U.S. CitiesCity-Data Forum Index
Go Back   City-Data Forum > General Forums > Health and Wellness
 [Register]
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
View detailed profile (Advanced) or search
site with Google Custom Search

Search Forums  (Advanced)
Reply Start New Thread
 
Old 07-19-2019, 02:58 PM
 
72 posts, read 29,182 times
Reputation: 363

Advertisements

I went out for a hike almost three weeks ago. (I hike a lot.) It wasn't a particularly challenging trail, but in one of the those random incidents, my boot heel went into a small hole, my knee snapped back, then I shifted to the side and hit the ground. I could tell it wasn't a normal fall. I've fallen and sprained things before, or fallen and bruised parts before, but this was a different sensation. I'm 65 but had never broken a bone before so it was a new feeling for me. It wasn't at first particularly painful, but I couldn't get up and once helped up by my husband, I couldn't bear weight on it. With him on one side and a large sturdy stick on the other I hobbled that last 1/2 mile to the trail head. I'm glad we were on our way back and not too far left to go at the time it happened.

I was diagnosed with a "mildly displaced, mildly impacted tibial plateau fracture". No damage to the fibula or ligaments or tendons. The cartilage surface of the joint looks smooth and undisturbed. Minimal soft tissue damage, nearly all resolved at this point. The ortho doc decided on a non-surgical approach because the slight nature of the the displacement combined with multiple hairline fractures from the compression that run in directions that wouldn't be helped by surgical pins and plates.

I realize this could have been a lot worse, but I'm in that stage now where I'm pretty immobile. My leg is in a brace, no weight bearing, I can hobble around the house on my good leg with the help of a walker, but getting out is challenging (lots of outside steps). Yeah, I'm going crazy and I know there's nothing to do right now except support the healing nutritionally and BE PATIENT. Geesh, it's much harder for me than I thought it would be. I have a long way to go before I get two feet on the ground again. And a long time after that to get strength and a normal gait back. :::grrrr:::

Anyone else dealt with this?
Reply With Quote Quick reply to this message

 
Old 07-20-2019, 07:53 AM
 
510 posts, read 276,120 times
Reputation: 2313
I see a fair amount of these injuries in my job as a PT. In fact, I am treating one such case right now. The best thing you can do is follow the ortho doc's recommendations. At the same time, exercise your uninjured leg because it will have to do more than its share, when you are finally allowed to put weight on the fractured leg. Usually the weight-bearing will come in increments, e.g., 25% then 50% then 75% and finally "WBAT" (weight-bearing as tolerated).

Are you seeing a PT? He/she can show you exercises to keep in shape yet that do not interfere with your injury, and techniques to go up/down steps safely.
Reply With Quote Quick reply to this message
 
Old 07-20-2019, 11:25 AM
 
72 posts, read 29,182 times
Reputation: 363
Thanks for your insights, 2nccoast. The doc hasn't referred me to a PT yet. I'm assuming he will once we get to any kind of weight bearing status. He's given me a few simple exercises to do, first just to get my injured leg to fully extend, and also a couple simple moves just related to getting flexibility back in the ankle of the injured leg so its ROM is not severely limited when we do get to weight bearing. He's given me a little knee flexion in the leg brace now (just to 50 degrees) so sitting upright is more comfortable, but wants it fully extended and locked when I'm hobbling around with the walker.

I wish I did have a PT to help me with techniques for managing steps and stairs better. That's where I feel most uncertain and a little anxious that I could fall and injure myself again. I get a lot of help and support from my very tall and strong husband, but I would never attempt a step by myself right now.

I do feel like the uninjured leg is getting much stronger since it's doing all the work now, plus some increases in upper body strength from using crutches and a walker. Since my injured leg can't be on the ground at all, every step is really a kind of an upper-body assisted hop on the good leg.

I have a question, when you talk about increasing percentages of weight bearing, how does a patient typically measure that? How do you know what 25% of weight bearing actually is? Or is it more of a mental approximation of what you think it might be?
Reply With Quote Quick reply to this message
 
Old 07-21-2019, 11:34 AM
 
510 posts, read 276,120 times
Reputation: 2313
WB percentages: it's more of a mental approximation than anything else.
Toe-touch: imagine you are resting your foot on an egg; you should not crack the egg.
25%: ok to put the injured foot down to stabilize yourself when standing or walking.
50%: ok to put "some" weight on it.
75%: ok to put more weight on it. As you can see, it's very subjective.

Going up/down stairs: if your stairs have handrails, face sideways as this will allow you to have both hands on the rail. Go one step at a time. When you go down, the injured limb goes first; when you go up, the healthy limb goes first. That way, your body weight is always mostly on the healthy limb.
Reply With Quote Quick reply to this message
 
Old 07-21-2019, 12:18 PM
 
72 posts, read 29,182 times
Reputation: 363
Thanks! I was wondering because if there was some mathematical formula, one would have to assume 50% WB, for example, would be standing on two feet with each foot bearing equal weight (since it would be your body weight divided equally between your two feet), but I was pretty sure 50% WB couldn't possibly mean that in this context!
Reply With Quote Quick reply to this message
 
Old 07-22-2019, 08:58 PM
 
61 posts, read 55,923 times
Reputation: 198
I had a tibial plateau fracture many years ago I got in a skiing fall. The ortho doc said he could go in there and put some screws in it but he would probably just muck it up worse and it was best to let it heal on it's own. I was in a soft cast for a few weeks and then used a single crutch for a few more weeks. Less than 2 years later I went on a backpack mountain goat hunt, which is some of the toughest hunting there is (climbing & brutally rough terrain) and I did fine.
It's now 22 or 23 years later and I'm starting to go a little arthritic in that knee, which the ortho doc said I would, but for the most part I do fine.
Reply With Quote Quick reply to this message
 
Old 07-22-2019, 10:11 PM
 
72 posts, read 29,182 times
Reputation: 363
Sounds like you had a really efficient recovery, westslopeguy! And 20+ years later and you are only starting to feel a little arthritis is pretty amazing.
Reply With Quote Quick reply to this message
 
Old 07-23-2019, 05:06 PM
 
61 posts, read 55,923 times
Reputation: 198
Quote:
Originally Posted by Jessie Mitchell View Post
Sounds like you had a really efficient recovery, westslopeguy! And 20+ years later and you are only starting to feel a little arthritis is pretty amazing.
Well, I was still fairly young when it happened; just turned 60, it bothers me sometimes, worst when I'm kneeling down and then have to get up. After I'm up and moving though it doesn't bother me hardly at all.
Reply With Quote Quick reply to this message
 
Old Yesterday, 10:22 PM
 
1 posts, read 1 times
Reputation: 10
Quote:
Originally Posted by Jessie Mitchell View Post

I realize this could have been a lot worse, but I'm in that stage now where I'm pretty immobile. My leg is in a brace, no weight bearing, I can hobble around the house on my good leg with the help of a walker, but getting out is challenging (lots of outside steps). Yeah, I'm going crazy and I know there's nothing to do right now except support the healing nutritionally and BE PATIENT. Geesh, it's much harder for me than I thought it would be. I have a long way to go before I get two feet on the ground again. And a long time after that to get strength and a normal gait back. :::grrrr:::

Anyone else dealt with this?
I joined this forum because I saw this post!
I have a tib/fib plateau fractures with surgical repair. I'm told it could be months before I can walk again, though I'm hopeful my recovery will continue to go ok. I'm almost 2 months out and will be returning to work soon- teaching from a wheelchair. Being patient is so hard to do when there is so much to be done! I was in the hospital for 2 weeks, and I've only left my home 3 or 4 times since being home because the stairs are such an ordeal for me. I recently got a cane to help get down the steps, also using the rails but a ramp would be a godsend.

Good luck, I hope we both can continue to heal and heal completely!
Reply With Quote Quick reply to this message
 
Old Today, 02:00 PM
 
9,762 posts, read 6,457,088 times
Reputation: 18523
Quote:
Originally Posted by jaminhealth View Post
TK10, would your issue be about the same as IT band syndrome?

https://www.athletico.com/2012/06/05...and-solutions/

I came out of hip replacement with so many complications and one was the IT band issue which I live with now close to 9 yrs.

Do you even read these posts?


OP said FRACTURE, that is a bone - not "tissue" like IT band syndrome
Reply With Quote Quick reply to this message
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.

Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.


Reply

Quick Reply
Message:


Over $104,000 in prizes was already given out to active posters on our forum and additional giveaways are planned!

Go Back   City-Data Forum > General Forums > Health and Wellness
Similar Threads
Follow City-Data.com founder on our Forum or

All times are GMT -6.

2005-2019, Advameg, Inc. · Please obey Forum Rules · Terms of Use and Privacy Policy · Bug Bounty

City-Data.com - Archive 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 - Top