Talar Dome Fracture

[cheryls9379]

I have a talar dome fracture that occurred about a year and a half ago while I was snowboarding. I landed weird in the terrain park I know exactly where it is. It is on the shoulder of the talar dome on the tibial side and it is fairly large in size. I recently had surgery on it. It was an arthroscopic procedure and they did subchondral drilling. My ankle is still hurting in the same spot as before the surgery. Does anyone have experience with subchondral drilling? The surgery was 10 days ago. I was wondering how long it takes for the drilling to help? I just want my life back. I used to be a really active person. Now I can barely snowboard and anything involving running or jumping is out of the question. Any insight would be greatly appreciated!!

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[Hunter_PT]

Well...for one...you shouldn't be weightbearing yet. Usually a wait of 4-8 weeks of NWB to PWB gait until healing is apparent. During this time you'll do PT for ROM, strength, etc. Pain is also common following this procedure for up to and sometimes past a year.

[cheryls9379]

Thanks for the reply. Do you think a glucosamine/ chondroitin supplement will help in the long run?

[Hunter_PT]

well....let's put it this way...it won't hurt. I use a chondroitin supplement for my knees.

[cheryls9379]

Just wondering if you have ever had this condition before?

[Hunter_PT]

No. I've just treated a lot of osteochondral defects in ankle, knees, etc... If just takes time for it to heal. If you get full ROM in all planes and strength/proprioceptive abilities/neuromuscular control in your ankle it should begin to feel better.

[cheryls9379]

Thanks for all the info. It has been very helpful.