feet also have arthritis in them.
Lower spine was so bad that one doctor thought I had bone cancer!
MRI proved it to be spinal stenosis, with osteoarthritis forming in mid
spine area. This scan is a good example of what a bone scan
shows. Some other clues that the tech understands can help
towards a diagnosis. I was told the dark areas on the sides of my
pelvis were somewhat normal to see in a bone scan. In my case,
they are very dark, indicating arthritis which an MRI later proved to
be true.
Marie (AVnrie)
Note the right side of my body: the artificial hip and knee look like
empty spaces in the film. Those are the metal and plastic
components that you 'see'! Also, see the large spot on my right
arm? That is the site of the isotope injection. The AVN in my elbow is
just behind that spot, more to the left of it. Note spot in left elbow,
more AVN. Look on the right side of my torso/spine: that's AVN in
one of my ribs.
You can clearly see bone cellular activity below the hip prosthesis,
which an MRI later showed is a new site of AVN. You can see how
bad the left knee was and how much bone was affected! Also, note
spots of AVN in both feet and ankles. It doesn't show up well in this
minimized picture, but if it were larger, you could see a grayish area
within the dark black in that knee. That represents the actual, dead
and 'missing' bone. Ditto for the areas just above my ankle areas
(see how faint they appear). You can clearly see the AVN in my feet,
with right foot being the worst. Both feet also have arthritis in them.
Lower spine was so bad that one doctor thought I had bone cancer!
MRI proved it to be spinal stenosis, with osteoarthritis forming in mid
spine area. This scan is a good example of what a bone scan
shows. Some other clues that the tech understands can help
towards a diagnosis. I was told the dark areas on the sides of my
pelvis were somewhat normal to see in a bone scan. In my case,
they are very dark, indicating arthritis which an MRI later proved to
be true.
Marie (AVnrie)
Right
Left
This is an MRI of my left knee, taken a couple of years
ago. This is a lateral (side) view of it; you can see the
hole from the CD surgery in the tibia quite clearly (see
notation). The CD hole in my femur (upper bone) is
no longer visible due to the bone just simply
disintegrating away.
All of the darker grayed out area that you see in the
center of the bones is what AVN can do to a bone.
You can see where the tibia microfractured so much
that it nearly broke through the outermost layer of the
bone. In fact, the femur was in much the same
condition, and the only thing that kept it from totally
collapsing was the good joint space that I had.
It was replaced in 2004 and I am getting around on it
just fine!
Marie (AVNrie)
ago. This is a lateral (side) view of it; you can see the
hole from the CD surgery in the tibia quite clearly (see
notation). The CD hole in my femur (upper bone) is
no longer visible due to the bone just simply
disintegrating away.
All of the darker grayed out area that you see in the
center of the bones is what AVN can do to a bone.
You can see where the tibia microfractured so much
that it nearly broke through the outermost layer of the
bone. In fact, the femur was in much the same
condition, and the only thing that kept it from totally
collapsing was the good joint space that I had.
It was replaced in 2004 and I am getting around on it
just fine!
Marie (AVNrie)
Femur
Tibia
Hole from CD
"The x-ray on the right is of my original ankle fusion. The wire you see
coming down is a bone stimulator. There is a boxlike unit placed inside
your calf with a wire that runs down into your ankle. In this fusion
they removed all the dead bone and replaced it with bone taken from my
hip. They then inserted 3 large titanium screws to try to fuse the bone
together. This fusion ultimately failed.
The x-ray on the left is the ankle fusion revision surgery. This time
there was even more dead bone. (only 5 months had passed between
operations.)They removed all the previous inserted hardware, dead and
grafted bone and replaced it with a synthetic and cadaver bone made
into a paste like substance. They reinserted 3 more large titanium
screws and also a steel plate that has 5 smaller screws holding it in
place. Being there was little room left after all the hardware
inserted, they removed the internal bone stimulator. I then had to wear
an external bone stimulator for 10 hours daily for approximately the
next 4 1/2 months. As with the original fusion you are casted and non-
weight bearing for approximately 5 months." - Cindie
_____________________________________________________________________
coming down is a bone stimulator. There is a boxlike unit placed inside
your calf with a wire that runs down into your ankle. In this fusion
they removed all the dead bone and replaced it with bone taken from my
hip. They then inserted 3 large titanium screws to try to fuse the bone
together. This fusion ultimately failed.
The x-ray on the left is the ankle fusion revision surgery. This time
there was even more dead bone. (only 5 months had passed between
operations.)They removed all the previous inserted hardware, dead and
grafted bone and replaced it with a synthetic and cadaver bone made
into a paste like substance. They reinserted 3 more large titanium
screws and also a steel plate that has 5 smaller screws holding it in
place. Being there was little room left after all the hardware
inserted, they removed the internal bone stimulator. I then had to wear
an external bone stimulator for 10 hours daily for approximately the
next 4 1/2 months. As with the original fusion you are casted and non-
weight bearing for approximately 5 months." - Cindie
_____________________________________________________________________
Right
Left
This x-ray is from our member Cheryl D., from
Australia. As you can see, Cheryl has had both
of her hips replaced.
Cheryl is not only a double-THR member of
our organization, but she is also on our Public
Relations Team. You have to admire spunk
like hers!
Australia. As you can see, Cheryl has had both
of her hips replaced.
Cheryl is not only a double-THR member of
our organization, but she is also on our Public
Relations Team. You have to admire spunk
like hers!
 |  |  |  |  |
This is what our member, Joy's,
trabecular rod implant looks like.
Hopefully, the new technique will
encourage new bone cell growth along
the implant, thus giving strength to her
AVN-affected hip joint.
trabecular rod implant looks like.
Hopefully, the new technique will
encourage new bone cell growth along
the implant, thus giving strength to her
AVN-affected hip joint.
This is what Mark's hip looks
like after the Birmginham
Midhead Resection surgery.
Mark lives in the UK, where
this procedure was developed.
As you can see, this is a
partial hip replacement, where
less bone is removed from the
femur.
Mark lives in England.
like after the Birmginham
Midhead Resection surgery.
Mark lives in the UK, where
this procedure was developed.
As you can see, this is a
partial hip replacement, where
less bone is removed from the
femur.
Mark lives in England.
These new, porous implants will hopefully
add stability to the bones. Of course, the
truly big hope is that a total hip replacement
can be avoided, if at all possible.
Like most of our trabecular implant patient
members, Terri is well below the age of 60.
For younger patients like Terri and Joy
(above), this new technique may forestall a
replacement for quite some time. Both
women report that their surgeons, who are
experienced in this technique, have great
hopes for it. Only time will tell.
With so much bone weakened thanks to AVN, Michael V's knee required special rod
implants attached to the prosthesis. His surgeon feels these rods will add more strength and
stability to the new knee joint (as well as to his leg), and expects the artificial knee to last for
two decades or more.
implants attached to the prosthesis. His surgeon feels these rods will add more strength and
stability to the new knee joint (as well as to his leg), and expects the artificial knee to last for
two decades or more.