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  1. #1
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    Mar 2007
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    Flag of Kenya
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    United Arab Emirates
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    Physiotherapist
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    Re: Tibio-astragalus arthrosis

    Wow, ankle joint prosthesis... Unheard of here.
    Another factor that could be considered is patient compliance.
    As the patient didnot follow up with physio, did he really take good care of his foot? He probably stressed it out un-necessarily, with poor diet and mybe infection control leading to this.
    Also, could you tell us, does he have any other medical complications like diabetes? hypertension? is he obese / over weight? that might shed more light.


  2. #2
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    Feb 2007
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    Iasi, Romania, CE
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    Exercise Therapist/Fitness Professional
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    Re: Tibio-astragalus arthrosis

    My pacient is a little over weight, an old smoker, but has not diabetes or hypertension.
    Infection was one of the problems that kept him from beginning kinetotherapy earlier. Also, the surgical wound failed to heal very quickly. And remember one of the pins that fixed (sticked) the joint for a while...
    Yes, unfortunately, his ankle was a little bit stressed cause he had to be present at his stepdaughter wedding (also shoppings, etc.), and after that had to travel and to assist at some meetings regarding the job. After that period he came back to me and the mobility measured was worse, the pain too.
    Maybe the arthrodesis is a good option for a surgeon, but I can't keep myself thinking of the spine and leg repercussions...



 
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