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.