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Old 02-12-2012, 08:23 AM   #121
Eyes Shut
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Originally Posted by Patriot4570 View Post
I am still non weight bearing on my right leg after my accident on 11/25/11 .I broke my tibula .fibula and right ankle.Have plates and screws holding bones together.I have been using a walker to get around the house and go back to the doc the end of this month to see if I can start putting weight on leg.I cant wait to be mobile again I hope that I can get back to work and riding when all healing is done.Heal fast and ride safe.
Sounds similar to my injury. I have at least 4 more weeks of non-weight bearing and also can't wait to be mobile again!
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Old 02-18-2012, 12:04 AM   #122
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Not taken as a downer; thanks for the post. Despite your, your wife's, and Derangedhemit's outcomes, my present expectation is for an excellent long term resolution. [...Treated quickly,, expertly, with good bone alignment results...] I believe all the stars (and bones) are aligned for an excellent out come. I know it may not happen, but until proven to the contrary that is my expectation, and the reason should I not regain near full flexion I will opt to remove the hardware.
I hope reality meets your expectations. My bone alignment after surgery was also excellent, and remained so during the time the bones knitted back together. They likely still are well-aligned.The dominant issue may be, and I believe is in my case, soft tissue damage. If the damage is such that, after healing, the joint is not stable, then problems arise. I'm sure you're aware of this. That's the reason for encouraging you to strengthen the connective tissue and muscles supporting the joint, and maybe plan on doing it on an ongoing basis. I hope you avoided extensive permanent soft tissue damage. My experience has been that the soft tissue healing and final outcome takes longer to be known than the bone.

The range of motion returned during the initial PT sessions as the pain and swelling subsided - the PT definitely helped. Long-term, I have normal front-to-back range of motion, and excess ROM rolling the ankle to the inside.

Best wishes for a functionally complete recovery.
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Old 02-18-2012, 06:07 AM   #123
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[QUOTE=derangedhermit;18015148. My experience has been that the soft tissue healing and final outcome takes longer to be known than the bone.

The range of motion returned during the initial PT sessions as the pain and swelling subsided - the PT definitely helped. Long-term,.[/QUOTE]

I concur with your assessment that, at least in my case, the soft tissue injuries may be a greater factor in my eventual end point than the bone fractures. At my most recent PT session (3 mo. 5 days post fx/repair) I was at +10 degrees on dorsal flexion; need 5 more for normal ROM. Supination is a little shy, but pronation is normal.
Question--before your fracture had you ever had any issues with your ankle stability (e.g., turned your ankle playing sports and sustained an injury)? The reason I ask is presently I have no ankle instability and I have taken the dog pack on several 1 miles hikes on very hilly to at times steep terrain wearing only my Keen clogs. Because of the swelling they are only shoes that easily fit my left foot and ascending the steepest sections is associated with frequently slipping out of the shoes. I substitute the hike for my AM PT. Before my knees crapped out I was an avid (i.e., 5-7 days/wk), very competitive racquet sport player well into my late 40's; mostly outdoor paddleball on concrete courts. Despite some very severe twisted ankles I was always able to walk it off and play the following day, whereas I had friends who were prone to twist their ankle and when it happened they would be out for weeks. Obviously my question goes to whether you had inherent ankle instability prior to your fracture.
As a postscript I do develop a dull ache over my distal fibula about halfway through the hike and do not know if it is due to the bone fracture, soft tissue injury or the plate. With severe dorsal flexion I used to experience a very sharp pain at the point the screw reattached my medial malleolus, but that has ceased to occur.
3 months ago when I was sitting upright in the dirt looking at my left foot flopped over at nearly 90 degrees, my expectation, perhaps unwarranted, was I'd never again walk normally. If you saw me walking today you would perceive no abnormality in my gait. I'm ecstatic at my progress and my greatest wish is others who have yet to begin the rehabilitation of their ankle fracture have as uneventful of a recovery as I have experienced thus far. Again, I have very much appreciated others contributing their experiences with similar injuries.
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Old 02-19-2012, 01:34 PM   #124
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Lots of broken bones and bad ankles out there. Regretfully. I am one of you. I was hit by a car, luckily I was wearing my Alpenstars or who knows what would have happened. My tibia and fibula were broken I have a plate and screws bla bla bla.
The surgery was done by a prominent orthopedic surgeon specializing in and only accepting foot and ankle patients, in which my wife happens to work for. I discovered that the nerve block injection damaged some nerves in my foot. Ankle and foot surgery can be very painful. It has taken me 2 years to get back 95%. The plate catches and annoys me often. I will have a future surgery for hardware removal, but recovery is 3-4 weeks just from that. I also dealt with chronic swelling. The advise others have given is excellent. Good luck to all. Give up the Oxycotyn while it is a excellent pain reliever it is very addictive.

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Old 02-20-2012, 02:49 PM   #125
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Originally Posted by PETDOC View Post
Question--before your fracture had you ever had any issues with your ankle stability (e.g., turned your ankle playing sports and sustained an injury)? The reason I ask is presently I have no ankle instability and I have taken the dog pack on several 1 miles hikes on very hilly to at times steep terrain wearing only my Keen clogs. [...] Obviously my question goes to whether you had inherent ankle instability prior to your fracture.
No. I was also a competitive athlete, at the small college level, in basketball. All basketball players roll many an ankle; mine were fine.

EDIT: I'm confident that it's clear to you that the instability, if present, is obvious well before your current state. Once the ankle was no longer immobilized, and the range of motion expanded, the instability became evident. What wasn't clear at the time was how much the soft tissue would heal and strengthen, reducing the instability.

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Old 02-26-2012, 01:24 AM   #126
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Thank you for this thread, very helpful in expectations etc..., i'm four days into my ankle fracture/plates/pins/screws etc... injury and this has been very helpful, hang in there everybody!
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Old 02-26-2012, 03:35 AM   #127
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[QUOTE=middleview;17840650]... my R1200GSA fell on my right leg/angle when the bike slid out from under me in a parking lot oil slick. /QUOTE]

Thought I'd post a 4.5 week update for folks to compare with, and to solicit a tip or two.

Recalling that I didn't realize I broke my fibula about 3" below the knee until the 6th day after my fall, it's been less than 4 weeks after I took weight off the leg. I also got an aircast walker that I wore to protect the leg from bumps, etc. I was off ibuprofen and tylenol about 8 days after the accident.

I went to the orthopedic surgeon last Thursday who released me to begin bearing weight on the leg. So far I am progressing rapidly from that milestone. The fibula hasn't completely fused, per the x-ray, but it's knitting and the doc says it won't move. He says I can work it progressively, starting at about 30% and stopping what I'm doing if I encounter pain. But I don't have pain associated with it unless I really trounce on that leg (accidentally hopped on it yesterday). More pronounced for me is the swelling and soft-tissue weakness around the ankle. That's inhibiting my stride and gait much more than any noticeable effect from the broken fibula. Also, the pain in my muscle of the calf has subsided, but remains after longer time walking.

Now that I'm getting better, I am reflecting on what happened in the accident and the aftermath of seeking treatment. First, the accident - I asked the orthopedic surgeon how I broke the fibula - leverage off the ankle or side impact? Side impact, he tells me. He says break would be much closer to ankle if I'd levered it. OK, fair enough. This seems to indicate to me that as the bike fell I must have dropped the right foot off the peg in an instinctive maneuver to catch the fall, dropping the fibula close to the frame? The pavement was smooth (greasy parking garage) so there wasn't a protrusion on the floor and normally the cylinder head and tank provide a space that I would think should have protected if I'd kept my foot on the peg. Or, I'm not completely sure that I didn't accidentally lever the leg trying to get out from under the bike, though that seems unlikely that my solo thrashing about would do that...

Anyway, I'm open to tips to prevent a recurrence of a slow slide-out with me staying under the bike, or at least a way to train myself not to let the leg go like I apparently did! (while I prefer not to have the bike fall over, I'm a realist and have to expect it!). I'm looking forward to being able to ride again, but I have to admit my confidence took a shot. I think I'll seek out some additional rider training, particularly relating to offroad/slow speed. Finally, I'm wondering if the heavier plastic-style riding boots would have provided additional protection over the leather Sidi's I wear now. I think the fibula break would have been at the top of the boot anyway, but still... might have protected the ankle/calf more?

As for aftercare, I wish I'd sought diagnostics with xray immediately. I'd never broken a bone before, so didn't have anything to compare the pain to - I thought it was a ligament tear.

In reality, I believe that I suffered 3 separate injuries - badly sprained ankle, broken fibula from impact and possibly a "crush" injury to the muscle tissue of the calf. In the emergency room they focused on the break, but I think that's the easiest of the 3 injuries to deal with.

I'm now seeking out a sports medicine specialist to help me with PT on the whole kit as the leg gets stronger. Remember, I'm a U.S. expat in Belgium where the primary languages are French and Dutch, neither do I speak. It's made it harder to navigate the care system here. Everyone has been great, but they've focused on their own job. The takeaway here that I think applies anywhere is that you have to manage your own recovery and care and ask questions... again, thanks to all here for sharing your experiences. It helped a lot!
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Old 02-26-2012, 08:42 AM   #128
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[QUOTE=middleview;18075391]
Quote:
Originally Posted by middleview View Post
.More pronounced for me is the swelling and soft-tissue weakness around the ankle. That's inhibiting my stride and gait much more than any noticeable effect from the broken fibula.
I'm 3 1/2 months out on my ankle fracture and the swelling is still quite remarkable. If I immediately put on a compression sock after rising in the AM it helps immensely. Sometimes I run out of clean compression socks and will go with regular socks. The difference in swelling is dramatic and, although the swelling may not restrict my foot flexion, my foot feels "swollen" and limits my options on shoes that fit comfortably. Thus far I have no instability in my ankle. If you go to an outdoor gear shop or bicycle shop you can find some good compression socks. Currently I'm always watching for store-wide sales as it appears my left ankle will to be in a compression sock for the foreseeable future.
Regarding your post accident analysis, I went through the same process. I eventually came to the conclusion that my decision to participate in an off-road riding course, especially on a 500 lb GS, was perhaps ill conceived. I did it as a form of cross-training to enhance my on-road skills and never had any intention of doing serious off-roading with my GS. Needless to say I won't be going back to finish the course. A friend, learning of my accident, suggested I drink a glass of Metamucil and have my wife remind me of the year in which I was born. The only ride I've taken since the accident was a 250 mile trip returning my GS home 2 weeks ago. It was magical; however, I believe my prior routinely aggressive riding of beautiful back roads will be much more sedate until this incident is a very, very distant memory.
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Old 02-26-2012, 11:01 AM   #129
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[QUOTE=PETDOC;18076857]
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A friend, learning of my accident, suggested I drink a glass of Metamucil and have my wife remind me of the year in which I was born.
Gotta love our friends who just don't "get it" It's really not possible to describe what makes riding what it is. But, my wife does describe the smile I have when I come home off a ride, and she says I only have that smile after one other activity!!! I will be back on the bike, and, yes, I will aim for care in situations like this, for sure!

I'm not an aggressive rider anyway and I think this episode will make sure I don't become one. I'd have to save a lot of time to make up for what I've lost. Good point on the offroad couse. I'll see how I do over the next few months before I decide... cheers!
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Old 03-01-2012, 07:48 AM   #130
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Originally Posted by middleview View Post

Today, 6 days after my getoff/getunder I went to have x-rays just to be sure. I have a clean break on the fibula about 6" below the knee . This explains why I continued to have reasonably acute pain on the anterior of my calf to touch or pressure even when my ankle felt much better. My wife has renamed me knucklehead for waiting so long to go check it. I agree.
Hell, I waited over a month and was stubborn enough to ride the A1A Turkey Run before I finally went to the doctor. Imagine my surprise when I was also told I had a clean break of the left distal fibula.
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Old 03-01-2012, 08:24 AM   #131
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Hell, I waited over a month and was stubborn enough to ride the A1A Turkey Run before I finally went to the doctor. Imagine my surprise when I was also told I had a clean break of the left distal fibula.

Imagine the surprise (to the egos) of the stout hearted men who quit the A1A early (due to the difficulty and brutality of the course) when they found out the Pretty Girl did the whole thing with a broken leg!
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Old 03-02-2012, 12:34 PM   #132
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This is a helpful thread

I broke my right fibula in two places three days ago.
I low sided into a sharp right turn that was going into a pretty steep downhill.
Totally my screw up. Going too fast, and feeling a bit too confident, I wasn't concentrating.
Had on SIDI rain/adventure boots, I feel lucky the tibia and ligaments were not affected.
No plates, the alignment is pretty good, the ortho doc says it couldn't have been better. It's four weeks in a support type boot. I hope that's it. It's still swollen at the ankle, but the doc said that's typical with any lower leg fracture.

Not sure what I could have done different, except somehow get my leg out from under the bike on the way down.

I'm 57, had back surgery 15 Yrs ago. Lost all feeling in my lower right leg from that, so I'm not feeling much pain.
In fact I had a 20 hr drive home from Big Bend TX, before I went to the ER. It was weird my foot seemed to have a mind of it's own, as to which direction it wanted to point. The wife thinks I should have had enough of this nonsense.
Until I told her one of the guys I was riding with was 73, he flew down old ore road like a champ..
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Old 03-02-2012, 12:47 PM   #133
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Hell, I waited over a month and was stubborn enough to ride the A1A Turkey Run before I finally went to the doctor. Imagine my surprise when I was also told I had a clean break of the left distal fibula.
Ok, that makes me feel better :-). It seriously sounded so stupid that I didn't know it was broke! Stubborn sounds so much classier!
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Old 03-02-2012, 03:30 PM   #134
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How does one get back on the horse?

I'll chime in here with my injury story, will keep it fairly short. Riding a 1200 GS, dislocated my right ankle and broke the fibula when I went down in the mountains of Central Colorado on the Great Divide Ride last August, on a real easy, graded county dirt road, just happend to be loose gravel in the middle of a turn that dropped me like it was black ice. 3 months on crutches, in a boot, no weight bearing, had large screw removed in early November, started walking and doing PT, have done very well. Never really a great deal of pain associated with the injury. Just had plate and remainder of screws (7) removed this week, surgeon said lots of scar tissue, weight off it for 2 weeks, takes me to mid-March.
Signed up to do the 3 day Arizona ride with RawHyde Adventures in May, and I'm second-guessing my decision to do it. After all I've gone through, I'm not scared to death but I sure am tentative about dirt riding. I have not problem on the street, but since the chances of a slide-out are much greater in the dirt, I haven't quite come to grips with my decision to go out there again. What has been the decision of some of you others who have had these bad ankle injuries?
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Old 03-02-2012, 04:52 PM   #135
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You guys are asking for it riding heavy bikes in the dirt.
Old guys on heavy bikes in the dirt is even worse, its just a matter of time.
Don't ask me how I know this....

I got rid of the heavy bikes and got a light one, and am going to get something light for the dirt.
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