August 28th, 2025

In preparation for my appointment with the surgeon on Monday, I first need to have a CT scan of my foot at the hospital. It went like clockwork: everything was done efficiently in less than 7 minutes! This examination will serve as the basis for determining the next steps in my treatment. Two options are possible: either we leave the situation as it is – which, in the long run, doesn’t strike me as a viable solution – or we consider surgery called AAN (Ankle Arthrosis Nail), in French “tibiotalocalcaneal nail for ankle arthrodesis”.

As shown in the video, this is both a delicate and complex procedure, requiring specialised surgical instruments. Nothing unusual in itself, but not all surgeons perform this type of operation.

My surgeon therefore intends to consult another specialist for such pathologies, Professor Dr Markus Knupp, from the “mein Fuss Zentrum” (my foot centre) in Basel. As the name suggests, this centre is entirely dedicated to foot surgery in all its forms.

The most critical aspect, however, remains the risk of infection: should another staphylococcus infection occur, the nail could not be removed. I’ll let you imagine the consequences…

According to Internet, here the overview of risks:

• Infection: There’s a small risk of a serious infection. If it occurs, the nail might not be removable.

• Bone healing: Sometimes the bones don’t fuse properly, which could require further surgery.

• Nerves or blood vessels: Some numbness, tingling, or minor nerve issues may occur.

• Nail or screws: The implant could shift, loosen, or break over time.

• Reduced ankle movement: The ankle will lose some motion, though pain is usually significantly improved.

• Blood clots: A rare but possible risk after surgery.

• Pain or swelling: Some discomfort and swelling are normal during recovery.

• Impact on other joints: Nearby joints may experience extra stress, which could lead to wear over time.

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Overall: Many patients feel a significant improvement after this surgery, particularly when they follow post-operative care and physiotherapy carefully.

At least I appreciate that my surgeon communicates with great openness and transparency. Even my GP rang me to make sure I didn’t have any unanswered questions. In any case, before making a decision, I will seek a second medical opinion.

Unless, of course, my surgeon still has another surprise up his sleeve…