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Subject: 4/18/07 Denver Results
The Surgery was a bust.  With an open wound (a Tulsa bed sore with a Denver skin graft) on the right heel, Dr Morgan saw no need to run the risk of a bone graft on the right tibia.
    The right leg was cut, mid-shin, in the accident (where all this damage is).  There was not enough skin to close the cut, resulting in the free-flap in early February.
    There is a rod in the right tibia, from knee to ankle.  The right fibula had an inch-long chunk break out of place, and it now rests at an angle within the frame of the bone.  A section about 3-4 inches long is completely missing from the tibia, in the same area where the fibula is broken.
    Now that the free-flap has healed so well, Dr Morgan plans to do a bone graft, in which he will try to cause the fibula to fuse to the tibia.  The fibula is a non-weight bearing bone, and is often left to it's own devices.  But if the tibia bone does not grow back around the rod, the rod will eventually break under the stress of use, much like a  paperclip that is bent too many times.
    The heel wound is expected to heal in a month or so, and once that happens, we can reschedule surgery.
 
    The trip was not wasted.   Over a dozen x-rays were taken.  Both femurs are healing well.  We got to see the x-rays, and understand the injuries with more insight.  We saw exactly where each foot is broken.  There will probably still be some fine tuning work to both feet, in the future.
    With swelling of the feet over the last week and a half being such an issue, an ultrasound was scheduled to check for blood clots.  Two days ago, Dr Cottum canceled the daily belly injections of blood thinners.  Hooray for the bruised belly!  The ultrasound came back negative -- no blood clots.  The swelling is expected to reduce with increased use of the feet & legs, which will increase circulation.
 
    The next step will be a literal one, as Dr Morgan has approved walking on the left foot, with partial weight-bearing on the right foot!  For now, we are headed north towards Wyoming & home.  ~ Theresa, Tom & Val




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