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  1. #76
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    Quote Originally Posted by BigSteve in CO View Post
    Gnarly! Can you post up how your recovery goes, and maybe some x-rays?
    8-10
    I had a Triple Arthrodesis done on each foot when I was a kid. Slightly club footed. The second foot didn't turn out so well. The Dr gave us the option but didn't get it corrected. 32 years later and it got to the point I couldn't stand it anymore. Now I'm recovering from having the joints broken back open and reset properly with 2 plates in the front of the foot and 2 scews throught the heel. Had to also cut the bones over the ankle to realign the joint 20 degrees (2 more plates). I was using a peddle extension and even with that some of the newer cranks wouldn't work. Wish I had this fixed a long time ago..

    I will see if I can post a pix tomorrow. A total of 4 plates and 23 screws... First op was about May 23rd and the second was the end of June. I just got the cast off Monday and am in a boot for 4 weeks gradually putting weight on the foot. Started PT too. I work 12 hr swing shifts and started back on light duty. Long night and of course I spent too much time up and about. Foot swelled like a stuffed pig. Tonight less mobile and an ice pack along with laying on the carpet with the foot elevated every 3ish hrs for about 15 minutes. Before I elevated, I would do a few minutes of PT work.

    8-17
    I'm at 50% weight on the foot now and PT 3 times a week as well as doing my own at home and work. This morning I got on the trainer without the boot for the first time. Fairly tender, did about 10 minutes of very light peddling and will see how it feels. May double it tomorrow! I haven't posted pix, it comes up asking for a URL thingy, what ever that is.... Still fairly swollen and not much movement. Up and down motion was at 4 dgrees down and 2 degrees up from 90 to start with. Now I have 8-9 degrees up... With my foot up and rolling it as if you wanted to walk on the outside of your foot, my wife can't tell which way I'm trying to move it at this point.

    The (not so) funny part is, I bought a Spech Carbon Camber Expert EVO this spring with upgraded wheels. It's sitting in the basement colecting dust. 50 miles on it.

  2. #77
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    Quote Originally Posted by chris9888 View Post
    Attachment 824119

    Wgscott, the above x-ray belongs to my riding mate. He broke his ankle 3 weeks before I broke mine. His is worse, broke 2 bones and required external and internal fixations in 2 separate operations. He opted for aggressive approach as well, and healed really fast. He recently completed one of the most challenging MTB trails in Malaysia.
    Yeah, that's the kind of break where they put a screw between the two bones. You either have to snap the screw during physical therapy or they have to go back in to pull it out.

  3. #78
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    Quote Originally Posted by chris9888 View Post
    Apparently, there are 2 school of thoughts. Some OS are in the opinion that exerting pressure will stimulate blood flow and increase healing process. Others take more conservative and safe approach. No right or wrong, depends on preference and circumstances. Whatever you do, as long as pain is tolerable it should be ok. I always believe this "you will lose it if you don't use it".

    I am taking the aggressive approach at this point. 1 hour of road work on the bike every morning before work, and then ride home at night, tho only 3 miles. Gradual climbing thru my hood and staying in my front 2 ring unless I am going downhill then go big 3. Never go to the granny gear! I actually feel no pain in ankle while on the bike, but still feel the ankle "nag" when I walk and the slight peg leg still going on. Then at night, 1 hour of resistance band stretching. I am gonna be on the trail no later than Oct. At least that is my goal.

    Jabert

  4. #79
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    Recovery Update

    Back on the bike full time.. ride to work and home with extra miles when I can. I did 30 road miles last weekend with no problems. Walking better each and every day and step. I was hoping to be back on the bike by next week, so this is huge! 2 weeks earlier than anticipated!

    I am starting to get out of the saddle and put more pressure and force on the ankle. I think when I get back to my clip in/spd's, that will be much easier. Still in tennis shoes and toe clips for now.

    Wanted to thank everyone for their advice and encouraging posts!
    It all really helped thru this very trying time!

    Jabert

  5. #80
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    I managed to pound 45 miles without the ankle hurting much. My feet hurt a bit, but I suspect it is the 5-10s, which are less rigid than my previous bike shoes. I can bike better than I can walk now (although still managed a hike up angel's landing in Zion a couple weeks ago).

  6. #81
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    Fairly late into the game I bought a wobble board, and even now it has really helped with range of motion.



    I would strongly advise anyone reading this and who wants to speed/extend recovery to buy one to use as soon as they are out of a cast. It is about $80 and worth every penny, but you can make one with an old cutting board and nail a rubber ball to the center of it.

  7. #82
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    Thanks to everyone who has contributed to this thread. I broke my leg three weeks ago, and it helps a lot to hear how others have coped with similar injuries. I'm sure I will also find some of the stretching and strengthening exercises useful when I get to that point. It was especially good to hear that pedaling a bike is good rehab! I hope you are all healing well and enjoying some time back on the bike.

    Here are xrays of my leg pre and post surgery:
    Broken Ankle Advice.....-broken-leg.jpg

    I slid out on the landing of a jump. My leg got caught between the bike and trail and just snapped. I was alone with my dog and about a mile from my house. Luckily the trail home was mostly downhill and I was able to sit on the bike and scoot with my good leg. The real pain didn't set in until the car ride to the hospital.

    I am now three weeks post-surgery. The doc says it is healing well, and I should be able to put weight on it at six weeks. I was in a cast for the first week and a half, and am now in a boot. The doc hasn't said much about what to expect for rehab after six weeks.

  8. #83
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    ^^^That's a lot more of an injury than a broken distal fibula.

    I spent 40 years as an imaging specialist, specializing in Ortho/OR.

    Jabert's issue with his ankle has been primarily connecting tissue (tendon and ligaments) injury and atrophy from wearing the cast, which by now should be getting much better. Most distal fibula fxs are not load bearing issues but it sounds like the ankle mortis was compromised. We would have used stabilized the mortis with a screw if the ligament was gone.

    Blizz has a classic spiral FX of the tibia and fibula. The old skiing FX. The fact that the fibula fx'd means the ligament held. Fixation with the IM nail has become standard and decreases healing times with a much better reduction. Bad news is the surgery increases chances of old age arthritis and leaves a hell of a scar on the lateral side. Good news is you can have it removed at some point it the screw cause problems.

  9. #84
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    Quote Originally Posted by Sofakinold View Post
    ^^^That's a lot more of an injury than a broken distal fibula.

    I spent 40 years as an imaging specialist, specializing in Ortho/OR.

    Jabert's issue with his ankle has been primarily connecting tissue (tendon and ligaments) injury and atrophy from wearing the cast, which by now should be getting much better. Most distal fibula fxs are not load bearing issues but it sounds like the ankle mortis was compromised. We would have used stabilized the mortis with a screw if the ligament was gone.

    Blizz has a classic spiral FX of the tibia and fibula. The old skiing FX. The fact that the fibula fx'd means the ligament held. Fixation with the IM nail has become standard and decreases healing times with a much better reduction. Bad news is the surgery increases chances of old age arthritis and leaves a hell of a scar on the lateral side. Good news is you can have it removed at some point it the screw cause problems.
    Thanks for the analysis!

    Since posting here I've done quite a bit more reading in these forums and on mybrokenleg.com. Didn't realize how common my injury is. I've read a few unpleasant stories about bones taking a long time (many months) to fuse together. Hoping that is not the case for me. At three and a half weeks post-op I'm surprised how little pain there is. I'm tempted to do some easy spinning on the trainer with my boot on, just to loosen up the knee a little bit and flex my upper leg muscles a bit. I should probably consult my doc first, but anyone here think that's a dumb idea?

  10. #85
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    I think asking your doc first is a great idea.

    That is an impressive fixation. I'll quit whining. Good luck with the healing, and assuming your quack agrees, moving it sooner rather than later can only help.

    I'm at the point now where I am overall a better mountain biker than before my break. However, I still am a woos (sp?) on single-track. It is all psychological at this point (well almost).

  11. #86
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    Quote Originally Posted by wgscott View Post
    I think asking your doc first is a great idea.

    That is an impressive fixation. I'll quit whining. Good luck with the healing, and assuming your quack agrees, moving it sooner rather than later can only help.

    I'm at the point now where I am overall a better mountain biker than before my break. However, I still am a wuss (sp?) on single-track. It is all psychological at this point (well almost).


    I crashed hard enough on my Tallboy to break my leg,
    The carbon is way more durable than most people.

  12. #87
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    Quote Originally Posted by wgscott View Post
    I just turned 50 and am a bit of a wuss about this, so calibrate accordingly. I never had anything worse than a crown on a tooth before this.
    That is frightening. I used to be able to spell wuss.

  13. #88
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    Broken Ankle Advice.....

    My therapist also recommended a wobble board, so I ordered one. Thanks, wgscott!

    I am almost at nine weeks since the surgery. I am done with crutches and walking in a boot. I've been working on ankle range of motion and starting to increase the intensity on the trainer. I will hopefully be out of the boot at ten weeks. Can't wait to be able to do a little snowshoeing or cross country skiing as we have about three feet of snow on the ground.
    Last edited by blizzard_mk; 01-01-2014 at 03:06 PM. Reason: spelling

  14. #89
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    Broken Ankle Advice.....

    Quote Originally Posted by blizzard_mk View Post
    Thanks to everyone who has contributed to this thread. I broke my leg three weeks ago, and it helps a lot to hear how others have coped with similar injuries. I'm sure I will also find some of the stretching and strengthening exercises useful when I get to that point. It was especially good to hear that pedaling a bike is good rehab! I hope you are all healing well and enjoying some time back on the bike.

    Here are xrays of my leg pre and post surgery:
    Click image for larger version. 

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    I slid out on the landing of a jump. My leg got caught between the bike and trail and just snapped. I was alone with my dog and about a mile from my house. Luckily the trail home was mostly downhill and I was able to sit on the bike and scoot with my good leg. The real pain didn't set in until the car ride to the hospital.

    I am now three weeks post-surgery. The doc says it is healing well, and I should be able to put weight on it at six weeks. I was in a cast for the first week and a half, and am now in a boot. The doc hasn't said much about what to expect for rehab after six weeks.
    How is your recovery? I suffered almost an identical tib/fib fracture as you on Nov 29. No plate on the fib and a shorter plate on the tib with 10 screws. I go in for my 6 week follow up next week and should start some weight bearing and PT. I am also hoping to start driving and to begin spinning on the trainer.



    I hope everyone who posted is healing and progressing!
    -boom

  15. #90
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    Re: Broken Ankle Advice.....

    Had a fractured ankle about twenty years ago after a motocross accident it was itchy as feck while the cast was on (needed a knitting needle to scratch it) and looked like a skinny scab when the cast came off but it didn't take long for the muscle to build back up and its never bothered me since

    Hope you guys heal up quick

  16. #91
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    Quote Originally Posted by boomvader View Post
    How is your recovery? I suffered almost an identical tib/fib fracture as you on Nov 29. No plate on the fib and a shorter plate on the tib with 10 screws. I go in for my 6 week follow up next week and should start some weight bearing and PT. I am also hoping to start driving and to begin spinning on the trainer.

    I hope everyone who posted is healing and progressing!
    Sorry to hear about your injury! How did it happen?

    Hopefully you'll be driving soon. I guess I was lucky to break my left leg, so I was driving about one week after surgery.

    My recovery is going well. I've been full weight bearing in a walking boot since six weeks, and without crutches since about seven weeks. I'll be done with the walking boot at the end of this week (ten weeks). I've been doing PT for a few weeks now. Initially I was just working on ankle range of motion, now I'm getting into some strengthening. I've also been riding my trainer since about four weeks. I took it pretty easy for a while, spinning lightly for 15 to 20 minutes. Now I'm pushing fairly hard for 35 to 45 minutes.

    I'm no doctor, but I assume our recoveries will be a little different given the method of fixation (IM nail in my tibia vs. plate and screws on yours).

  17. #92
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    Quote Originally Posted by manbat View Post
    Had a fractured ankle about twenty years ago after a motocross accident it was itchy as feck while the cast was on (needed a knitting needle to scratch it) and looked like a skinny scab when the cast came off but it didn't take long for the muscle to build back up and its never bothered me since

    Hope you guys heal up quick
    I was lucky to only be in cast for a week and a half. I've been in a removable walking boot since then, so no major itching or discomfort.

    Glad you had no lasting effects. I hope I'm the same!

  18. #93
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    Broken Ankle Advice.....

    Quote Originally Posted by blizzard_mk View Post
    Sorry to hear about your injury! How did it happen?

    Hopefully you'll be driving soon. I guess I was lucky to break my left leg, so I was driving about one week after surgery.

    My recovery is going well. I've been full weight bearing in a walking boot since six weeks, and without crutches since about seven weeks. I'll be done with the walking boot at the end of this week (ten weeks). I've been doing PT for a few weeks now. Initially I was just working on ankle range of motion, now I'm getting into some strengthening. I've also been riding my trainer since about four weeks. I took it pretty easy for a while, spinning lightly for 15 to 20 minutes. Now I'm pushing fairly hard for 35 to 45 minutes.

    I'm no doctor, but I assume our recoveries will be a little different given the method of fixation (IM nail in my tibia vs. plate and screws on yours).
    Thanks! You too.

    I planted my foot on a turn and twisted it. Was not a compound fracture, luckily.

    I didn't realize that was an IM nail. I thought it was a long plate!
    -boom

  19. #94
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    I got out of the bedroom for the first time after a week. Sometimes I think the painkillers were to get me to sit still for a week between the surgery and the cast. I hope your recovery is quick and painless.



    But I dropped in to give one more retrospectively obvious piece of advice:

    Put new knobby tires on before you start back on gravel trails. Don't do this six months later like I just did. The amount of self-confidence you get from not sliding around is huge. If I had only known ...

    Schwalbe Kojack for the trainer, but go the opposite extreme for the trails.

  20. #95
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    I started back on the bike in the middle of August and started riding to work. Easy commute of only 3 miles each way. Gradually moved up in miles and climbing. By mid Oct I hit the dirt on South Mt. Now I can do almost anything I used to do. Have done T100, Gold Canyon, and climbed O and B on Javalina last sunday. And I do close to 100 miles a week on the road... And my doc wanted to do surgery and I said no! I hope this summer to do Sedona and Flag like before! It's been a hard slog but it can be done!

    Jabert

  21. #96
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    Broken Ankle Advice.....

    Quote Originally Posted by jabert View Post
    I started back on the bike in the middle of August and started riding to work. Easy commute of only 3 miles each way. Gradually moved up in miles and climbing. By mid Oct I hit the dirt on South Mt. Now I can do almost anything I used to do. Have done T100, Gold Canyon, and climbed O and B on Javalina last sunday. And I do close to 100 miles a week on the road... And my doc wanted to do surgery and I said no! I hope this summer to do Sedona and Flag like before! It's been a hard slog but it can be done!

    Jabert
    That is fantastic news! I am at 10 weeks non weight bearing. Tough times, but could always be worse. Able to spin with light resistance on trainer. Hope to be able to start PT and drive in a couple of weeks!
    -boom

  22. #97
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    Just read this full thread after posting my own. Man, I feel like a baby now after looking at some of these breaks. I start PT tomorrow and am glad to hear that time in the saddle appears to be good rather than bad. Best wishes to all those healing!

  23. #98
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    Broken Ankle Advice.....

    Quote Originally Posted by Whitewater View Post
    Just read this full thread after posting my own. Man, I feel like a baby now after looking at some of these breaks. I start PT tomorrow and am glad to hear that time in the saddle appears to be good rather than bad. Best wishes to all those healing!
    No worries! Everybody's injury is unique. Good luck with PT and i wish you a speedy recovery!
    -boom

  24. #99
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    So much good information and positivity in this thread! I suppose I have to add to it.

    Shattered my ankle while practicing for a DH race. This year was just my year to take one for the team.

    The force shattered my talas and shifted everything a good inch away from where it should be. According to my ortho, I should have fractured both my tib/fib and had both sticking out of my leg, but luckily, they just spread out to accomodate the force. There is nothing more terrifying than looking down and seeing your bones pressing up against your skin, where they should have popped out of your leg... I'm one lucky gal. It could have been a lot, lot worse.

    I'm almost 4 weeks post surgery (a few screws, surgical wire, and buttons?!? I had no idea they were using buttons now) and it's been a painful process. In my imagination, I'll take the cast off in late august and be ripping down trail that took my leg the next day...but that's wishful thinking.

    I will say that my surgeon is amazing. Dr. Griggs and I have an awesome relationship. He just gets it. Another doctor that I spoke to had said that I probably wouldn't be able to ride competitively again. Luckily, I went out for a second opinion. Griggs has promised to do all he can to get me back up to race shape as soon as possible - better than new, he said, and added that there just aren't enough women in DH out in CB as it is. His daughter wants to get into the sport and well, "she needs someone local to look up to."

    He is ordering some kind of ultra sound machine thingy (lots of medical terms) and giving it to me pro-bono. It's supposed to spur bone growth and help speed up the healing process by up to 40%. My insurance denied the treatment, but he just shrugged and said "I guess we'll just eat the cost. You need it." Seriously. This man is amazing.

    I'll give some updates once I get it hooked up and running on Wednesday. Fingers crossed that its everything he thinks it might be and more.

    The goal? Swimming, hiking, strength training all of September, Moab trip in October, Sedona in November - and riding with the boys like it never happened next year. It's going to rock.

  25. #100
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    Ankle Surgery

    Severely torn Pereneal tendon and a piece of broken bone floating around between the nerves in my ankle. Got the bandages off in two weeks. Started riding with this boot cast.
    Attached Thumbnails Attached Thumbnails Broken Ankle Advice.....-dscn3331.jpg  


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