Comminuted Tibial Fracture :: Back Slab With A Full Cast Over
Mar 10, 2014
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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About two weeks ago I had a nasty tangle with a rusty old swing set, and to make a long story short, the swing set kicked my butt and gave me a spiral fracture in my tibia (about halfway down my shin) and a hairline fracture through my fibula (right up near my knee.)
I've got the sucker casted and have been staying off of it, but recently had a nasty scare. I fell off my front porch (about three feet from the ground, which is solid concrete where I was sitting,) and only managed to keep from seriously hurting myself because I knocked my poor cousin over as he was walking by.
Again, I'm fine, but it got me to wondering: How likely is it that, had my cousin not been there, I could have broken my leg despite it being in a thigh-to-toe cast?
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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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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 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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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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The doctor I saw today said he would do the reconstruction for my ruptured posterior tibial tendon as an out patient. That surprised me. Don't they usually keep you overnight?
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I just had my ulna shortening op on Monday and have been discharged from hospital with a normal bandage. Has anyone else had this? I'm a bit concerned as most post I've read people usually have a cast after the surgery. My surgeon was quite adamant on not placing a cast, but I feel quite unsafe. In fact he wanted to take this bandage off on the day after the surgery. Can anyone recommend any kind of splint I can buy that would help me to feel a bit safer, I have a hyper 4 year old and don't want to risk being hurt. Especially as I can't take all kinds of painkillers, most strong ones give me palpitations and shortness of breath.
I just feel like I've been hacked up with very little after care. My surgeon was very rude and upset to find I had to stay overnight after the surgery. I was very sick from the general and morphine.
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I had a horse fall and have managed to fracture my left tibia in a spiral complex formation.
They decided not to operate and I have now been in a cast for 7 weeks and have another 3 weeks until my next visit to the fracture clinic
Has anyone else been in a cast this long and non weight bearing? How long until I will be able to ride again once the cast has come off?
I am getting really bored at home now because my work won't let me return until I am walking and the doctor keeps signing me off!
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Hello... I am having an ulnar shortening done on Friday and I am starting to get really nervous about it. I noticed many people on here who have had this procedure talk about having a fiberglass cast for a couple of weeks after the surgery. My surgeon said after I week and a half I would be put in a removable splint and would not have a big cast like I did when I had my TFCC reconstruction. I was wondering if anyone else had heard this??
Also how long does it take to be able to do "normal" activities again? I am a nursing student and have to begin clinicals again in August.
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Broke fibula and tibia Feb 17, 2016. Had surgery March 1, and had 2 screws put a n fibula and a plate on tibia. After 8 weeks in cast and NWB I am now in a boot. I am doing exercises for therapy but after walking on it for about an hour leg hurts and ankle and foot swell. Also get sharp twinges now and then in ankle area. Has anyone else had these problems and how long before you can put full weight on it and be able to work. I'm a waitress and have to be on my feet for 4 hours or longer without sitting.
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I had Chevron osteotomy hallux with distal soft tissue realignment and pip joint fusion on my second toe yesterday. I have padding and bandages and an orthopedic boot. I go back on Thursday to the dressing clinic for a Mitchels bootie. I have been told that this is a plaster of paris cast. Has anyone on here had one and if so how long did you wear it for? Also I have a pin sticking out from my 2nd toe, when is this likely to be removed? Apart from the dressing clinic appointment this Thursday my next appointment is to be in 6 weeks to see my surgeon. Surely the pin should be removed before this?
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i am a male, 67 years old. i have local pain in the right tibial bone, negative for blood clots and x ray are clear. i have not done any physical activity prior to the pain. what can it be?
i am suffering from spinal stenosis, and will undergo surgery in a few weeks.
can it be radicular pain caused by the spinal stenosis? if so, is there a physical test to help verify that?
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Due to running excessively in the military, I believe my leg and feet injuries are related to Posterior Shin Splints and Posterior Tibial Tendonitis.
I am a female, 5'7, 160 lbs, and in the military.
I run approximately 15 to 20 miles a week.
I have high arches, and run flat footed.
I have hereditary varicose veins that have gradually become worse over time.
**5½ YEARS AGO** I dropped a three year weight class due to constant painful sores in both inner calves. The pain went away within a couple of weeks.
**2½ YEARS AGO** I received a second metatarsal hairline fracture on my left foot, due to an over excessive rucking competition (nearly 50 miles in two days, with zero training beforehand) I was volun-told to compete in a few days prior to the event. It healed within three months respectively, and the doctor had orthotics made for my feet. The orthotics worked great for walking, but instantly made my feet hurt while running. The problem continued to persist.
**2 YEARS AGO** I deployed overseas with my hairline fracture injury 99% healed. For most of the deployment, I did not experience any major problems. Towards the end, the unit conducted organized physical training, which included long runs. I started experiencing severe inflammation in my shins, inner calves, and swelling in my feet. The issue continued back home.
**1 YEAR AGO** I went to physical therapy when I came back from from deployment, and received deep tissue therapy for my shin pain. The deep tissue therapy helped my shins recover after each run, and the bumps on my shins started to disappear after each session (once a week). After my physical therapy sessions were completely over, I only had sensitive and tender shins after working out.
**½ YEAR AGO** When my unit increased the amount of running per week, I noticed the pains/sores were coming back in my inner calves. My shins remained tender, but the main focus was the pain in my inner calves. I went to the doctor for this issue, and they gave me a no running profile for a month. That was fine and dandy, until I came off profile and the situation became much worse than before. I played the “catch up” game to get back to how I used to be before I was on profile. In order to do this to my superiors standards, I had to to do this much faster and harder to achieve the results they were looking for. In doing this, the pains came back sooner, hurt more often, and did not require a hard physical workout to feel randomly throughout the day.
**PRESENT** Fast forward to present day, and now we run nearly every day of the week. Granted, most of the runs are now short runs, but now my pains are making any running absolutely miserable. I now have sharp pains starting from my inner calves, shooting up my legs, reaching the bottom of my knees. My inner calves are extremely sore and tender to the touch, even when I'm not running. I noticed just recently that I now have lumps/bumps on the bottom of both feet, in between the arch and heel (which I believe is called the Post Tibial Tendon). None of these issues are clearing up, unless I do absolutely nothing at all. But, once I start to exercise again, the pains and problems come back with full force. The bumps on my feet are not going away at all, I have had them for a few months and they continue to grow larger. So here are my questions:
1. Do you think I have Posterior Shin Splints and Posterior Tibial Tendonitis?
2. If not, what condition(s) do you think I have?
3. Do you believe these possible conditions can be fixed on my own, or should I see a doctor again?
4. I really cannot afford to stop working out, is there any low impact workouts that can keep me in shape if this turns into a medical issue?
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I have just had an ultrasound and I was told that my kidney is full of large stones and that I need an xray due to there being a long thin black shape in there also; plus my bladder is full of stones as well.
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I am currently 16 years old and I have recently begun to realize some worrying things about my penis. It doesn't have all of the feeling in it now and sometimes when I'm sitting down, it goes numb like when your leg falls asleep. I first tried jacking off in 7th grade(around four years ago) and have been doing it almost daily sometimes more than twice a day up until recently. Now when I jack off I don't need to have a full erection for an orgasm. I can't even get fully erect anymore. It gets about 75% and then stays for like a minute and then when it stops getting attention, it gets soft so quickly. I am very worried because me and my girlfriend tried sex and I couldn't do it because I couldn't stay hard. She got me to the 75% hard like when I jack off and then whenever we thought it was time to penetrate her I went soft almost immediately after she stopped touching it or when I stopped so I couldn't achieve sex. My penis looks healthy and I feel no pain or anything.
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I am 17 years old, a heterosexual male. I run cross country and track, and ski, paddleboard, mtn bike, and generally get a lot of exercise. My diet isn't outstanding, but it is decent, and I get a decent serving of veggies and meats, as well as breads and fruits and all. I don't smoke marijuana in general, and have drank a few times with friends, responsibly, an all that. I am a good high-achieving student, taking lots of hard classes, but this leads to only 6-7 hours sleep per night and a significant amount of academically created stress.
Masturbation is common for me--I have a pretty strong sex drive. Probably once or twice a day, 10-12 times a week. Pornographic material isn't uncommon for me - maybe twice a week - it is usually imagery or comics (for some reason I prefer that to video). I have been dating a great girl for about seven months, and we haven't had successful sex. She is a bit prudish-she doesn't give oral and reluctantly will give handjobs, but is ok with vaginal sex. I will get erect on and off during foreplay and making out, and will get fully hard just hanging out with her (around in the house making out or grabbing her butt and all) but as we get close to serious sex, my hardon becomes less reliable. Then it gets bad when I try to put on the condom - I lose the boner almost completely, and can't get it back beyond 3/4 mast. She is very tight (basically a virgin) and I won't be able to get in unless fully hard. This seems to happen when I am alone as well. I will practice putting on a condom but will get pretty soft once it goes on. Also masturbating I will be able to get off when only full but not rock hard-not at the level needed for intercourse.
I think is partially stress and anxiety, nerves; I overthink things. I have only tried to go for sex and failed like described above around three months ago. She was understanding, but since then I have avoided sex so that can't happen again. So that was 3 months ago, and I am worried that I won't ever be able to successfully try again because I will always remember my inability to perform and then lock myself in a cycle where I can't get hard because I am scared I can't. It know it is psychological but I can't get over it. Should I go for viagra or something?? She is pretty straight-laced so attempting to drink a beer or two beforehand to "loosen up" isn't really a good idea, and I don't think that's a great idea anyways. PLEASE HELP I AM WORRIED that I will get a chronic anxiety-induced ED through the senior year of high school and college that is terrifying! I get crap from my bros about not banging my girl and it is a serious issue for me and make s a ton of stress for my entire life!
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Can gallbladder problems cause you to feel like you can't get a full breath ? Also when i sniff or cough i get sharp pains in my neck/shoulder.
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Had surgery ten days ago for complete rupture, in a half cast at moment and go to hospital to get stitches out on Monday and new cast. Very worried about the recovery after reading up on rehabilitation.
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I fell on the back of the hand with my wrist bent forward under my arm and heard and felt a popping noise and now it hurts to do anything with it. Idk if i should go to the doctor or not (it's not too swollen and I have full mobility. But it hurts when I move it at all and I can't pick up anything)
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