The patient has provided the following information: patient had undergone a left foot osteotomy metatarsal/left weil plantar plate repair on (b)(6) 2017.During the procedure, an arthrex acp injection system (acp kit series ii, abs-10012, lot 616565204, qty 2) was utilized and 2 arthrex quick fix screws were implanted (ar-8930-11, lot 10111019).The following arthrex products were also use: ar-13930ds (lot 703771055) meniscal viper repair kit and ar-8690ds (lot 10091584, qty 2) implant system, cpr mini scorpion dx.After the local anesthetic wore off his left foot felt like it was asleep and the feeling radiated to just above the ankle bone.Feeling has not gone away since the surgery.Condition does not impact any activity, except it feels strange, often a dead feeling and cold.Only exception to functionality is patient's balance while standing on his left foot only is slightly worse than then standing on his right foot.Patient had reached out to the surgeon in early 2019 but chose to follow up with his local physician who referred him for review by a neurologist.Emg exam was conducted and mri's were performed on the left knee and ankle.Patient recap of testing results: emg shows left leg nerves normal above the left knee but not below.Right leg normal.No neuropathy.Mri of left knee - showed some issues but likely due to patient age ((b)(6)).Mri of left foot - edema caused by nerves not functioning correctly.Patient states his primary care physician concludes that something happened during surgery that somehow damaged nerves which have not repaired themselves and that likely they will not repair themselves since it is now over two years post-surgery.Patient's physician recommended no further action other than to monitor the condition.
|