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Old 05-19-2012, 07:53 AM   #166
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Originally Posted by marco-polo View Post
I ended up with a failed attempt to reduce the fracture, surgery (x2), a boatload of fine opiates, 6 months non-weight bearing, and about six months of rehab starting 4 weeks or so before I was weightbearing. Physio was tough; I'd forgotten a lot of the mechanics of walking and balancing in the intervening 6 months, so I had to work on regaining the whole process of motion.
Wow! Six months of non-weight bearing ! I thought my 12 weeks was bad. Once I started walking on my injured leg, a lot of the mechanics of walking came back fairly quickly, but it's so easy to lose the balance and of course the fine motor control. Good for you that you've come back so well!
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Old 05-19-2012, 10:06 PM   #167
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Marco-Polo thank you for your story. I'm curious if you had all the metal removed from your ankle, and if you did what impact it had on your ankle function?.
Well, yes, I did. For a couple of reasons. First, I set off metal detectors at the airport (more than a dozen screws, two plates, wire ... you figure?), which isn't a small thing if you're flying twice weekly, every week. Second, I had some lingering pain, couldn't easily wear higher-cut shoes like hiking boots, and had significantly less range of motion: maybe 70% with the internal fixation in place; 90% after it was removed. It's not as good as the other ankle even now, but it's much better than before. It does feel weird when you run on it - the shape and alignment isn't a mirror image of the other side, the screws press on new points when you're on the go, and the ankle doesn't stretch or flex in the same directions or with the same "spring tension" that it used to.

You can alleviate a lot of this with physio. Have reasonable expectations, but work as hard as you possibly can, as early as you can, an while the screws are still in. If the screws are the limiting factor, you'll progress quickly once they're out; if you have weakness or stiffness from lack of use, or you haven't regained balance, then losing the screws won't help very much if at all.
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Old 05-20-2012, 07:00 AM   #168
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Originally Posted by marco-polo View Post
.............. you haven't regained balance, then losing the screws won't help very much if at all.
When I began the fine motor control/balance PT I had no idea my balance wasn't normal. By this time (~14 weeks after surgery) I was walking normally with my dogs over very steep terrain (slightly stiff when ascending steep hills) and had re-initiated cycling including 24 mile round trip to PT session. The balance exercise was while standing on my left foot only, throwing and catching a large ball (soccer ball size) with the therapist. I was so amazed at how easily I lost my balance I stopped and stood on my right foot to see if there was a difference. Right foot, no problem; left foot, initially about 3 throw/catches before I'd start to fall to one side.
My plan was to have the fibular plate and 7 screws, and tibial screw removed in November, but now I may wait until March 2013 and have the plates on my clavicle and fibula removed during the same surgery.
What was your immediate aftercare once the hardware was removed from your ankle and how soon were you using your ankle at the pre-surgery level? I believe the surgeon told me I'd be back in a boot for 2 weeks.
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PETDOC screwed with this post 05-20-2012 at 07:34 AM
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Old 05-20-2012, 10:59 AM   #169
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When I began the fine motor control/balance PT I had no idea my balance wasn't normal. By this time (~14 weeks after surgery) I was walking normally with my dogs over very steep terrain (slightly stiff when ascending steep hills) and had re-initiated cycling including 24 mile round trip to PT session.
Yeah - my physio had me on that immediately rather than waiting. I did the throw back-and-forth exercise as soon as I could reliably stand up, but with a medicine ball rather than an inflated ball. A lot of the exercises were against resistance, as much as I could stand and as soon as I could stand it, and I think that that helped.

Aftercare for me, post surgery, was minimal, just an elastic wrap to reduce swelling, but it was also 2-1/2 to 3 years post-op. I actually took the subway home that afternoon. High-impact was deferred a couple of weeks, as were sports like rugby. That's not to say that there wasn't discomfort, but nothing really severe.
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Old 05-22-2012, 06:32 AM   #170
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New here, but did anyone suggest to read Pat Croce's book on his recovery? He's a PT who nearly sawed his ankle off in a bike accident and fought back hard.
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Old 05-22-2012, 10:42 PM   #171
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Here is my advice on recovery from ankle fractures;

Be realistic in your expectations for recorvery. Ankle fractures are incredibly serious... depending on the nature of course. They are some of the absolute worst fractures you can have. They are very frequently life changing injuries. I've lived it... I've been part of some support groups for people with major ankle fractures.

This isn't like a broken wrist or collarbone. I've met very few people with major ankle injuries who can look you in the eyes and say "Yeah, I'm 100%, like it never happened".

I can't run. I can't jump. I can walk... my ankle still has bruising and swelling, almost 2 years POST accident. It will NEVER be the same.

My doctor looks at me and says "I can't believe how GOOD you have it, considering how bad it was..."

So... for what it's worth. It's a long haul, it's not easy... and it's not likely to be ever the same. I'm not meaning to sound all depressing about it, but it's reality.

In my case, I live with the reminder daily.. and it's just become part of life. The day of that accident changed my life substantially... and I have heard that over and over from other major ankle injuries.

I still talk to this day with people I met online who at the same time were going through ankle problems... and some of them are still not healed very well.

Get a good surgeon... keep on them to do what they can... work on your rehab.. follow the instructions.. and very important that you eat properly, get rest... and specific to ankles, avoid smoking.
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Old 05-23-2012, 07:34 AM   #172
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Hi All

Continuing the trend, on Sunday May 6 I suffered a Trimalleolar Fracture of the right ankle (4-5 fractures tib, fib & talus) and a full dislocation of the ankle as well which meant I ended up with a big plate and 8 or 9 screws & 4 days in hospital.

Monday just gone I had the back slab cast and the stitches removed, but the swelling was too great for a full cast, and the fracture too fragile for a Cam Walker (boot), so I have another three quarter cast for another 2 weeks, after which they will have another look, and hopefully then have a full cast for a further 2-3 weeks, then graduating to a boot, depending on what the x-rays show.

My surgery went well, and had a really nice looking reduction, nice and straight alignment of the leg and ankle, even the screws looked like they had been inserted with a set-square. Fortunately/Unfortunatley - during my first ever surgery they identified a serious heart condition (I'm only 32) which will also need to be sorted out, possibily with more surgery.

I was wearing full MX boots, and I didn't hit anything but the ground, but unfortunately my ankle basically exploded inside my boot.

The first week after the accident I had really bad calf cramps in my leg, but these seem to have settled, and I had discomfort with the stitch ends rubbing the inside of the cast, but this is all good now.

I'm really keeping my fingers crossed that I have a good recovery, as I am right footed, and like to keep active in sports - sad to say I think the bike might have to go - I'm not putting up with this again.
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Old 05-24-2012, 10:02 AM   #173
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Originally Posted by L0cky View Post
Hi All

Continuing the trend, on Sunday May 6 I suffered a Trimalleolar Fracture of the right ankle (4-5 fractures tib, fib & talus) and a full dislocation of the ankle as well which meant I ended up with a big plate and 8 or 9 screws & 4 days in hospital.


I'm really keeping my fingers crossed that I have a good recovery, as I am right footed, and like to keep active in sports - sad to say I think the bike might have to go - I'm not putting up with this again.
Sorry to hear this, even though it makes you a new member of the Exclusive Titanium Club.

Hope you heal up well -- you are young and that should help with your recovery. Also, I think being physically active before your injury probably helps with recovery. It certainly helped with mine.

Also, bandito had good advice. I think one of the hardest things, as an active person, is to just sit around and let your body heal. But it needs that time to heal.
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Old 05-24-2012, 12:14 PM   #174
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AFO? The orthotic/prosthetic field has made some serious advancements.
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Old 06-03-2012, 11:01 PM   #175
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Originally Posted by L0cky View Post
Hi All

Continuing the trend, on Sunday May 6 I suffered a Trimalleolar Fracture of the right ankle (4-5 fractures tib, fib & talus) and a full dislocation of the ankle as well which meant I ended up with a big plate and 8 or 9 screws & 4 days in hospital.
Just a quick update - I know you've been peeled to your monitors waiting for one...

4 weeks since the fracture & surgery...I had an xray today.
Fractures have all healed - Doc had to check they xrayed the right leg!!
But it was there, plate and all...
Into a Cam Walker now for 2 weeks, with no weight bearing, then I can start walking again..
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Old 06-04-2012, 11:04 AM   #176
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Originally Posted by L0cky View Post
Just a quick update - I know you've been peeled to your monitors waiting for one...

4 weeks since the fracture & surgery...I had an xray today.
Fractures have all healed - Doc had to check they xrayed the right leg!!
But it was there, plate and all...
Into a Cam Walker now for 2 weeks, with no weight bearing, then I can start walking again..
Good news for you! Be sure to have physical therapy scheduled when you start weight -bearing....

(I had to wear a cam boot for 6 weeks and had to keep it on all the time except for bathing. Man, was I glad to get rid of that thing!)
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Old 06-04-2012, 05:52 PM   #177
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Sold the bike I broke my ankle on the other day.I had to get it running and make sure everything was working as advertised. it was a little intimidating, strapped on Sidi MX boot extra tight,gas on, choke,decomp, a couple of deep breaths, co workers looking on in apprehension/horror (I noticed nobody volunteered to do the honors, i believe "F- that" was the unanimous response) Two kicks, starts right up, all is well do a lap or two around the lot.go back to work, casually mention maybe i'll keep it-see unanimous response above. Walked the dog for a couple of miles today.My life has definately changed as a result of the accident. Prior to the accident all I did was work 7 days a week, have slowed down in a good way.Not that I'm a huge believer in stuff like this, but the day it happened I got the news my grandfather, with whom I was pretty close to died early that morning, my whole life he always warned me to slow down a little.
It's nice to just walk, seems like a lifetime ago I was stuck in bed for weeks not able to do much of anything, take care everybody
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Old 06-05-2012, 04:32 AM   #178
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.........it was a little intimidating, strapped on Sidi MX boot extra tight,gas on, choke,decomp, a couple of deep breaths,
After 11 weeks of "recovery" I had a similar experience when I retrieved my 1150 GS, which was 250 miles from home. While gearing up for the ride I found my left boot to be a very snug fit due to my ankle still being quite swollen. As I was strapping on my boot I noticed the toe was encrusted with the red clay where it obviously contacted the ground before rotating laterally. Although I wiped the clay off, the image and its significance stuck in my head for about 5-10 minutes until I had to focus my thoughts on operating my bike.

Quote:
..............It's nice to just walk, seems like a lifetime ago I was stuck in bed for weeks not able to do much of anything, take care everybody
As I may have said before, after fracturing my ankle I'll never take walking normally for granted.
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Old 06-05-2012, 07:14 AM   #179
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Whew! I hear you guys loud and clear. It's so easy to take it for granted.

I'm wondering myself how much longer this broken femoral neck is going to take to finish healing. Doing the usual things is a bit of a challenge still. The GS is sitting in the garage waiting. Another month or two?
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Old 06-16-2012, 07:10 AM   #180
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Bumpity-bump

How is everyone doing out there in broken-ankle land? Hope you all are healing up and back on your feet!
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