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Medical Forum / Diseases and Disorders / Arthritis / May 2006PVNS & ankle fusion
I have pvns in the ankle and arthritis of the talor navicular joint. I have seen a surgeon here in London and wants to surgically remove the PVNS and fuse the joint. I am worried I will be worse after the op. Any advice or comments welcome! Rebecca >I have pvns in the ankle and arthritis of the talor navicular joint. I >have seen a surgeon here in London and wants to surgically remove the PVNS >and fuse the joint. I am worried I will be worse after the op. Any advice >or comments welcome! > > Rebecca Hi Rebecca,,, From what I have read in this newsgroup, when an ankle is bad enough,,,, a person might as well do the fuse. After healing you will be asking yourself, why didn't I get this done sooner. I also have to say that a Rheumatologist should be seen first because a surgeon is all about what he does and an RD is about taking steps to keep from going to the surgeon. Its not that simple but you get the idea. Good luck with it. Harv Rebecca: I was told quite a few years ago to get an ankle fusion but hesitated and asked my rheumy for an alternative. I wore AirCast braces for 4 years and both ankles basically fused themselves and I walk quite well. I was so worried about the fusion as it was prior to my knee replacements and I was afraid I would not be able to arise from a chair, etc. Good luck. Jan O' >I have pvns in the ankle and arthritis of the talor navicular joint. I >have seen a surgeon here in London and wants to surgically remove the PVNS >and fuse the joint. I am worried I will be worse after the op. Any advice >or comments welcome! > > Rebecca > I have pvns in the ankle and arthritis of the talor navicular joint. I have > seen a surgeon here in London and wants to surgically remove the PVNS and > fuse the joint. I am worried I will be worse after the op. Any advice or > comments welcome! > > Rebecca What is PVNS? The main thing to worry about with fusion (apart from it failing and the other complications from the initial surgery) is the stress placed on other joints. In particular the subtalar joints can end up going downhill a lot faster than they otherwise would have. I've chosen crutches rather than fusion. I have osteonecrosis of the talus with progressive collapse. Regards, Ari  Signaturespammage trappage: remove the underscores to reply I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/ What is PVNS? Pigmented Villonodular Synovitis PVNS is an uncommon joint disease that usually afflicts the knee. It generally appears in either a localized or widespread form, both of which are characterized by overgrowth of the joint's lining tissue (synovium). The cause is unknown. While not malignant, local tissue overgrowth within the joint can be difficult to control and may result in chronic joint swelling and ultimately, joint damage and arthritis. There is no effective non-surgical treatment, and in many cases there are specific limitations and drawbacks to currently available surgical treatment methods. PVNS of the knee can be a difficult problem that requires both knee specialty care and excellent arthroscopic surgical technique to manage optimally. Hope that helps :) Kimmy
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