Foot dislocation (Lisfranc Displacement)

Discussion in 'Face Plant' started by blaster11, Sep 29, 2012.

  1. Skidmarkart

    Skidmarkart Dirty Middle Age Man

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    This thread bring back painful memories.

    Crushed my ankle in 1999 in a BRI (beer related incident). I had an external fixator in for 10 months, and lots of screws and metal. I know it seems like it will take forever for life to get back to normal, but it will.

    Will you ever be completely normal again? Probably not, but it will slowly become less and less of a nuisance, and you will get used to however it feels. 14 years on, I can do 15 mile hikes with a pack on in pretty intense conditions. I get swelling, but ibuprofen (this will become a good friend, like it or not) helps take it down and I am usually ready for action the next day.

    My leg spit out bits of bones for about two years afterward. Take good care you do not get an infection in there. I got one in one of the screw holes for the fixator and it hurt nearly as bad as the break itself.
  2. ShopGuy

    ShopGuy Gravity hates me

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    It's been 15 months now since my surgery and other than losing a bit of range in my foot (I cant fully extend to stand on my tip toes, but ballet was never my thing anyway ) I would say I am 98% back to "normal".

    I started exercising as soon as I was able, concentrating on my legs and endurance type things for riding. I was able to ride without any pain or problems resulting from the injury, and I am positive it was the result of the workouts I had been doing.

    Unfortunately I had to sell my bike in June, but I continued to work out and ride mountain bike to stay in shape. My foot aches after long runs but nothing I can't bear and it doesn't last long. I ran my first 5k mini marathon in October and plan on more endurance type competitions next year.

    Here's to your speedy recovery and a long life of injury free riding! And Merry Christmas!
  3. Littlepeter

    Littlepeter Been here awhile

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    Great to hear of positive results and some optimism. Progress seems so slow at times. I started some very slight weight bearing yesterday and it felt very strange. Numb but I could still feel everything? The boot feels like it weighs 20 pounds when I try to swing my "willowy" leg in a walking motion. The nerve pain has improved but is still there. Patience, patience.

    Merry Christmas and a pain-free, walking on two feet, with two shoes on 2014 to all!
  4. blaster11

    blaster11 Some days.....

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    That's awesome news to hear your doing so well!

    I keep telling myself the same thing....patience.....patience, but I so want to get back to doing normal stuff. Less than two weeks before I go back to the Doc, hopefully he will let me out of the boot then. I test fitted my riding boot the other day or should I say attempted to fit my boot, not even close to going on my foot. Hopefully I can get it on by New Years day as I want to go for a ride!

    Thanks for your updates guys, it's nice to hear how everyone is doing!
  5. Littlepeter

    Littlepeter Been here awhile

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    I managed to get a sneaker on both feet today! First time my feet have matched since October. I have a limp, but not as bad as I expected. I am back to work on Monday. How are others getting along? Any updates?

    Peter
  6. DavidQ

    DavidQ We Don't Rent Pigs

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    Unfortunately, I feel right at home reading this thread. October 9, 2013 I was riding in Alabama and my KTM 990 got out from under me, going about 50 mph. I immediately knew my right foot was broken. I was about 20 - 30 miles from the closest small town so with the help of the two guys I was riding with, we picked the bike up and inspected the damage, and I rode to town in excruciating pain. When I made it to town I couldn't even stand up on my own. I called on a friend from home to drive the 3+ hours to pick me and the bike up and bring us home.

    I arrived at the doctor the next morning and after some x-rays I was informed that I had crushed my foot, including the lisfranc joint. The foot was severely swollen so surgery would have to wait until the swelling went down.

    [​IMG]

    October 22nd the surgery was performed. They vacuumed out all the bone dust, took a bone graft from below my knee and plated and screwed everything together.

    [​IMG]
    [​IMG]

    We are hoping for a total fusion of the mid-joint area. I was in a cast for the first couple of weeks. At my first check up we became a little concerned about a sound on the top of the foot. I was put in an air cast so I could treat the wound daily.

    [​IMG]

    Fast forward to the first of January: Everything is healing as good as can be expected and the bones are fusing as hoped. I am told to begin introducing weight to the foot. 25%, 50%, 75%, 100% over the next 4 weeks.

    I am now walking without crutches but am having quite a bit of ankle and upper foot pain. I assume this is just from being sedentary for so long but I will be sure to ask the doctor at my appointment this week.

    I still have a ways to go but I am fortunate that I have such an amazing wife. She bought me a side car rig for Christmas, so I have been able to ride since then. I just use a rope tied to the shift lever to upshift and I'm able to use the heal of my air cast to downshift.

    [​IMG]
  7. jdbalt

    jdbalt Been here awhile

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    Man, that looks like an x-ray of what I bought at Home Depot this weekend to fix a chair.
  8. blaster11

    blaster11 Some days.....

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    Hey guys....it's been a while since I posted....sorry! Well for me its still working through it. I was given the green light to start transitioning back into a shoe a few weeks ago. I am having mixed results at this point. So just as a recap of what we did on round two; five screws to fuze three metatarsals, reattached a ligament, and cleaned up an impingement in the ankle area. So it is still swelling up regularly as I use it, and the ligament is really tight, and I have regular pain in either the ankle or ligament area.....hard to say which it is. It doesn't seem to like impact much as that's when it causes me the most pain and swelling. Oh and it seems like I have some arthritis in my little toe metatarsal which has reared it's ugly head. Overall I think it is getting better but not by leaps and bounds. I am happy to be walking and doing many of the things I want to do but I do have concerns about my long term prognosis. I go back in to see the doc man in about a month, so hopefully it will be somewhat better by then.

    David....sorry to see that you joined the club!!! Hopefully they found all the damage and things keep getting better for you! I like your sidecar and shifting style as well. Heal fast!
  9. psmcd

    psmcd Long timer

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    I hope all you green lighted types are still stopping for elevation and ice. Seems as soon as walking and activity resumes we forget, then get stoic and finally stop when it's too late to reverse the swelling. It's great to get back on your feet but repeatedly lying down and elevating the foot, say for 5 minutes every 15 up, can really speed recovery in the early weight bearing stages. Being a bit obsessive about controlling swelling may seem weird and inconvenient but my experience is it pays off huge in the speed and quality of recovery. If you listen to what your body tells you, you heal faster. Over use of pain meds can mask the signals that tell you to lighten up. Less drugs and more recovery breaks will deliver superior results in both pain and healing. Keep doing stuff, but keep a book handy and get on your back with your foot up regular like. This really works for foot injuries but most people can't/won't do it.
  10. Littlepeter

    Littlepeter Been here awhile

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    Thanks for the update Bruce and welcome to the fat foot club David. I'm sitting here right now with my foot elevated with an ice pack after my first day back at work.

    Peter
  11. Rex Nemo

    Rex Nemo horizon calling

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    Oh man, that sidecar rig looks awesome! The foot, on the other hand, looks like the bottom of a hardware drawer...:rofl

    I'm seeing big gains since doing regular physical therapy and getting a YMCA membership, and doing 3 weekly workouts in the pool. My PT prescribed an exercise routine that makes me look like I am doing Monty Python skits in the lap pool...but darn if it doesn't help. My walking has increased as well, and has gotten easier...up to 3 miles a day now, with fancy insoles and new running shoes. Sadly my Sidi Crossfires don't fit my left foot anymore--too narrow--and I'll have to hunt around for a size 42 (old ones were 41s).

    I still have a fair bit of pain, especially at the base of the toe joints and in the area where the bone screws were inserted to stabilize the first metatarsal. Nonetheless, ibuprofen, icing after exertion, and PT have done wonders. Hoping to get back on a bike for short rides soon. I did cheat and kickstart the old DR350 the other day...
  12. Littlepeter

    Littlepeter Been here awhile

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    So far I can't fit my foot into anything but a loosely tied running shoe. We'll have to match up the people with the opposite broken feet when we buy new boots!

    Peter
  13. blaster11

    blaster11 Some days.....

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    Funny but true.....right foot bigger here. :lol3
  14. Littlepeter

    Littlepeter Been here awhile

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    Right foot bigger for me too. I started as a size 46 in Sidi. I'm not sure what I am now? Perhaps 46 extra plumpy?:wink:

    Peter
  15. dedave

    dedave Gold in dem dare hills

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    My right foot is bigger too, probably from the hardware.
  16. blaster11

    blaster11 Some days.....

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    Mine still has swelling in it...you should have seen me forcing my foot in a dress shoe the other day for an interview.......:eek1
  17. Littlepeter

    Littlepeter Been here awhile

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    When I first got back into running shoes my foot looked like a muffin in a tin by the end of the day. I had a follow up yesterday and my surgeon is pleased with my progress. He suggested hardware removal in the fall. I am not looking forward to another operation but what can yo do?
  18. Rex Nemo

    Rex Nemo horizon calling

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    I feel ya. I don't particularly want another surgery, but I sure want those bone screws out of there! When the nerve bangs on the screw head it really ruins the next couple of hours. The physical therapist says I likely won't be able run or jump til they're out.

    I went to a running shoe store on College Ave. in Berkeley, of all places, and got fitted for good-quality insoles (the Superfeet Green insoles do really well for me) and running shoes. My left (broken) foot turns out to be a women's size 7.5, while the right is just shy of a 9! :huh The doc's theory is that since all the metatarsal heads were broken, they shortened up as well. The broken foot is considerably wider than before, though; guess those healing bones all spread. So no more women's shoes, almost all will be too narrow. And I do end up fitting (just) into the width of a Sidi Crossfire in 42; the extra length lets me stuff a good insole in there for arch support.
  19. Littlepeter

    Littlepeter Been here awhile

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    I bought a pair of shoes last night. I managed to get away with a single size but the right one is considerably tighter across the bridge of my foot. It is a laced shoe so I can compensated by tying it looser. My breaks were at the base (ankle end) of the metatarsals so I have a ridge of scar tissue across the top of my foot which makes it considerably thicker. I won't be able to wear most of my previous footwear. My third toe is shorter than it used to be, but I think I will be the only one that notices that! I have a pair of green Superfeet in my hiking boots (which I don't have a prayer of fitting onto my foot) that I'll try in my other shoes, thanks.
    I read and enjoyed your thread on your journey back to two feet. I hope you continue to progress and get back to all the things you love to do.

    Peter
  20. Other Bob

    Other Bob Been here awhile

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    Peter,

    There are still a few custom shoe makers in the world, though "be$poke" seems the trend. Try calling a few. Since you're dealing directly with the custom manufacturer you may be able to get a pair with one shoe your "usual" size and the other with your "new/special" size or shape. Here are a few leads, but I suspect there are more:

    http://www.exitshoes.com/exit/ (".. based on their actual feet ..")

    www.rancourtandcompany.com

    www.allenedmonds.com

    http://mantorii.com/

    Whoa! ...

    http://www.vanityfair.com/style/carls-crush/2012/06/six-best-custom-bespoke-mens-shoes :lol3

    A cobbler/repair shop may also be able to help. Perhaps you can buy a mass-produced pair and have one adjusted/expanded in some way? Maybe have an existing seam stitch opened and an elastic panel inserted? Only the cobbler knows:

    http://www.yeoldecobbler.com/

    http://chicagovillagecobbler.com/

    http://cobblerscorner.net/

    http://www.cobblersbenchshoerepair.com/

    Good luck,

    Bob

    EDIT: Nuts! I didn't notice you were in Canukistan until after I grabbed all those links! Well, you get my point. Sharpen up your Google'fu and get searching!