Lytic Lesion in Ankle

[PennStateFan]

Hello,
   Three years ago I had bone graft surgery to repair a lytic lesion in my right ankle.  The surgeon scraped out the cyst and used a graft from my pelvis to fill in the remaining hole.   It never filled in completely and the cyst has been growing back.  I have been experiencing an almost constant ache in the ankle and a burning pain which radiates into my foot and up my leg a bit.  It also feels as if it needs to be cracked, like a knuckle.  I have an appointment in 10 days with a new orthopedic surgeon who specializes in benign bone cysts.  I am wondering what could have caused the first bone graft to not work and what the chances are that a second operation would work?

[Dr. Kokil Mathur]

Hi!
A benign lytic lesion could have grown in size and pressing on nerves. This can cause pain, tingling, numbness in the foot. The other possibility is a compression fracture due to a big lytic lesion. Possibility of a cancerous change cannot be ruled out completely. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.

[PennStateFan]

Forgot to mention that I am also experiencing a numbness/pins and needles sensation in the ankle, foot and toes.  I am concerned that it may have progressed into something more than the benign lytic lesion that it was before as the pain is different and worse than before. Any thoughts?