Broken Tib/fib journal

Honey Badger

...iz a girl
Okay, this was far from a life-threatening incident, but probably the most laid up I've been for a longer time period. This is mostly just to journal my progress as things happen, since I'm not entirely certain what to expect, and at this point, my ortho isn't even sure what to expect.

Basically, I was in a dirt bike class, my first time on a dirt bike. Most boring crash in the world, but managed to snap my tib/fib pretty badly. Thankfully I had full moto cross boots on (Tech 3s) since I'm guessing anything less would have resulted in a nasty compound fracture - things at least stayed closed.

This happened on Saturday, December 3, 2016, a little before noon.

I went to the ER, where they x-rayed and consulted with the on-call ortho. They put on a soft cast, and sent me off with some pain meds with instructions to contact a local ortho back home.

After doing some research on orthos in my insurance network, and doing some research on the ones that were relatively local, I decided on a sports medicine doc who had a resume working with athletes and reviews of his work were pretty good. I got in to see them that same afternoon.

We had to re-xray the leg, and he wasn't happy. First, he wasn't happy the ER just sent me home, he felt it should have been fixed right then and there (I'm beginning to wonder if I'll ever have a good experience in an ER - every time I've been in one, it has been a horrible experience either at the time or afterwards finding out their incompetence).

Secondly, apparently the break was pretty bad. Both bones fully broken just north of the ankle, with an angular break on the tibia. Additionally, there were hairline fractures through the tibia head, which concerned him in regards to the ankle joint. To top it all off, since the ER had just sent me home, I had developed a fracture blister, which would make surgery that much more complicated as they cannot break the blisters (significant increase in risk of infection if those are broken).

Surgery is scheduled for next Tuesday, December 13. According to the PA today at my pre-op, there will be open redaction with external fixation....he claims I'll be able to crutch around like I have been this week, just can't put any weight on the leg (which is pretty much my current situation). As long as I can still get around in crutches, I'll deal, although it sounds like it will be a total PITA. I was hoping for "just" internal fixation (plates n screws), but doesn't sound like that's the plan :nchantr

In the meantime, I'm just adjusting to life with crutches. Thankfully I can telecommute a fair bit with my job, so that helps make things a little easier, I'm not having to burn up a bunch of PTO. If I do need to go into the office, that's a bit of a PITA, but do-able. My teammate (Ozymandias here on le BARF) temporarily traded trucks with me so I could use his automatic (my truck is a manual - kind of tough to use right now LOL).

I'm probably going to head up to Sacramento for part of Monday and go see my new bike that I (ironically) just picked up last Friday, the night before this happened. I'm just hoping I'm ready to ride by the time the bike is....but at least going up and seeing it and talking to the guys who are helping me set it up will give me something happy to think about going into surgery.

The off-season is good in that I have some time before I really start missing out on things, but the bad thing is, it's also a little too easy to just want to be lazy about healing and accept the long term plans they like to hand out to average joes - which is not usually my M.O. Hopefully seeing my bike go together will motivate me to stick with a more aggressive treatment plan :cool
 

dravnx

Well-known member
Wow, that really sucks. Hope you heal up well and fast. I broke my fib almost 2 years ago and still don't have complete stability in my ankle.
 

onto1wheel

Riding All The Time
ER sent you home!?!?!?!? WTF!?!?!?!?
Seeing those x-rays, i'm shocked they would do that (but hey, i'm no doctor)
Good luck with the mending. This is your chance to come back better/stronger (that's how I always look at it)

Dirt really is good for you, sounds like you just had some bad luck
 

motomania2007

TC/MSF/CMSP/ Instructor
Wow! Heal up fast!

If you get to where you are NOT with an external fixation, I have a device I used last year when I tore my calf muscle: Think of it as a strapped on peg-leg. The bottom half has an adjustable length to be similar length to your lower leg, the top half is a padded shelf and a brace. You bend your knee and kneel onto the shelf then secure the pegleg to your thigh and upper calf/shin.

It allows you to walk around without crutches without being weight bearing on your lower leg.

If you want it, we just need to figure out a way to get it to you. I will be in Newark Wed-Friday next week and some Barfers were planning to come out here next Saturday to play on my dirt track, weather providing, so someone might be able to get it to you.
 

Honey Badger

...iz a girl
Wow, that really sucks. Hope you heal up well and fast. I broke my fib almost 2 years ago and still don't have complete stability in my ankle.

Thanks...I'm going to chase down good, aggressive PT, so that should help. Not one to sit around and just wait for things to heal, but i also want to be sure it heals right and well.

ER sent you home!?!?!?!? WTF!?!?!?!?
Seeing those x-rays, i'm shocked they would do that (but hey, i'm no doctor)
Good luck with the mending. This is your chance to come back better/stronger (that's how I always look at it)

Dirt really is good for you, sounds like you just had some bad luck

Ya, my ortho was pissed when he saw the xray...not being a doc, since they had supposedly talked to an ortho, i just figured maybe it wasn't that bad. His reaction said otherwise.

It really was just total bad luck...completely a freak accident, don't have so much as a bruise anywhere else!

Wow! Heal up fast!

If you get to where you are NOT with an external fixation, I have a device I used last year when I tore my calf muscle: Think of it as a strapped on peg-leg. The bottom half has an adjustable length to be similar length to your lower leg, the top half is a padded shelf and a brace. You bend your knee and kneel onto the shelf then secure the pegleg to your thigh and upper calf/shin.

It allows you to walk around without crutches without being weight bearing on your lower leg.

If you want it, we just need to figure out a way to get it to you. I will be in Newark Wed-Friday next week and some Barfers were planning to come out here next Saturday to play on my dirt track, weather providing, so someone might be able to get it to you.

Thanks...i could see something like that being really helpful...I'm supposed to be able to crutch around post-surgery (better be the case with my living situation), but something like that would be great for getting to and from work and such. I'll see what they order up for me, too.
 

motomania2007

TC/MSF/CMSP/ Instructor
Thanks...i could see something like that being really helpful...I'm supposed to be able to crutch around post-surgery (better be the case with my living situation), but something like that would be great for getting to and from work and such. I'll see what they order up for me, too.


It is called an iWalk
 

packnrat

Well-known member
get a lawyer to talk to the incompant (what ever) that looked you over in er.

time for this is now.
 

MtnRider

Well-known member
I can relate to some extent. I crashed March of 2015 with Dainese Torque Out boots on and this was my ankle. I was going to have surgery that night at the ER but the Ortho had left for the day so I got a cast and sent home as well.

I was referred to podiatry and due to my lack of knowledge and misunderstanding cancelled to see an Ortho specialist. When I went to the Ortho apt I saw someone in podiatry WTF? :wtf In KAISER's world podiatry handles all feet AND ankles. I had my surgery a week and one day after the accident.

Now I'm scheduled for another surgery in Feb to have my parts taken out.

I do believe there are some absurd screw ups in the medical field but I'd like to hope they have seen enough to know what is and is not URGENT. Not everyone is a pro athlete like yourself and a typical fix may be just fine for most. I'm sure for both of us if we had pro athlete pay we would have been properly taken care of immediately. :rolleyes

Ankle 1.jpg
Ankle.jpg
 

doc4216

Coastie who high fives
AJ, hope your surgery goes well! If you need anything (dinners, help with grocery shopping, etc) let me know. I can always buzz up after work.
 

Honey Badger

...iz a girl
It is called an iWalk

cool, thanks, once I'm able, if I'm still not weight bearing, I will definitely look into that, if nothing else it would make getting to work and navigating bart stations a hell of a lot easier.

get a lawyer to talk to the incompant (what ever) that looked you over in er.

time for this is now.

I happen to know a lawyer LOL, I'm reaching out to see what their opinion is.

I can relate to some extent. I crashed March of 2015 with Dainese Torque Out boots on and this was my ankle. I was going to have surgery that night at the ER but the Ortho had left for the day so I got a cast and sent home as well.

I was referred to podiatry and due to my lack of knowledge and misunderstanding cancelled to see an Ortho specialist. When I went to the Ortho apt I saw someone in podiatry WTF? :wtf In KAISER's world podiatry handles all feet AND ankles. I had my surgery a week and one day after the accident.

Now I'm scheduled for another surgery in Feb to have my parts taken out.

I do believe there are some absurd screw ups in the medical field but I'd like to hope they have seen enough to know what is and is not URGENT. Not everyone is a pro athlete like yourself and a typical fix may be just fine for most. I'm sure for both of us if we had pro athlete pay we would have been properly taken care of immediately. :rolleyes

View attachment 489155
View attachment 489156

Exactly. Pros are definitely treated differently, the main things being the speed and frequency of treatment and PT, and then access to PT stuff 'normal' PT places can't even justify having (such as the zero gravity treadmill). But I'm going to pressure my ortho for good, aggressive PT. I'll need to make it abundantly clear that I'm not willing to sit around like a "normal" person and just wait it out...I want to do it right, but not the typical treatment plan they give to everyone, either.

AJ, hope your surgery goes well! If you need anything (dinners, help with grocery shopping, etc) let me know. I can always buzz up after work.

Thanks, much appreciated. At this point things are okay, I'm mostly concerned with the couple days post op when I'm pretty sure I'll be feeling like shit. Once that passes and I adjust to whatever I have to deal it, at this point I'm already starting to figure out what I can do on my own, what I can pay a little extra for and make it work (like grocery delivery) and what I need help with (stupid stuff, like taking out the trash!).
 

EastBayDave

- Kawasaki Fanatic -
get a lawyer to talk to the incompant (what ever) that looked you over in er.

time for this is now.
seems to happen every time I go to an ER if it's motorcycle related. There is rampant discrimination against riders among doctors/ER personnel. I have experienced this more than a few times. Even Orthopedic surgeons/specialists have lowered themselves to cortisone shots or even less =to fix everything from clear breaks (easy to see on x-ray even to my untrained eye), to torn/stretched ligaments.

If I sound bitter; it's because I am. I got put off by one guy for YEARS. I finally went to a European Orthopedic Surgeon who didn't discriminate (riders common transport there.) He fixed me right up; I just hated myself for not finding him sooner...

Don't wait; get a law specialist to represent you. At the same time research a good Ortho Doc who won't discriminate against you. I had GREAT results from this Ortho Doc/great guy:
http://health.usnews.com/doctors/gregg-pottorff-22853
 

NB0tt

Well-known member
I'm making a large thing of chili today.....I can freeze some of it and bring it to you post-surgery when you're ready.

Also, for grocery delivery check out Safeway....you can almost always find a coupon to make delivery free.
 

Honey Badger

...iz a girl
I'm making a large thing of chili today.....I can freeze some of it and bring it to you post-surgery when you're ready.

Also, for grocery delivery check out Safeway....you can almost always find a coupon to make delivery free.

Thanks, I'm guessing I'd appreciate some easy food come Thursday/Friday next week :)

I'm having Safeway deliver - scheduled to come today. Lots of ways to get the delivery free, and while the food costs a little more than in store, right now the convenience is more than worth it!
 

mototireguy

Moto Tire Veteran
I'm surprised no one has asked yet, Is the bike ok?

Wishing you an uncomplicated healing process. You'll be back.
 

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1962siia

Well-known member
So sorry this happened! Sending positive thoughts and best wishes for a quick and complete recovery! Heal up!

So is that it for dirt or do you plan to get back out there?
 

Honey Badger

...iz a girl
So sorry this happened! Sending positive thoughts and best wishes for a quick and complete recovery! Heal up!

So is that it for dirt or do you plan to get back out there?

Oh, I'll get back out there, I'm not one to let one freak accident stop me from something - not gonna lie, it sucks, and I'll probably be taking it really, really slow when I do get back out there, but I'll be back, if nothing else just to get on the proverbial horse again.
 

NorCalBusa

Member #294
I went to the ER, where they x-rayed and consulted with the on-call ortho. They put on a soft cast, and sent me off with some pain meds with instructions to contact a local ortho back home.

We had to re-xray the leg, and he wasn't happy. First, he wasn't happy the ER just sent me home, he felt it should have been fixed right then and there (I'm beginning to wonder if I'll ever have a good experience in an ER - every time I've been in one, it has been a horrible experience either at the time or afterwards finding out their incompetence).

Secondly, apparently the break was pretty bad. Both bones fully broken just north of the ankle, with an angular break on the tibia. Additionally, there were hairline fractures through the tibia head, which concerned him in regards to the ankle joint. To top it all off, since the ER had just sent me home, I had developed a fracture blister, which would make surgery that much more complicated as they cannot break the blisters (significant increase in risk of infection if those are broken).
:cool

Don't worry- the ER will still bill you for $10k-$20k... :x

Heal well and fast :thumbup
 

Honey Badger

...iz a girl
Well, I at least have insurance, may not be the best, but I specifically chose a plan that wouldn't destroy me financially in the case of a major injury since that's pretty much the only time I use it...my max out of pocket per incident and per year still sucks a bit, but won't leave me in poverty.

Getting some pretty bruising above the cast - I imagine my lower leg is just solid purple :laughing



Surgery Tuesday...already have all my post-op meds, starting to get my bed set up so for the first day or two the only reason I will NEED to move will be to get to the bathroom...
 

Owl

Well-known member
yikes, glad you're okay for the most part and sorting out the surgery stuff.

i broke my fibula last spring and my x-rays looked pretty similar to yours. sounds like your ortho is on top of things and giving you understandable advice about what happened and what to expect.

just my :2cents, and it sounds like you've been through PT before so this won't be new for you: the real healing comes from PT. (Good) Orthos can piece you back together (really well) but without good, focused, aggressive PT your body, mobility, and function will be limited. PT and working out increases natural testosterone production in your body, that's your body's super mutant healing factor right there :laughing and even if you can't do your specific PT/ankle exercises (because fatigue, soreness, need for rest), still working out your core/upperbody will produce testosterone and help your body heal naturally and more quickly.

also, last :2cents (promise), if you can get access to a pool (even a small one) take your exercises and make them into water-therapy. walking, jumping, going up and down stairs, side-steps, high-knees, leg kicks, balance exercises, running, can all be done underwater (waist deep or all the way up to your chest/stomach) and you can start doing it way earlier underwater than on dry-land in your PT schedule (of course consult your PT/ortho/listen to your body blablabla). the water soothes swelling, reduces impact, and helps improve coordination.

after a couple months of PT and my last follow ups with my ortho, i basically got 95-99% mobility back (and still going). best part IMO, i bought my first motorcycle less than 6 months after i broke my ankle :ride

GL with your surgery tomorrow! :thumbup
 
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