Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Reason for reaction to metal after surgeries in ankle.

Resolved Question:

I am a 47 year old female who has had 18 surgeries on my right ankle due to non-specific/benign/yet aggressive bone tumors in my talus. Over time I've discovered I am allergic and/or react to every piece of orthopedic metal put in me. It causes an extreme reaction and needs to come out. I've also had significant allergy issues with most opiate drugs.

My graft failed, once again, and I am about to go have my 19th surgery to try to repair and incorporate the graft in my foot. I recently went to an immunologist and he did some testing, attached, and says my immune system appears deficient.

I am trying to create the best outcome for this next surgery as I know my options for further surgical intervention are few and I need the graft to incorporate.

I saw an endocrinologist who suggested a short-term course of Forteo. He did blood work and it came back anemic, vitamin D deficient and my CRP was normal-high.

I'm very concerned about the CH50 test and the Pneumococcal tests as I've had significant issues with post-op infections and I need to make sure my body is ready for this new challenge.

Thanks,
Christine Atkinson

Category: Orthopedic Surgeon

Ask Your Own Question

Category: Spine Surgeon
 27 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
Thanks for writing your problem to us. You seems to be in lot of pain.
I have read your history and saw the attached reports. Your ankle bony structure is grossly osteoporotic with fusion at multiple joint line levels mostly because of your old ankle problem. Currently a fracture can be seen at talus bone region.
Looking at the current situation, grafting appears to be the best solution out which will help in better healing. One can go for autograft, to increase the graft acceptance by body and reduce the immue related complication chances.
Looking at the osteoporosis of you ankle bone and vitamin D deficiency, teriparatide (forteo) is one of the well advised treatment. It is well documented also with good out come. I suggest you to add oral calcium and Iron pill also in your treatment after discussing with your treating doctor.
Please feel free to ask further queries,
Regards.


Dr. Karun Jain
Category: Spine Surgeon
Experience: 
MBBS, 2002 - Kasturba Medical College, Mangalore
D.Orth, 2009- J.S.S Medical College, Mysore
MS - Orthopaedics, 2011 - University of Seychelles - American Institute of Medicine
Currently pursuing ChM (Trauma & Orthopedics) from The Royal college of Surgeons, Edinburgh & University of Edinburgh, U.K
Dr. Karun Jain and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news