74 yo Female Stage 2b PTTD, Torn PT and Spring Ligament


We met this 74 yo female 4 years ago, and started her in custom orthotics, and custom AFOs due to stage 2b PTTD. Despite this she still eventually tore PT, and spring ligament. She swore she’d never have corrective surgery when we met….She is now 12 wks s/p triple arthrodesis, with nice unions, and walking in sneakers. , No bracing, or even orthotic (so far). …. She was mildly osteopenic clinically (in OR), and moderately osteopenic based on her DEXA scan in some areas, however, this didn’t seem to effect bony healing.

Bracing and inserts are great conservative options, but they also fail contrary to what some practitioners believe.