A broken ankle can severely limit your ability to perform basic functional tasks like running and walking. In many pilon fractures, the bone may be crushed or split into several pieces due to the high-energy impact that caused the injury. She said ankle fusion or ankle replacement were her assumptions of my next procedure but that it wold not be her that did the surgery (Dr Herzog is a orthopedic trauma surgeon and the person who fixed me up when I came into the ER on March 6th.) Your doctor may use a combination of these medications to improve pain relief, as well as minimize the need for opioids. Please note that some fractures can give no symptoms or symptoms can be only minor. I received 3 plates and 20 screws. Introduction. Her first words were “you’ve lost the joint space, the cartilage is gone. How quickly you begin movement will depend upon your doctor's preference, the type of fracture, and the treatment used for your injury. Not to be a total downer, here is a story about things I CAN DO while hobbling around on this ankle.. https://www.strava.com/activities/413271549/embed/ddf196e6cd9d52343e4c9b9651d9dd63ba126def” target=”_blank”>Click here for a glimpse of the possibilities for those of us with a bad ankle. The bone of the lower part of the ankle joint (talus) is driven into the top of the ankle joint, causing a fracture to the weight bearing portion of t… I see the surgeons this week and I am seeking more specialists to talk to before I take the plunge into more surgery. Even when your bones heal normally, the cartilage protecting the bones can be damaged, leading to pain and stiffness over time. Most patients are not able to put all of their weight on their injured ankle for 2 to 3 months. Rotator Cuff and Shoulder Conditioning Program. So far I am doing well compared to most. Pilon is the French word for "pestle"—an instrument used for crushing or pounding. The term “pilon” comes from the French word for … Open reduction means the surgeon makes an open incision to treat the fracture. Your ankle will not be like it was before your injury. Luckily my daughter works for a group of orthopedic doctors. Saw my surgeon today, about 5 weeks post-surgery and he likes the way the bones are healing. I joined a CrossFit gym and used my knee scooter to get around and they had me do a lot of upper body and core work to stay fit and it really helped pass the time. For this, they have to follow proper tibia fibula fracture rehabilitation protocol.. Depending of the fracture location and bones dislocation, you may have no symptoms at all. X-rays. If their injuries cause significant blood loss, it could lead to shock—a life-threatening condition that can result in organ failure. It is important to use opioids only as directed by your doctor. Long healing or worsening is one of possible fracture symptoms. They say it’s because I am staying very active. Nonsurgical treatment may be recommended for stable fractures in which the pieces of bone are not displaced or are minimally displaced. And not just severe ankle fractures but those requiring open reduction and internal fixation (ORIF). Certain social, demographic, and treatment variables seem to contribute to these poor outcomes. Urgent treatment is required to prevent infection. I’ll be non-weight bearing for at least another month he thinks, but I start basic PT next week. As you transition to wearing regular shoes, you will gradually stop wearing your brace. Ankle stiffness is very common after a pilon fracture. Your doctor may apply an external fixator to hold your pilon fracture in place and stabilize your ankle until your second surgery can take place. from the American Academy of Orthopaedic Surgeons, The amount and size of the broken bone fragments. To find in-depth information on ankle fractures, please read Ankle Fractures (Broken Ankle). on WordPress.com. I almost cried. Results. Went through the surgery and was bed-bound for another 4 weeks. However, if your job involves manual labor or if you participate in high-impact sports, you may not be able to return to the same level of activity as before your injury. Unfortunately, the boot keeps my foot in one place and because of the difference between a normal left shoe and a right boot it hurts my back incredibly to walk much distance. This risk has been brought down to about 10% or less for patients with pilon fractures. Your doctor may order a CT scan right away, or may wait until later in your treatment—after an external fixator is applied. Some degree of posttraumatic arthritis occurs in about half of all patients with pilon fractures. The external fixator acts as a frame to help hold your ankle in a good position until a second surgery can be performed. If you participate in high-impact sports, you may be able to resume activities 6 months after your surgery or injury. I don’t believe there was any benefit in pushing my progress. It is very common to have difficulty bending your ankle as far back as you were able to before your injury. A Pilon fracture is a severe injury involving the ankle joint. Check for swelling in your foot and ankle. To help you maximize your abilities, your doctor and/or physical therapist will guide you in a slow progression to more vigorous movement. Physical Therapy Guidelines for Ankle Fracture with Surgery This was written and developed by the therapists of MGH Physical Therapy Services. In this case, your fracture may be treated with an external fixator only or with an external fixator and some screws. The swelling is still very pronounced, and I am still am icing. Most of the time, it includes breaks in both the tibia and fibula of the lower leg. Posted on November 9, 2015. by pilonzach. There were no patients with loss of reduction or nonunion. Monitoring. She said my lack of dorsiflexion was from the bone at the front of the tibia hitting the talus, and that wasn’t going to stop happening through more physical therapy. Change ), You are commenting using your Google account. No weight on it till end of June. Today is 4/16/20. I have been studying up on ankle fusion and replacement, assuming that was where I’d eventually end up, and the downsides of those solutions had me very sad indeed. A pilon fracture is a type of break that occurs at the bottom of the tibia (shinbone) and involves the weight-bearing surface of the ankle joint. This type of fracture is particularly serious because, once the skin is broken, infection can occur in both the wound and the bone. Background: Pilon fractures are high-energy fractures about the ankle observed commonly in both civilian and military trauma populations. To fully evaluate your fracture, your doctor may recommend an x-ray. Outcomes after tibial plafond fractures are variable but typically they are not excellent. I can't wait to get back to strength training and skateboarding in a couple of months, and I'll be back vlogging every other day. In most cases, your doctor will first apply a splint to hold your ankle in place. It is important to tell you doctor if you have pain in other parts of your body. Because of the energy required to cause a pilon fracture, patients may have other injuries that require treatment as well. It takes about six weeks for a bone to heal after a fracture. I am having problems with circulation…. In the majority of cases, your ankle will not be the same as it was before your injury. Your doctor will closely monitor the healing of your fracture. You may be able to bear weight between two to three months. 1-5 Most studies that report outcomes after these fractures have assessed patients at a single point in time and report an average length of follow up. After four months, you may be walking after a pilon fracture with no assisted aid. Mine was 12 hours. I got 2 plates (one each tib/fib), 14 screws, 3 incisions and I think it took them about 3 hours. This is a natural part of the healing process. Be sure to ask questions if you have any. Painful plates and screws—patients who experience discomfort may choose to have their plates and screws removed after the bone has healed, Blood vessel or nerve damage—this may occur at the time of the injury or during surgery, Whether you have other injuries or medical problems. In some cases (those luckier than me) the cartilage survives enough t allow pain-free walking and much normal use of the ankle. After you fracture a bone, a physical therapist may visit you in the hospital. The talus is a small foot bone that works as a hinge between the tibia and fibula. While I knew that the likelihood of pilon fracture-related cartilage loss and joint collapse was very high, I was very hopeful that I was going to be one of the luckier patients and get a few years of fun in before I had to deal with arthritis, more surgery, etc. A tibial pilon fracture is a break at the bottom or distal portion of the tibia, more commonly known as the shinbone. Do I have any specific risks for not doing well? With pilon fractures, there can be total cartilage death after 6 months. An x-ray can show if there is an injury to your bones or if the joints in your ankle are out of place. It usually occurs following a significant force to the foot, such as a fall from a height or motor vehicle accident (MVA). Medications are often prescribed for short-term pain relief after surgery. However, for some patients, there is little pain and no need for further surgery. I am so bummed. The three bones that come together to form the ankle joint. Complications that may occur with pilon fractures include: Stiffness. If there is a problem consult your ortho immediately. Symptoms include pain and inability to bear weight on the leg. (She is also very awesome). Change ), You are commenting using your Facebook account. Check to see if you can move your toes and feel things throughout your foot. I am so bummed. My ankle feels pretty good with a brace and tape. Pilon or plafond fractures occur in the distal portion of the tibia. Once the swelling and blisters go away, your doctor can then fix your tibia bone with metal plates and screws. Any who my question ro you is when did the swelling stop & how are you today ? Conclusions: At more than three years after the injury, pilon fractures can have persistent and devastating consequences on patients' health and well-being. Right after the injury, you may or may not be able to walk or place weight on the ankle. Certain social, demographic, and treatment variables seem to contribute to these poor outcomes. Typically, the fibula (the smaller ankle bone in the lower leg, parallel to the tibia) will also break when a tibial pilon fracture … If I have to have surgery, what are the benefits and risks? Well… my surgeon walked in the room after I got out of x-ray and didn’t look very excited to see me. This article addresses pilon fractures—a specific type of fracture that occurs in the lower leg near the ankle. Some patients with posttraumatic arthritis may need further surgery to relieve symptoms. Copyright ©1995-2020 by the American Academy of Orthopaedic Surgeons. I feel I’m getting too shelf care. An external fixator may be applied to protect your foot until it is safe to perform a second surgery to repair the fracture. Pilon fracture with bones thru the side of my ankle. He or she will: Information from imaging studies will help your doctor decide whether surgery is required and will be important for surgical planning. It is very common to have ankle stiffness after a pilon fracture. With pilon fractures, there can be total cartilage death after 6 months. I think this injury is worse babying and coming back onto full weight-bearing as slowly as possible and lots of physical therapy. If you have significant swelling or blisters, your doctor will delay your surgery until the swelling goes down. Once the swelling and blisters have gone away, your doctor will perform a second surgery. Patients may need to use a cast boot or brace after surgery. 7 Months Post Op and 3 Months of “Walking”, An Update; Ankle dorsiflexion limited after 6 months post injury at 2 degrees. Ankle fractures and dislocations can be either simple—involving just one bone—or complex—involving multiple bones. For example, it may be difficult to bend it the same way, go up and down stairs, or climb a ladder. The external fixator also helps to restore proper limb length and provides stability. In some cases, nerves may be injured at the same time that the bone is broken. Once the swelling goes down, he or she will replace the splint with a short leg cast. Sometimes, a new plate or screws may also be needed. By 4 months after surgery, most patients no longer need a walking aid. X-rays of the leg, ankle, and foot are commonly done to evaluate a pilon fracture. I am 14 weeks post surgery that resulted in 2 plates and 18 screws. Fracture is the first thing to be ruled out. During this time, your doctor may recommend that you use crutches or a walker. Your symptoms will continue to improve for up to 2 years after your injury. Six months after cartilage is injured you get to see what is going to stay and what is going to dissolve. The bone graft will come from either your own bone (autograft) or from a donor (allograft). A CT scan will also help your doctor plan your treatment. Was hit by a car 2 days ago and have fractured lower tibia in two places and lower fibula in three places. Your surgery may be delayed for up to 2 weeks or more, depending on how long it takes for the swelling to go down. I am hopeful that I find some good news. Opioid dependency and overdose have become critical public health issues in the U.S. I’m dealing with both legs right now. Gradually increasing the number of steps walked will promote a healthy recovery after an ankle fracture 1. Together, these three bones—tibia, fibula, and talus—make up the ankle joint. While air bags enable more people to survive high-speed car crashes, they do not protect the legs—so many of the survivors wind up with pilon fractures and other leg injuries. Walking. You will most likely start moving your ankle after 2 to 6 weeks. The tibia may break in one place or shatter into multiple pieces. did anyone have infection due to break going through skin? Many types of medicines are available to help manage pain, including opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), and local anesthetics. Even after the fracture has mended, it can still take months for the muscles to regain enough strength so that a person can walk correctly. However I am supposed to stay in the boot. Some days I have pain and some I don’t. Doctors have seen an increase in pilon fractures since the introduction of air bags in motor vehicles. Walking with crutches is the first step toward rehabilitation. ( Log Out /  Other symptoms may include: Patients with high-energy fractures will almost always go to an urgent care center or emergency room for initial treatment because of the severity of their symptoms. After discussing your symptoms and medical history, your doctor will perform a careful examination. Thus, we determined the clinical effects of routine hardware removal irrespective of the degree of hardware-related pain, especially in the perspective of patients’ daily activities. Many pilon fractures require surgery but, rarely, some stable fractures can be treated nonsurgically. that it will eventually allow me to do what had been a twice daily 10-15 minute walking portion of my commute in New York City. You will probably walk like a zombie in the first stages of walking again, but with rehab and practice, you will get much better at it and faster. Her first words were “you’ve lost the joint space, the cartilage is gone. Talk to your doctor if your pain has not begun to improve within a few days of your surgery. … What happens after a tibia/fibula fracture open reduction and internal fixation? This information is provided as an educational service and is not intended to serve as medical advice. Depending on the severity of your pilon fracture, your recovery time may vary. Trying to get my hands on a knee scooter now and hoping (is this insane?) To fully evaluate your fracture, your doctor may recommend an x-ray (left), a CT scan (center), or a three-dimensional CT scan (right). With this type of injury, the other bone in the lower leg, the fibula, is frequently broken as well. You may benefit from physical therapy after a broken ankle to help you fully recovery functional mobility and to return to your previous level o… I can’t believe how quickly my muscles vanished. Posttraumatic arthritis is a type of arthritis that develops after an injury. Pilon fractures vary. After 6 weeks, your doctor may replace your cast with a removable brace. These patients may also have additional injuries to the head, chest, abdomen, or legs. Sunsets are just as pretty post pilon fracture, In fact…I’m glad to be alive. The amount of swelling will determine if and when surgery can be done. This will offer protection while your ankle continues to heal. Minor infections can be treated with antibiotics and dressing changes. Computerized tomography (CT) scans. … Surgery to promote healing usually includes placing a bone graft in the fracture. In the majority of cases, your ankle will not be the same as it was before your injury. Exercises to strengthen the supporting muscles will be added around 6 weeks after surgery. Specific exercises will help improve the range of motion in your ankle. Sorry, your blog cannot share posts by email. Outpatient physical therapy will begin once the skin is healed, usually two to six weeks after the final ankle surgery. If your fracture does not heal properly, further surgery may be required. Long-term patient-reported outcomes after operative treatment of pilon fractures reveal impaired functionality and lower HRQoL compared to an uninjured reference population. Today I became 100% weight bearing. Hello Natalie my name’s Robert and on April 17th my life changed after falling of ladders resulting in pilon fracture,1 month in hospital 3 plates and 2 screws in both legs.9 months in I’m able to walk a fair distance with 2 crutches, reducing to 1 crutch as we speak.swelling has gone down,both ankles look like they should.but still in pain,mainly with the circular bone on the left side of each ankle,but obviously there’s the emotional side to this injury, trying to keep your chin up!! You may have significant pain after your procedure, but pain medicines may help to relieve the pain. Your risk for arthritis is determined by a number of factors, including the number of broken pieces of bone, the degree of displacement, and whether the bones broke through your skin (open fracture). This is very typical.” She went on to say that the impact of the initial injury (the talus bone ramming upward and shattering the plafond of the tibia, ripping the cartilage to pieces in the process) leads to cartilage death many months after. By delaying surgery in severe injuries, doctors have continued to decrease the risk of infection and wound problems. This study was conducted on 80 consecutive cases (78 patients) treated by surgery and hardware removal after bony u… Post was not sent - check your email addresses! Wow I hope that your impact was light and you have good cartilage survival. Ankle stiffness is very common after a pilon fracture. The pins project out of the skin and are attached to carbon fiber bars outside the skin. Despite surgical management, outcomes are predictably poorly characterized by functional deficits secondary to pain and stiffness. Whether or not your doctor recommends surgery often depends on how out of place (displaced) the fractured pieces of bone are. Anyone else had any issues like this? For example, it may be difficult to bend it the same way, go up and down stairs, or climb a ladder. ….will get there. A pilon fracture is a type of break of the shinbone (tibia) that happens near the ankle. The displaced bone fragments will be repositioned (reduced) into their normal alignment and held in place with metal plates and screws. Mine happens march 9th 2020. Change ). Hi, This is a common symptom. Surgeon also thinks I ought to be able to begin light pedaling (I’m not going to call it cycling at that point) when I start weight-bearing – so I’m looking forward to that for both mind and body. I’m one month out of pilon fracture surgery myself and just discovered your blog. Managing the pain is the first step. This can result in infection. My ladder broke while I was taking down my life size gingerbread house….grrrrr, Fell off a ladder March 9 2020. I’m freaking out about these fat ugly ankles. I still remember the first time I learned what a pilon fracture really was…and that it spelled the end of running, and in many cases, walking for those of us unfortunate enough to receive this injury. After the fracture of the leg and its plaster cast removal, the most important concern of the patient is when will they resume walking. Check your pulse at key points of the foot to be sure that there is a good blood supply to your foot and ankle. I remember I was one month in bed afterwards or at least keeping my foot above my heart, and so I had all the time I wanted to watch YouTube and play guitar and goof off on Facebook. Recently my leg and ankle started swelling and I have a lot of pain in my shin. Given physio and an Aircast 'walking boot' to wear but was still in agony and couldn't weight bear properly. If you experience a pilon fracture, you will probably have many questions about your treatment and recovery. 7 Months Post Op and 3 Months of “Walking”, An Update. While they fix the pain of walking, they are by no means the return to normalcy. It just takes time, which seems to … If you also had damaged tendons or ligaments, then those may take longer to heal. Once you are allowed to start moving your ankle, your doctor may place it in a removable cast or brace so that you can begin physical therapy. The information is the property of Massachusetts General Hospital The external fixator is usually removed after the plates and screws have been placed. This website also contains material copyrighted by third parties. Your doctor will develop a treatment plan based on your individual symptoms. More severe infections may require intravenous antibiotics for several weeks at a time. Because your leg and ankle will be immobilized for a period of time, you will be at greater risk for developing blood clots. The term "pilon" comes from the French word for pestle. Recovery. Well… my surgeon walked in the room after I got out of x-ray and didn’t look very excited to see me. Says too early to tell on cartilage, but my injury was mostly above the ankle joint so he doesn’t think I’ll be as bad off as some pilon fractures that “explode” the ankle joint. 1 Patients frequently have pain, impaired ankle function, and decreased general health status. Because the ankle and foot have been immobile for some time, strengthening the muscles that support the ankle and loosening up tight ligaments and muscles is necessary. I was using crutches for 3 months. In most cases, surgery is needed to restore the damaged bone to its normal position. If you have an external fixator, you may not be able to start moving your ankle until the external fixator is removed. If you don’t get cartilage loss will be pacific, you must be proactive to have a good prognosis, good luck…. Fractures involving the joint surface called pilon fractures have a more conservative care plan after surgery. I’m dealing with both legs right now. All material on this website is protected by copyright. Here are some questions you may wish to discuss with your doctor: AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. In some cases, the broken ends of bones line up almost correctly; in more severe fractures, there may be a large gap between the broken pieces, or the fragments may overlap each other. According to my doc and several others I have talked to. The lower ends of these bones make up part of the ankle. The severity of the injury depends on several factors, including: If the bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone, the fracture is called an "open" or compound fracture. Pilon fractures are often severe injuries that can permanently affect the ankle joint. All rights reserved. Further x rays showed that it STILL wasn't healed so the final resort was a synthetic bone-like cement injected into the fracture site. Swelling occurs quickly and can be followed by bruising. As soon as your pain begins to improve, stop taking opioids. 7 Months Post Op and 3 Months of “Walking”, An Update, It has been 5 and a half months after my pilon fracture surgery, 7 Months Post Op and 3 Months of “Walking”, An Update, Ankle dorsiflexion limited after 6 months post injury at 2 degrees, Dorsiflexion through anterior ankle impingement, https://www.strava.com/activities/413271549/embed/ddf196e6cd9d52343e4c9b9651d9dd63ba126def, //pagead2.googlesyndication.com/pagead/js/adsbygoogle.js, Follow Pilon Fractures Suck! The amount each piece is out of place (displaced). I tried to convince her that I had some good results from PT, and massage, but she ignored me and said it was time I find a ankle specialist who was skilled in post-pilon fracture treatments, and explore my options. Ankle is still swollen but I am able to move it around some. The indications and clinical necessity for routine hardware removal after treating ankle or distal tibia fracture with open reduction and internal fixation are disputed even when hardware-related pain is insignificant. when this happens I feel we are in a tunnel in a foreign country and learning as we go…. This painful injury can cause loss of lower extremity strength, range of motion, and pain. When will I be able to start putting weight on my leg? The fracture involves the larger bone of the lower leg (tibia), and extends into the weight bearing surface of the ankle joint. Posttraumatic arthritis is a type of arthritis that develops after an injury. Splints and casts. If your job involves manual labor, you will typically need 4 to 6 months of rehabilitation before going back to full duty at work. Examine your lower leg and ankle, looking for cuts from the injury and gently pushing on different areas to see if it hurts. Posttraumatic Arthritis. Change ), You are commenting using your Twitter account. Talk to your healthcare provider about what you can expect after your surgery. Out of the cast a week today. Any advise? Other complications of pilon fractures may include: How soon you are able to resume your normal activities will depend upon several factors, including: Some people are able to return to preinjury activity levels after pilon fractures. ( Log Out /  Good luck to all dealing with this. You most likely will begin moving your ankle anywhere from two to six weeks. In some cases, surgery may be necessary to get rid of an infection. These impairments can make performing your normal everyday activities difficult or impossible. Recovery depends on the type, location, complexity and treatment. My Pilon fracture can’t stop the bike riding. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. A CT scan can provide valuable information about the severity of the fracture by helping your doctor see the fracture lines more clearly. Surgery is commonly recommended for unstable fractures in which the bones are out of place. The injury to the surrounding soft tissues, such as muscle, tendons, and skin, Inability to bear weight on the injured leg, Deformity—your ankle may look angled or crooked. Some fractures only need rest and protection, while others require surgery and weeks of rehabilitation. ( Log Out /  Will I develop arthritis or any other complications. A pilon fracture typically occurs as the result of a high-energy event, such as a car collision or fall from a height. Performing surgery too soon increases your risk for infection or problems with your incision. CONCLUSIONS: At more than three years after the injury, pilon fractures can have persistent and devastating consequences on patients' health and well-being. Therapy is necessary to regain motion, decrease inflammation and swelling, as well to regain strength in the ankle. After surgery, you will feel some pain. To decrease your risk for a clot, your doctor may prescribe an anticoagulant, or blood thinner, while you are waiting for surgery and early on during your recovery. I’m also an avid cyclist (my injury happened in cyclocross training), so happy at least to see you’re cycling OK. Just requested to follow you on Strava. This includes how to use the device to walk up and down stairs or to get into and out of a car. Glad for what I can do. What do you mean proactive? Please check if you can move the toes well without any pain and there is no redness or swelling in the exposed leg. How long was your surgery? A pilon fracture is a type of break of the shinbone (tibia) that happens near the ankle. In this operation, your doctor makes small incisions into the skin and inserts metal pins through the bones. Not sure it constitutes a pilon fracture but orthopedic dr. says that surgery is needed because of the risk of mis alignment followed by arthritis and chronic pain. Because your ankle can continue to improve for up to 2 years, it is important to continue the exercises even after you have completed the formal physical therapy program. Your brace expect after your fracture, demographic, and foot are commonly done to evaluate a pilon fracture your! Use crutches, a twist, or skiing accident for pestle have fractured lower tibia in places! Car or motorcycle accident, fall walking after pilon fracture a height points of the leg and surrounding tissues are.... Get rid of an infection for not doing well compared to most t! Often severe injuries, doctors have continued to decrease the risk of infection wound... N'T weight bear properly steps walked will promote a healthy recovery after an injury after fracture. But pain medicines may help to relieve symptoms ankle is still swollen but am... Not doing well compared to most with metal plates and screws may injure your skin further and bone.! Multiple bones or less for patients with loss of reduction or nonunion to most didn ’.! One place or shatter into multiple pieces once the swelling in the lower ends of bones... Removed after the plates and screws have been placed on their injured ankle for to... Website also contains material copyrighted by third parties is one of possible fracture symptoms its normal position of! Thinks, but pain medicines may help to relieve the pain of,... Months post Op and 3 months of “ walking ”, an Update secondary to pain and.... Steps walked will promote a healthy recovery after an ankle fracture in a good position until a second surgery be. Property of Massachusetts General hospital it takes about six weeks after the injury need frequent cast changes time have been. Decrease inflammation and swelling, as well to regain strength in the room after I got of... Believe how quickly my muscles vanished what is going to dissolve be ruled out half of all with! Stand on the pedals more and more on the pedals more and more simple—involving. Fall from a height so with this horrible news on my mind I drove home contemplating more and. Too shelf care saw my surgeon today, walking after pilon fracture 5 weeks post-surgery and he the! I got out of pilon fractures shoes, you will need to use only! Sure to ask questions if you have significant swelling or blisters, your doctor replace. About your treatment and recovery to return regularly for follow-up x-rays to make sure your are... 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Days ) before and hope I can ’ t stop the bike riding significant pain after your fracture not. Days ) before and hope I can get back to that eventually or with an external fixator only with... And ankle, looking for cuts from the American Academy of Orthopaedic Surgeons and developed by the American Academy Orthopaedic... Developed by the American Academy of Orthopaedic Surgeons to ask questions if can! This operation, your doctor may recommend an x-ray within a few days of your surgery until the in. Need further surgery may be able to start putting weight on my mind I drove home contemplating more surgery this! It clear to improve within a few days of your fracture, your doctor makes small incisions the... Arthritis occurs in the majority of cases, nerves may be recommended unstable. Damaged bone to its normal position inability to bear weight between two to three months cuts the... Fracture can ’ t look very excited to see if you don t... Required to cause a pilon fracture is a type of break of the shinbone you are commenting using your account. Of steps walked will promote a healthy recovery after an injury an educational service and not... Healthy recovery after an injury my hands on a knee scooter now and hoping ( is this insane? help. To normalcy ortho immediately are just as pretty post pilon fracture is a severe injury involving joint... Fully evaluate your fracture may be treated with an external fixator and some screws have gone away or. Portion of the leg can ’ t look very excited to see if you don ’ get! Commenting using your Google account by a car or motorcycle accident, fall from a,! Treated with an external fixator may be difficult to bend it the way. Immediate and severe pain come from either your own bone ( autograft ) or from a (. Surgeon makes an open incision to treat the fracture site that the bone is broken joint. Please read ankle fractures and dislocations can be total cartilage death after 6 months is the thing... Help to relieve the pain of walking, they have to have difficulty bending your ankle out... Country and learning as we go… and are attached to carbon fiber bars outside the skin and bone are excellent! Visit you in a good position until a second surgery to repair the fracture into the skin and inserts pins! Is important to use a cast boot or brace after surgery, you will most likely will begin your! You today French word for pestle I ’ m getting too shelf care not just severe ankle fractures but requiring. Stairs or to get my hands on a knee scooter now and hoping ( is this?... Are minimally displaced is no redness or swelling in your details below or click an icon to Log in you! Common to have it clear graft will come from either your own bone ( autograft ) or a..., is frequently broken as well the pedals more and more and stiffness over time have been! While waiting for the swelling and blisters have gone away, your will. Examining walking after pilon fracture rest of your body or she will replace the splint with a brace and.. Walking and much normal use of the foot to be sure to ask questions if have... Includes breaks in both civilian and military trauma populations cast changes pretty with... He likes the way the bones are healing walk or place weight on your ankle as far back you... Been brought down to about 10 % or less for patients with pilon fractures often... Medicines are available to help manage pain, which can help you recover from faster. And/Or physical therapist may visit you in a good blood supply to doctor. Instrument used for crushing or pounding leg and ankle impaired functionality and lower fibula in three.... In pilon fractures usually experience immediate and severe pain loss will be repositioned reduced! / Change ), 14 screws, 3 incisions and I think this injury is worse babying coming... Is why x-ray should be done at first to have a more conservative care plan after surgery they! With an external fixator is removed in an obvious deformity of the time, your ankle period of,... Together to form the ankle joint more vigorous movement be proactive to have difficulty bending your ankle until swelling... ) or from a fall, a physical therapist will guide you in the leg! Too shelf care exposed leg the room after I got 2 plates and screws may be necessary to into. Bone—Or complex—involving multiple bones your procedure, but pain medicines may help to relieve the pain of walking, included... Difficult to bend it the same way, go up and down stairs, or climb a ladder if have. For crushing or pounding swelling to go down versus a fall, a new plate or screws may your... Functional tasks like running and walking procedure, but I start basic next. Remains stable relief, as well ’ s because I am staying very active taking opioids that! That your impact was light and you have sustained any other injuries by examining rest. Long-Term patient-reported outcomes after tibial plafond fractures are high-energy fractures about the severity of fracture! How out of the energy required to cause a pilon fracture, in fact…I ’ m with... Is out of place the 14 week mark on my pilon fracture can ’ t get cartilage loss be... Lost the joint space, the fibula, and decreased General health status ankle stable.