Comminuted Displaced Tib Fib Fracture - Lot Of Leg And Knee Pain
Mar 29, 2016
On Feb 7th I was involved in a pedestrian vs auto. I was the pedestrian hit at about 45 mph and had multi system trauma. I had a right comminuted displaced proximal Tib Fib Fx which was repaired with an IM rod. I have a lot of knee pain, leg pain, and my knee pops in and out. I still have a lot of pain and difficulty walking at times. It is painful to extend my leg. Is this to be expected? Do you ever remove IM rods?
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My kneecap was smashed into more than 10 pieces and was a displaced fracture. I had surgery on July 26th involving pins screws and figure of 8 wire to rebuild my kneecap. I was in a straight splint for two weeks and then a two piece cast with an adjustable steel brace. I spent the first 4 weeks with the brace set at 30 degrees then 60 degrees and 90 degrees for the final 4 weeks. I'm into my 5th week without the cast and I am walking unaided with a slight limp. I go to physio every week as well as doing my own exercises at home and finding it frustrating that I can only still bend my leg 100 degrees, it seems to be stuck here with no signs of improvement. Has anyone out there suffered the same injury and fully recovered? Would be nice to know if there is light at the end of the tunnel.
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I fell 2 1/2 years ago over 14 ft. My foot was injured extremely bad and it was almost amputated. I have had two surgeries and have progressed nicely. Now I am having incredible pain on daily basis.
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I thought I would share my story and healing process as I am recovering from a ladder fall from about 8-9' up onto concrete in November, 2014. I welcome any and all advice and hope my story and (hopefully) regular updates on my own progress will help others who may go through this same event.
On Nov. 30, 2014, I fell from a 10' ladder as I was trying to hang a Christmas wreath above my front door like I had done for the last 14 years! I tried doing this without my wife spotting me on the ladder and, when I reached to try to hang one of the wreath wires, I lost the center of gravity on the ladder and had no option that didn't involve me likely killing myself other than jumping off the ladder onto the concrete patio below. I was wearing running shoes and, after landing and gathering myself after a couple of minutes from the shock and immediate pain, thought I might have ruptured my right Achilles tendon. After inspecting the back of my heel, though, it was apparent that the tendon was still intact and I then realized that I likely had broken at least my heel bond (Calcaneus) as I could not tolerate even the lightest touch on any part of the bottom of my injured foot. I was home alone and had to hop into the house to retrieve my cell phone, spraining my good left knee in the process.
A trip to the emergency room and an x-ray later, it was confirmed that I had suffered a Calcaneal fracture.
I was 57 years old at the time of my fall, just two weeks shy of my 58th birthday. I had gotten in pretty good shape over the course of the year, having gotten back to a regular gym routine and running with frequency, as well. I am 5'11" and weighed around 195 lbs. at the time of my injury. My ideal weight is likely around 180-185, so I was at least 10-15 lbs overweight at that time.
After finding the best qualified orthopedic specialist in the area (he is a part of the top ortho group in the area and is the only surgeon in their 12-15 member practice group that does NOTHING BUT foot and ankle surgery. Lesson #1 learned: Find a surgeon whose practice is all but focused solely on the foot!! I have complete confidence that I could not have found a better doctor to do this surgery in my area (Dallas-Fort Worth, Texas).
I had a CT scan performed a week after the injury and after some of the swelling had subsided - it showed a Comminuted Fracture (essentially shattered into three large pieces and many smaller). My surgeon could not have stressed enough how important it was to keep my foot elevated above my heart in the several days prior to the surgery and told me that, had I been much older, surgery might not have been advised due to deteriorating circulation issues in feet for patients over 60 years old. This was, in fact, his major concern throughout; namely, that adequate blood supply would allow for healing of the surgical wound required for the surgery.
I had my surgery on December 11, 2014, and stayed overnight in the hospital. My surgery involved an open lateral incision on the outside of my heel with the insertion and fixation of a titanium plate and eight screws that extend nearly all the way across the width of my reassembled heel. Because my subtalar joint was also severely damaged in the fall, my surgeon had advised me that a fusion of the Talus with the Calcaneus was likely after he visually surveyed the cartilage and he did, indeed, also proceed with this fusion procedure which resulted in about a 5" long screw being inserted from the very back of my heel near the base and extending into the Talus bone above. I was told I will lose most of my lateral flexibility in my foot but should eventually recover most of my front-to-back foot flexibility.
I had been given a nerve block after surgery and felt no discomfort at all until the nerve block wore off the next evening. When that block wears off, it does so with a vengeance! I took Oxycontin for the next couple of days, then switched to Hydrocodone for pain and Naproxen Sodium for swelling thereafter. I got off the HC as quickly as I could (3-4 days later) and still take naproxen on a regular basis to manage the lesser pain and swelling.
I will follow up in the next few days with my thoughts on my recovery progress and outlook since then - I know this post may have some overkill from a factual standpoint but I wanted to include information that I personally would have liked to have known in reading other threads.
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My 6yr old son suffered a bad comminuted fracture to the tibia whilst on a bouncy castle. He was initially placed in a full back slab for a few days but was then meant to be changed to a full lightweight cast. Unfortunately the doctor deemed it far too unstable to mess around with and so has been left in the back slab with a full cast over the top. Its been on 2 weeks and has another 4 to go AT LEAST. i'm really worried about his recovery as he already had low muscle tone and hip instability.
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Last February 11, 2014, I fractured my leg (distal tibia and fibula). My doctor calls it Pilon Fracture. Spiral comminuted fracture of the distal tibia and fibula involving the articulations.
February 15, 2014, I went through MIPO (minimally invasive plate osteosynthesis). 4 weeks(March 11) after the operation, my doctor advised me to put some weight on it and so I did. 4 weeks(April 11) later, I had an xray and it appears like nothing's changed from my 1st x ray 4 weeks ago. I tried to put more weight on it but surprisingly, it doesn't hurt nor caused me any discomfort.
How long does a distal tibia and fibula fracture that went through MIPO heal? Exactly when would I walk again without my crutches?!
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So I dislocated my knee in January of this year. I was given a device that isolates my knee cap and hold it in place. I wore the device off and on over the year whenever my knee would feel sort of irregular. I worked out routinely to help strengthen my knee, it helped the pain somewhat, but mostly just made me feel better about the way I looked, and kept me healthy. I haven't worked out since some time before Thanksgiving. Starting this week i've started to feel this new akward feeling behind my kneecap, sort of like the ligament behind my knee cap is tightening, sort of similar to how it felt when I dislocated my knee, but not exactly the same. I get the pain after fully bending my knee, for example when I am on my knees doing my job stocking shelves at work, when I stand to my feet I can usually feel the pain. I try doing a couple of different stretches when to make the feeling go away a bit, but it comes back, and then it eventually goes away again.
My knee "pops" (makes a loud popping noise and pressure) pretty regularly now but when I get off of work and off of my knees I experience the discomfort much less. I want to start exercising again on Monday, but I am scared I might dislocate again. I will try using the knee cap device again tomorrow, but I feel as though whenever I use the device, it makes my knee feel like jello the next day, and make me want to use the device again, even though I was advised by my doctor that I should not need to use it regularly. ....
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I have now developed a knee Effusion and have tremendous pain. Put onto Celebrex. Do I use crutches again or strap knee? Doctor says i need to rest it as much as possible
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I got into an accident and my radial head was fractured but not displaced. After 3 weeks of back-slab I did X ray again and it was partially healed. I did some exercises for a few days but I can't move the arm freely and make it straight. However I have no pain but little bit swelling.
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I sustained a calcaneus heel fracture on 1/10/2015 in a mountain biking accident. I fell off a ledge and tried to catch my fall with my foot. Landed on concrete and twisted my ankle in the process. I had surgery on 1/21/15 and have two screws in my heel and a plate and two screws on the side of my ankle. Two weeks after surgery (four days ago), I lost my balance and fell forward and caught my fall with the ball of my foot (I was in a boot). My foot is so stiff that it will not lay flat on the ground. My heel started hurting a few hours afterwards and the next day. It felt better Wednesday and i did some stretches to my foot. Now it is hurting again today. I wonder if anyone else has had this experience? Do you think it is a stiff tendon (plantar fasciitis) that I just pulled or do you think I could have done damage to my heel? I didn't land on my heel, but I feel a dull ache at the bottom of it now.
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I had surgery 6 weeks ago with an implant for hallux rigidus. Had to call the doctor today (POD) because I'm having pains on the outside of my toe. He said it should have been feeling better & better each day, which it has not done. When I walk for awhile (say at the grocery store) it hurts on the side of that toe and on the bottom part of my foot. He wants me to come in for an x-ray & said I could have a stress fracture. Has anyone taken this long to heal? Comments anyone?
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I have broken my tib and fib -(think it's called a bimalleolar fracture?) I did it on a pair of high heels at Xmas party, stupid or what? I climbed up one step and it was gone over, my future for next however many months mapped out for me I a nano second! I have the usual metal plate and screws like many of you folk in here. I had my cast off on Monday and went to a physio today who advised me to not use the airboot and "try " to use just the crutches in the house and airboot outside. I a m confused as the consultant at the hospital said keep boot on for two weeks then ditch it AND the crutches. I am really confused, I want to push myself but don't want to do any damage. I am so down, fed up and FRUSTRATED? I have been given exercises from the physio man which he said to do every couple of hours and push through the pain as he said it needs to get moving ASAP. My ankle is so swollen, STIFF and painful. I just don't know what advice is the best? I am 49 WAS fit doing spinning, gym, swimming and lots of classes.
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I am 25 year old IT engineer facing knee pain along with other spine problems. I have been diagnosed as cervical spondylosis around 8 month back so i was taking physio therapy session since then. During those session i was getting some pain in my right leg knee which i ignored as i have bigger problem to be taken care of. Over the time it increased and since 2 month i am feeling pain while exercising for cervical and when i walk (sometime unbearable ) so I started physio therapy for that too but not getting satisfactory results. In addition to that I was swimming for subsiding my neck , left hand and knee pain but unluckly i got pain in my lower back pain due to swimming which was getting increasing day by day so i started physio therapy for that. I am doing physio therapy for neck , left hand, back and knee. I am very dishearten as suffering from neck , left hand pain with lower back pain and that extra pain has added. Could someone please let me know whether i will be get recovered from that painful life ever?
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I'm a Vietnamese 44 years-old man. From 03 weeks ago, I have a serious pain at right knee when feeling to urinate. I try my best to urinate a little, then the pain shall be shortened. It ends when I complete urination. I already have necessary tests for urination & kidney, all are OK. The doctors also have no idea about this. They are laughing when listening to my explanations
Do you have any idea for my case? I've just want to know what is it.
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8 weeks TKR. In the last week my other knee & ankle has become slightly painful. Op knee, fine just a little discomfort when I get up in the morning, soon goes away.
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i am 5 months post op from a tkr. My knee will not straighten. And I have pain when I walk. My Doctor said I will see you in November, should I get a 2 no opinion.
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I jogged for the first time in years yesterday evening. I jogged less than a mile, and felt fine after. I went to bed, slept through the night, then this morning as I got out of bed, my knee popped and my leg collapsed downward causing me to fall to my knees. Since then, my knee is swollen, weak and when I try to bear weight I get a sharp sting and then the leg collapses. Any thoughts? 35 male with history or torn meniscus x3 --the sep surgeries but they were all more than 10 years ago.
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I have torn my meniscus twice in my right knee. The most recent tear was a little over a month ago. I had surgery, but my knee still hurts. Several years ago I slipped and fell. I went to the doc and without tuning any test he told me it was a bad sprain. I went back once a month for 6 months and told me the same thing. I kept going back because my ankle never got any better. The swelling never went down. After 6 months it stopped hurting. Now it pops every time I move it. I went to a new doc about it and after running some tests he informed me that I had torn everything in my ankle. However, it had healed already. It heal wrong, but it had healed. Could my ankle problems be apart of my knee problems? My ankle doesn't hurt. It just pops all the time. My wife calls it Rice Krispy cause she says it snap crackle and pop all the time.
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I had a partial knee replacement 8 weeks ago n the medial side. The first month or so pain was tolerable, I figured it was healing pain. Since then the pain has become increasingly worse. I had talk to the doc twice and was told that if it does not look infected not to worry pain is a normal part of recovery. My next follow up is this week. I still go to pt 3 x week, they say it is healing great looks great and pain is normal. So my question is how much pain is normal. I feel like it is pinching below and to the side of the replacement. Today my knee completely gave away and scared me. Has any experienced this and does it sound normal.
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Have you found one that really helps your pain? I have bone on bone in one knee and I have purchased 2 at Walgreens, but they don't do much except annoy me.
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Starting about a year ago, sometimes when I wake up in the morning my leg is bent and it causes extreme pain at the top of my knee to straighten it. It generally takes several minutes for me to straighten it out. But once I get it straight I can bend it again and straighten it again with no pain or stiffness. I sleep on my stomach so I always thought it was blood loss in my knee from sleeping at an odd angle. But i have injured my knee before (strained) and arthritis does run in the family. It only happens with the one knee. Is this something I should see a doctor about?
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