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My Bad Luck Could Be Your Good Luck

post #1 of 27
Thread Starter 

Pre-Op

 

Xray.jpg

 

Post-Op

Post op xray.jpg

 

It happened skiing..a very awkward fall in which I put my bindings into a position they could not work.  Yes, they do look like decking screws...

 

So, I have 4 pre-paid tickets for Killington...all 4 are blacked out for President's Week.  PM me with offers on Shipping and Handling (I'm guessing I'm not allowed to "sell" them).

post #2 of 27
Very major bummer.

Nice carpentry work, though.

Good luck eith the recovery.
post #3 of 27

Bummer  I've been to Jackson Hole 4 times in the past 8 years; the year I missed was the only deep powder year because of a shoulder dislocation (my first).  I sent my daughter's fiancee in my stead; he sent pictures of himself chest deep in the Expert Chutes (he is 6'4").

 

Rehab soon.

 

Mike

post #4 of 27

Dang,  well that sucks.  Hope you recover fully.  That's a pretty significant break in a bad spot. 

 

Did it effect MCL / ACL / LCL etc etc ?  If it didn't you managed to dodge a bullet so to speak.

 

Best wishes for a full recovery.

post #5 of 27

Brian, they don't use nails because screws are easier to remove.  This is what I've been told anyway.th_dunno-1[1].gif

 

All my ski buddies are dropping like flies!  I have 4 K-57 left too.  Fortunately I can bring someone because this season won't last!

 

Matt is in Jackson Hole right now... lucky him.

post #6 of 27

Screws aid in compression of the fragments to allow for more precise fixation and better healing.  Using multiple screws allows for better, more rigid fixation and rotational stability.  Yes, they are easier to remove and they do sort of look like decking screws -- except that they are made of surgical stainless steel with more precise machining and cost a few dollars apiece.

 

Truly a bummer -- heal well!

post #7 of 27

I'll echo others and say, heal well.  

 

post #8 of 27

Bum luck. It's always interesting how similar many of these operations are to good cabinetry. You sure get paid better using stainless steel screws!

post #9 of 27
Thread Starter 
Quote:
Originally Posted by Uncle Louie View Post

Dang,  well that sucks.  Hope you recover fully.  That's a pretty significant break in a bad spot. 

 

Did it effect MCL / ACL / LCL etc etc ?  If it didn't you managed to dodge a bullet so to speak.

 

Best wishes for a full recovery.


Haven't had an MRI yet to determine ligament health...ortho wants the bone to heal first.  Have some pain on the medial side but that could be from the clamp the surgeon used to squeeze the bones together while screwing me...back together.  I'm hoping that the worst case is a sprain or strain.
 

 

post #10 of 27
Thread Starter 
Quote:
Originally Posted by Paul Jones View Post

Brian, they don't use nails because screws are easier to remove.  This is what I've been told anyway.th_dunno-1[1].gif

 

All my ski buddies are dropping like flies!  I have 4 K-57 left too.  Fortunately I can bring someone because this season won't last!

 

Matt is in Jackson Hole right now... lucky him.


Ahh to be young again.  Jackson Hole has to be better than upstate NY or VT right now.
 

 

post #11 of 27
Thread Starter 

Thanks to all for the positive vibes.

post #12 of 27


 

Quote:
Originally Posted by bjohansson View Post


Haven't had an MRI yet to determine ligament health...ortho wants the bone to heal first.  Have some pain on the medial side but that could be from the clamp the surgeon used to squeeze the bones together while screwing me...back together.  I'm hoping that the worst case is a sprain or strain.
 

 


Best wishes on your rehab - I ended last season with a TPF, no fun (although I dodged the bullet completely in terms of surgery or other damage).  Surprised to hear no MRI, although that is such a definitive break setting and healing is an understandable immediate step.

 

Hopefully they will let you start PT soon to keep up range of motion - that will really reduce rehab if there isn't any ligament or tissue damage.

 

Good luck!beercheer.gif

 

post #13 of 27
Thread Starter 

Liv4Ski suffered a compression TPF a week or so ago in Japan.  Seems like a fairly common ski injury these days.  His was very minor...1mm compression so no surgery.

post #14 of 27
Thread Starter 

I failed to note earlier...I skied down after the fall that produced this.  It hurt some but it felt like a sprained knee..until the swelling started.  It was a smooth groomer and I was 3/4 of the way down Magic so not as tough as it sounds.  Spent the rest of the day at the Black Line Brew Pub until my ride finished skiing.

post #15 of 27


 

Quote:
Originally Posted by bjohansson View Post

I failed to note earlier...I skied down after the fall that produced this.  It hurt some but it felt like a sprained knee..until the swelling started.  It was a smooth groomer and I was 3/4 of the way down Magic so not as tough as it sounds.  Spent the rest of the day at the Black Line Brew Pub until my ride finished skiing.


That's impressive given the size of your fracture - TPF can be excruciatingly painful as that is a very vascular area of the tibia.  I was able to get imaging at the base clinic, and because of the lack of severe pain symptoms and minor fracture compression,plus a previous car accident injury to the same knee, ended up with a diagnosis of 'potential TPF', which led me to the bar also instead of proper icing and elevation.

 

Anyway, good luck again on the ligament/tissue prognosis.  100% recovery should be doable within 6 months if it is just the break and the bone heals well.

 

 

post #16 of 27

Reduction looks excellent. Go slow and let that baby heal.

Your orthopod should have examined you under anesthesia and been able to diagnose any other major ligament injuries. 

You should ask him.   That is a simple "split" type fracture....the best kind to get if you gotta get one.  Medial side will declare itself.

 

I cannot diagnose on the interweb, but if all else is stable, the Medial Collateral Ligament should heal in your fracture brace.

 

Sorry for your injury.

 

BT 

post #17 of 27
You were lucky! Mine was much worse, with significanr displacement, the bone in 5 pieces, MCL completely blown, ACL partial tear and meniscus no longer in place. I could NOT ski down :-)

You may well have damaged the MCL, but as said above, that usually heals up without intervention. My surgeon did indeed check out everything while the knee was open (apart from anything he had to put the meniscus back in place). He actually said I was lucky too, because the meniscus was in much better shape than he had hoped. Even though the ACL was somewhat damaged he preferred to leave it and see. I do still have a small amount of laxity in the joint (most noticable when i have the knee bent to 90 degrees), but it seems to have been the right call since I can do everything I used to do.

Anyway that was last March and I've had over 25 skiing days this season so far. So provided you work hard at the rehab you'll be back!
post #18 of 27

Hope you heal up fast! Look at the bright side, at least this didn't happen last season.

post #19 of 27
Thread Starter 

The surgery consisted of 3 tiny incisions...1 for each screw on the lateral side plus one on the medial side so the clamp wouldn't crush the skin.  Each incision was closed with a single stitch.  I guess he could have scoped it.  He did a CAT scan and didn't think there was significant damage although he still wants to do an MRI to be sure.  He's very into minimizing invasion.  3.5 weeks after the surgery, I am able to hobble without pain.  Got to get into the pool to regain muscle tone.  Planning on a 9 month rehab so that I'm ready for skiing next Veteran's Day

post #20 of 27
Quote:
Originally Posted by bbinder View Post

Screws aid in compression of the fragments to allow for more precise fixation and better healing.  Using multiple screws allows for better, more rigid fixation and rotational stability.  Yes, they are easier to remove and they do sort of look like decking screws -- except that they are made of surgical stainless steel with more precise machining and cost a few dollars apiece.

 

Truly a bummer -- heal well!


 

If "few" = "250" then yeah.

post #21 of 27
Quote:
Originally Posted by bbinder View Post

Screws aid in compression of the fragments to allow for more precise fixation and better healing.  Using multiple screws allows for better, more rigid fixation and rotational stability.  Yes, they are easier to remove and they do sort of look like decking screws -- except that they are made of surgical stainless steel with more precise machining and cost a few dollars apiece.


which just makes me wonder if bone works like wood and therefore the screw only acts as a clamp if the threaded/unthreaded transition is right at the site of fracture.

 

post #22 of 27
Quote:
Originally Posted by cantunamunch View Post


which just makes me wonder if bone works like wood and therefore the screw only acts as a clamp if the threaded/unthreaded transition is right at the site of fracture.

 



The threads do not cross the fracture on this x-ray. The screws look well-placed.

 

post #23 of 27
Quote:
Originally Posted by Toecutter View Post



The threads do not cross the fracture on this x-ray.

 



No, they don't.   That's one of the reasons I ask the question - the unthreaded section of the screws penetrates  /well/ past the fracture plane.

post #24 of 27
Quote:
Originally Posted by cantunamunch View Post



No, they don't.   That's one of the reasons I ask the question - the unthreaded section of the screws penetrates  /well/ past the fracture plane.



That's what you want. If the threads cross the fracture line then you won't get compression.

post #25 of 27

Rough! Looks like they lined it back up nicely though. Are you gonna have the hardware removed once it's fully healed? (I have my own 2 screws still sitting in my knee after a lateral TPF last March)

post #26 of 27
Thread Starter 

The doc wants to take them out in a couple of months.  OK with me...I can really predict the weather these days.

post #27 of 27
Thread Starter 

FYI, Zarley09 unburdened my K tix from me.  Thanks dude...enjoy.

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