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I am only a patient, but here are some things I have learned.
A 6mm depression can cause osteoarthritis and alignment problems. If your bone is smashed down into itself and your cartilage is also depressed, surgery may be needed to push the bone and the cartilage back into place http://www.youtube.com/watch?v=5hZv_FZhdlc (Also, see images at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2852742/)
Pay attention to your “gut.” Is there any way you can have someone show you your images and explain your problem. By insisting on getting more information, I was able to have someone explain my CT and X-rays. Then, I was able to get a surgeon whom I trusted.
MRI’s are not needed until the bone is fixed because nothing can be done, with the meniscus, etc., until the bone is mended.
Keep doing whatever physio is safe. Exercising upper body can and healthy leg can help with circulation and wellness.
Swelling interferes with blood flow — keep checking the pulse in your foot.
I hope you are able to get good care and a good outcome.