Sesamoid fracture/turf toe
I injured my big toe while hiking a year ago and have a fractured sesamoid and possible turf toe injuries to my big toe joint. I have developed a bunion and have very little muscle control of my big toe joint. My excellent podiatrist with 30 years of surgical experience recommends that I see a specialist in dealing with this type of surgery. This is after 6 months of conservative treatment including a 6 week non weight bearing casting. My problem is my HMO wants to let their in group orthopedic surgeon do the job, although he is a hand/hip surgeon. He said it was no big deal, but this conflicts with my podiatrist analysis. Would you agree that this type of surgery and repair of the joint capsule does necessitate a surgeon with much experience in this type of repair? I am preparing for an appeal, but would like to know what others think.
Thanks,Mike
1 Comment found
Vivian Abrams DPM
As a podiatric surgeon, I feel I am more skilled in foot surgery than an orthopedist who does hips. I do not believe that an HMO is the best one to judge who should do your surgery. If they insist then I suggest you ask them if they will signh a legal document stating they are making a medical decision for you and will be liable for any unanticipated outcome. There is probably a long battle ahead of you. Good luck.