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  1. #1851
    Join Date
    Feb 2020
    Posts
    1

    6.5 months post-TPF

    I was going to read the whole thread but was on page 7, then clicked to the very end and saw there were 74ish pages, so no. So helpful though to read people’s experiences at different stages of recovery.

    I fractured my tibial plateau after an awkward fall while bouldering at the climbing gym. Was shocked this could happen falling onto the soft mats. I had outpatient(!) surgery 3 days later and have 2 plates, 9 screws and a bone graft. I may have a PCL tear which may or may not need surgery depending on how strengthening goes (I think I will opt for it, though more recovery time isn’t a nice thought). Waiting for MRI appointment to confirm.

    I was non weight bearing for 12 weeks, then doctor had me full weight bearing but it took me a few weeks to be able to do that without any support. Was using both crutches, then one crutch, then a cane. Started PT 2x/week about 3 weeks after surgery, even though doctor said not to worry about it until I was FWB. I’m so glad I ignored him bc PT kept the muscles from completely disappearing (I was alarmed at the amount of atrophy after just 2 weeks.. couldn’t even get my quad muscles to activate) and also once it was possible to, started working on ROM. I was stuck almost straight with a slight bend and now I’m at 140 degrees flexion (my normal range is more than this and I want to get it all back). I’m at about 0 degrees extension now (my normal range is hyperextension.. I’m normally very bendy!). Muscles still weak but I have to admit I’ve been lazy about the PT home exercises. I recently started doing yoga and Pilates (can’t do all the moves), and started using an exercise bike (but can’t stand on it bc of pain). I just returned to the climbing gym yesterday and was able to get on easy routes but normal climbing won’t be for awhile. My knee still hurts in certain positions and with resistance (when doing exercises) and feels stiff when I wake up or don’t move it for awhile. I can also feel an ache at the side that I think might be from the hardware (I can kind of see it sticking out). My skin on my shin around where all the hardware and incisions are is still tender (does this ever go away?).

    I’d like to get the hardware out and am wondering if anyone here is in Canada and if doctors tend to dissuade you from doing it if not absolutely necessary (since it’s on the public dollar)? From what I’ve read on here, it sounds like removal is a good idea to get as close to normal as possible. Right now, I can’t even imagine my knee feeling back to normal or close, even though I can walk. Still can’t jump or run as there is pain, or do anything too onerous. I’m normally an active person so my current state is not what I’d be content living with. Also, how long is full recovery time after removal? I’m reading people can go without crutches after a week but haven’t read much about full recovery timeframe. Final question is if I do need ligament repair, would they just remove the hardware during that time if I request it? Thanks!

  2. #1852
    Join Date
    Mar 2020
    Posts
    1

    Some prefer BMWs and some prefer GM

    I used Dr. Christopher's Bone and Tissue healing balm, massage oil and capsules I bought on Amazon that were posted on a blog for a woman who had wrote about her TPF surgery and recovery. All three products cost less than half of the CBD now cream. I am a smoker and smoking can greatly inhibit bone growth/healing, so I was a bit concerned as I tried initially to quit but with so much time of doing absolutely nothing during my 8 weeks NWB, I smoked within a week after surgery but by my 8 week check with my ortho surgeon, the bones were healed wonderfully and doc was pleased. I attribute the healing to my doing what I was supposed to do, having excellent surgeons and Dr. Christopher's B and T stuff. The massage oil stinks to high heaven and the pills have a gross after taste, but I applied the balm or oil regularly.

  3. #1853
    Join Date
    Mar 2008
    Posts
    355
    One of the limits of gauging your recovery based on others' experiences online is that a tibial plateau fracture refers to a fracture at a specific anatomic location, but not necessarily a specific injury. What I mean by that is that each person's fracture is different. By the sound of it, if you needed two plates and bone graft you had both comminution (a shattering of the bone) and a significant joint line compression that left a sink hole below when the joint line was tamped back up. This is likely a more severe injuries than many.

    Along this line, in the long run it can be hard to separate symptoms that stem from the severity of the injury from symptoms directly related to the hardware. Hardware pain can come in many forms, and there's a lot of unpredictability in removing it - pain that someone says is right over the plate when something pushes there is more likely to improve after removal than a more diffuse, deep ache. Sure, the heightened stiffness of the metal plates relative to the bone can, for some people, cause issues, but the majority of patients leave the plate in place. The skin around the tibial plateau is not always the most forgiving, and if you have two plates one may be posteriorly in the back of the knee where a surgeon isn't excited to chase it. Hence the risk/reward to considering hardware removal - the harder it is to remove and the less forgiving the skin, the less a surgeon rushes to do it. On the other hand, the possibility of benefit alongside the psychological benefit of having it out also matters. Talk with an experienced surgeon and weigh the risk/reward to your specific situation. Also, given the potential for continued improvement alongside the desire to allow the bones to heal, surgeons often wait a full year before considering removal forgoing extenuating circumstances.

    Best of luck healing.
    Originally Posted by jm2e:
    To be a JONG is no curse in these unfortunate times. 'Tis better that than to be alone.

  4. #1854
    Join Date
    May 2002
    Posts
    30,935
    Quote Originally Posted by powdork View Post
    I'm pretty sure you read the end of my story in the knee replacement thread but it bears repeating here since my original injury was tibia plateau back in Feb 2014. If the doc says you're likely to need a knee replacement down the line when arthritis sets in keep in mind they're gonna want to take the hardware out as a separate surgery then before the TKR.
    Also keep in mind that 5.5 years after my original surgery the pain got to where I had a TKR scheduled for 10/30. My hardware was removed on July 31. The end of September things started to feel better. October 2nd I took my last ibuprofen (after 1200-1800mg daily since 2/2014). On the 17th, I officially canceled the surgery. Now I'm running down hills with a heavy pack and no pain.
    Needless to say, my advice is to get the hardware out.
    I have told the gf a couple times about your story, powdork, especially when she complains about the lump in her tibia where she spiraled it and got a shitload of hardware. An FYI for you peeps, too...she got amazing swelling reduction from cupping.

  5. #1855
    Join Date
    Jul 2015
    Posts
    354
    Just stumbled on this thread. Wife had a TPF a few weeks ago. Compared to the stories here, I think the fracture was mild, bone not displaced, procedure was plate with about three screws and repair of the dimple with cadaver bone. Check up about 9 days later shows bone fused properly and everything OK. Out of the hip to ankle brace and cleared to bend knee, PT starting soon. Sheís super active, so is working on range of motion a lot. No weight bearing for 10 weeks or so.

    The week after the procedure had a lot of pain, and was helped greatly by scoring a $130 Drive wheelchair from Amazon Prime. Thereís no better way to keep the leg elevated and stable, it sucks but it was better than being bed ridden. From the stories here, she got off easy, notwithstanding the suckage she went through/is going to.


    Sent from my iPad using TGR Forums

  6. #1856
    Join Date
    Oct 2009
    Location
    Maine Coast
    Posts
    2,912
    Just came out of ED with this diagnosis. Seeing surgeon tomorrow and expect surgery this week. Will read whole thread at some point, but if anyone has advice on specific questions to ask surgeon it would be appreciated

  7. #1857
    Join Date
    Apr 2004
    Location
    cordova,AK
    Posts
    2,822
    Quote Originally Posted by cat in january View Post
    Just came out of ED with this diagnosis. Seeing surgeon tomorrow and expect surgery this week. Will read whole thread at some point, but if anyone has advice on specific questions to ask surgeon it would be appreciated
    really sorry to hear this. wishing you the best for your surgery and rehab.
    off your knees Louie

  8. #1858
    Join Date
    Oct 2009
    Location
    Maine Coast
    Posts
    2,912
    Thanks man. Started reading this thread, got depressed and left it alone. I will get back in the saddle

  9. #1859
    Join Date
    Mar 2011
    Location
    North,NorthEast
    Posts
    2,813
    Damn cat, sorry to hear man. Not sure how bad your fracture is, hopefully it isnít too severe. If they havenít told you yet, find out what type it is on the weird scale of 1-6. You should absolutely read through this thread, yes itís depressing at times, but there is also some great info and good stories on here. Another good resource is a Facebook group called tibial plateau recovery that Spanky told me about.I set up a fake Facebook account just to read through it. It also has a pretty comprehensive list of exercises at certain stages of recovery when you get to that point.

    Without knowing your specifics, I donít have too many questions for you to ask the surgeon. Biggest one would be how long youíll be non weight bearing for. That is probably the darkest time of this whole ordeal.

    I was actually looking for this thread yesterday to write up a little recap, Wednesday is the one year anniversary of my surgery, itís been a wild ride. As of last week I was mostly back to normal, even skied some knee deep powder two weeks ago! But, since some of my hardware was bothering me, I decided to have surgery last week and remove 4 screws. Tough saying goodbye to spring skiing, for 2 years in a row. And this time it was my own decision, but being reminded of your hardware on every step you take is no fun.

    Iíll probably still write up the recap, this thread is a valuable resource for anyone who is unfortunate enough to go through this, and there really isnít too much info online. So any and all experiences should be shared for others to read.

    Keep us posted on what the diagnosis is Cat. Good luck man!

  10. #1860
    Join Date
    Oct 2009
    Location
    Maine Coast
    Posts
    2,912
    Thanks man see the orthopedic PA today to go over surgery and expect it to happen this week. I will know a lot more after today’s meeting. Appreciate your positive thoughts. Big question floating in my mind is did I damage any ligaments and if so will those be addressed in the same surgery or later.

  11. #1861
    Join Date
    Jan 2009
    Location
    Park City
    Posts
    3,372
    Quote Originally Posted by Anjylkat View Post
    I used Dr. Christopher's Bone and Tissue healing balm, massage oil and capsules I bought on Amazon that were posted on a blog for a woman who had wrote about her TPF surgery and recovery. All three products cost less than half of the CBD now cream. I am a smoker and smoking can greatly inhibit bone growth/healing, so I was a bit concerned as I tried initially to quit but with so much time of doing absolutely nothing during my 8 weeks NWB, I smoked within a week after surgery but by my 8 week check with my ortho surgeon, the bones were healed wonderfully and doc was pleased. I attribute the healing to my doing what I was supposed to do, having excellent surgeons and Dr. Christopher's B and T stuff. The massage oil stinks to high heaven and the pills have a gross after taste, but I applied the balm or oil regularly.
    I think you just got lucky and healed. Smoking cause vasoconstriction and itís absolutely crucial to have great blood flow to healing bones and for post op infection. So much so the VA wonít do joint replacements if you still smoke.

    I guess if the smoking is more important than a functional leg.....

    I guess you can see this kind of shit triggers me...itís all the doctors fault


    Sent from my iPhone using TGR Forums
    I rip the groomed on tele gear

  12. #1862
    Join Date
    Oct 2009
    Location
    Maine Coast
    Posts
    2,912
    Met with doctor and surgery Thursday. Pretty bad break with broken part(s) depressed from joint. Bone graft, plate, screws. Three months no weight, then nine to twelve recovery. Doctor said I am not getting my old knee back

  13. #1863
    Join Date
    May 2002
    Posts
    30,935
    Quote Originally Posted by detrusor View Post
    I think you just got lucky and healed. Smoking cause vasoconstriction and it’s absolutely crucial to have great blood flow to healing bones and for post op infection. So much so the VA won’t do joint replacements if you still smoke.

    I guess if the smoking is more important than a functional leg.....

    I guess you can see this kind of shit triggers me...it’s all the doctors fault
    One post m series spam?

    Comparing CBD Now Cream to Dr. Whoever's Amazon salve is ridiculous. My cream has a Chinese herb vasodilator blend, DMSO, MSM, magnesium and CBD and is embraced by a boatload of testimonials, as well as my own personal experience, to support its efficacy. I make every small-batch produced myself. If CBD Now Cream didn't work, it wouldn't sell. Sales are based on recommendations and it is not some private label Jergen's lotion anyone anywhere can have made for Amazon sales.
    I get spammed all day every day by private label companies offering to do what I describe for selling on Amazon. I go to trade shows for products like mine. I read their ingredients and have been given samples. Sure, they smell nice. But I can say in all confidence and honesty that 99.9% of salves, lotions, or creams on the market, whether they have CBD in them or not, are complete bullshit. This was an absolute stunner for me. I went to see and feel my competition and had none.

  14. #1864
    Join Date
    Oct 2009
    Location
    Maine Coast
    Posts
    2,912
    Post op and feeling ok. Mine was a type 2 break with bone graft, plate and some number of screws (7?). Fortunately pain was low and only had to hit the oxy for two hour ride home. Boredom seems to be the biggest obstacle now. Not sure how I could manage without the support of my wife at home.

    Broken piece on right side of photo. Just one break all the way through and depressed.

    Click image for larger version. 

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  15. #1865
    Join Date
    Feb 2012
    Posts
    40
    Quote Originally Posted by cat in january View Post
    Post op and feeling ok. Mine was a type 2 break with bone graft, plate and some number of screws (7?). Fortunately pain was low and only had to hit the oxy for two hour ride home. Boredom seems to be the biggest obstacle now. Not sure how I could manage without the support of my wife at home.

    Broken piece on right side of photo. Just one break all the way through and depressed.

    Click image for larger version. 

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    Dang, you popped that thing right off, eh. Hope you are doing well with recovery. If you got nothing else out of this thread, range of motion and not letting your quads/calfs atrophy too much should be a #1 focus. Keeping on top of those now will make life easier next season for sure.

    Best wishes for your comeback, Mr. Cat.

  16. #1866
    Join Date
    May 2002
    Posts
    30,935
    Quote Originally Posted by cat in january View Post
    Post op and feeling ok. Mine was a type 2 break with bone graft, plate and some number of screws (7?). Fortunately pain was low and only had to hit the oxy for two hour ride home. Boredom seems to be the biggest obstacle now. Not sure how I could manage without the support of my wife at home.

    Broken piece on right side of photo. Just one break all the way through and depressed.

    Click image for larger version. 

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    Impressively clean break. Did they just put a couple screws in and call it good?

  17. #1867
    Join Date
    Oct 2009
    Location
    Maine Coast
    Posts
    2,912
    Not sure on number of screws, will ask when the staples come out next week. There is a plate and bone graft was added in where I crunched the soft bone.

  18. #1868
    Join Date
    Oct 2009
    Location
    Maine Coast
    Posts
    2,912
    Staples out yesterday and have a better understanding of injury. 2.5cm displacement of the break repaired with a 10cm plate and 8 screws.

    Another six weeks until partial weight bearing with only work to build to ninety degree bend. Then should be another four to six weeks until fwb.

    My trials are trivial in the scope of the world and so very fortunate for the support of my wife.

    Need to find some upper body exercises to keep sanity. Loss of exercise outlet has been one of the tougher things

  19. #1869
    Join Date
    Apr 2020
    Posts
    1

    Smile Hit by a car and ended up with a left lateral tibial plateau compression fracture

    Reading all these posts is interesting and shows that recovering from this type of injury and surgery can take varying amounts of time. I had surgery in February for a type 2 tibial plateau compression fracture after being hit by a car while crossing the road. The pain after the surgery was way worse than the original injury and I had 5 days in hospital with a morphine pump which was used constantly. The next 5 weeks of wearing a brace and non-weight bearing were a breeze in comparison. Now that I'm allowed to start weight bearing 25% and increasing to 100% (supposedly over 4-6 weeks) I've had 3 weeks of not achieving much at all and the pain on the left side of the knee around the top of the scar area can get up to a 10/10 at times. Been trying to do the exercises I've been given - straightening the leg - nearly straight, bending the leg - nearly 80 degrees, foot and ankle exercises, putting some weight on my foot while standing. Walking is a non event - even with a walker and trying to do 25% weight bearing - too painful. Have decided to take this very slowly and just hope that one day I can walk without pain. Onwards and upwards as they say!

  20. #1870
    Join Date
    Apr 2020
    Posts
    1

    New research says immediate weight bearing OK after surgery

    Several new Dutch studies show that immediate permissive weight bearing after Tibial Plateau fracture has benefits over the "traditional" method of weighting for weeks and weeks. Has anyone had experience with this accelerated healing technique?
    One of the articles is called "Patient-reported quality of life and pain after permissive weight bearing in surgically treated trauma patients with tibial plateau fractures: a retrospective cohort study"

    After a year it doesnt seem to matter but earlier there are positive quality of life issues and healing issues.

    Thank you.

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