After getting the results from the motion lab analysis, D's ortho at Shriners, Portland, thought it would be best to perform an anterior tibialis tendon transfer, a posterior tibialis tendon lengthening, and an achilles tendon lengthening. There was some talk about doing a femur osteotomy as she has some leg rotation originating from her femur but as it is a much more intensive surgery, we decided to hold off on that one for another year or so, if she will even need it.
On Tuesday, D was admitted at Shriners for the tendon surgeries. The surgery lasted about two hours and her ortho said that she got really great correction when she released the anterior tibialis. D spent a night at Shriners and we were able to bring her home on Thursday (it was a pretty grueling three hour drive for her, but she did really well). She is in a short cast to her knee for the next month and a knee/leg brace over that for the next few days.
Recovery so far has been ok. We are still keeping up on the regular schedule with her pain medication and she is apprehensive of too much movement but she is starting to sit up in her wheel chair for longer periods of time and wanting to do things. Lying on the couch watching tv is getting old, I think! I'm hoping she will start transitioning to using her walker around the house soon, but we have to get her over the anxiety of pain issue first.