Pereneus Longus Tendon Rupture

I have an os pereneum that fractured causing the pereneus longus to completely rupture.

I went to the doctor the next day for treatment. Misdiagnosed and now 5 months post injury. Can feel tendon pulling in ankle now. Had 3 MRI's and know heading for surgery.

Scared. Doctors have not decided on a course of action. They stated they need to get into it before deciding, HUH!!!!

They mentioned using my wrist tendon, fusing the ankle, tying off to the other pereneus tendon. None of these sound good.
I don't want my wrist touched. Why give me a bad wrist to try and fix my ankle.
I and a 260 lb athletic guy and 43 YO.
I read fusing my ankle will most likely fail or break and may lead to needing ankle replacement in the future. My ankles are fine and huge. Never even had a sprain. That is why they misdiagnosed. Ankles are very strong.
What is the best fix for a pereneus longus? Can the muscle/tendon be thinned in the calf to allow it to be stretched back throught the ankle and reconnected to the break? Can a cadaver tendon be a better fix?
Any comments are appreciated.

Hi,
I can only speak in general terms since I cannot examine you, but to answer some of your questions. Many times a surgeon cannot be specific as to what he or she is going to do, because even with an MRI you do not know the full extent of damage, particularly with scar tissue until you "get in there".
I understand your concern about screwing up your wrist (potentially) and I understand your concern about an ankle fusion. I do not think any joint should be fused unless there is absolutely no other option available.
There are a lot of creative surgeons out there. Why not get a second opinion? I do not know where you live, but if you are near a medium to large city, see if there is a university teaching hospital nearby and consult with a foot and ankle specialist there.

Marc Mitnick DPM

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