Broken Ankle

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Broken Ankle & Surgery Things I didn't know!!

I used to think a broken ankle was no big deal I didn't want one but I was under the impression that you wore a cast for 6 wks and that was it, your healed.  Well let me tell you it isn't that easy.  I fell on Jan 17, 2007 had to have surgery on Jan 18.  I am now a proud owner of a plate and 7 screws.   First of all when they told me I needed surgery and that they were going to put a plate and screws in my ankle, I thought 2 screw only to see the xray and find 7 screws not 2 but 7 screws.  It freaked me out!!!!

I was in a partial cast for the first 2 wks it was hard on the bottom and then wrapped in a large ace bandage. At my 2 wk. post op apt. my  os ( orthopedic Surgen) removed that and put me in an air cast.   That wasn't so bad I could shower if I could figure out how to get in and out of the shower.  Its harder than you think.  I couldn't put any weight on the broken ankle at all.  Theres no way to get in and out of a shower with only one ankle without getting a shower seat so I had to get one.  To go up and down stairs I crawled up on my hands and knees then slid down on my rear end.  I used a walker around the house, a wheel chair and saved the crutches for going out since they made my arms sore.  Using crutches never seemed like a big deal to me until I had to use them.  You can't carry anthing when you use them I couldn't even carry my own purse.  They make your arms sore and they wore me out.  I would need to take breaks.  Worse have to use crutches when its snowing they slide you have to be careful with every step you take. After my Dr apt. I had my husband take me shopping I rode in one of those battery operated shopping carts.  I didn't know people could be so rude, no one gets out of your way I would sit in an isle and wait and wait until I had a clear path to move.    

At my 6th wk apt. my os told me I didn't need the aircast anymore and get rid of the crutches that I could put weight on it.  Ok I left the office tried to put weight on it as I walked out got some shooting pains and decieded to wait until I got home.  I thought something was wrong with me because I couldn't do it.  My surgen made it seem like ok your healed walk now.  I decided to look up broken ankle on the internet and came across 2 wonderful blog site.  I could talk to others people with broken ankles.  Well that was such a help to me I wanted to share these sites and a few others I found.  Through these sites not through my doctor I have found the help I needed.  I wasn't going crazy nothing was wrong with me it is perfectly normal to have problems walking even after your bone is healed from the break.  It is now 9 wks almost 10 wks after surgery and I still can't walk normal.  My surgen didnt recommend physical therapy like most so I am still trying to figure out if that is good or bad.  With the help of other broken bone healers I am still learning and still trying to heal.  So check out the sites I have listed below. 



Sharing my experiences and talking with others was and still is very helpful to me. A blog is a site were other people around the world can write back and forth to each other.  The blogs I have listed below are other people who have broken ankles and understand the emotions and feelings your going thru.  You can go to the site and just read the comments or you can write one of your own.  Before my  broken ankle I never used a blog.  I found it to be very helpful.Please vote for this lens if you find it helpful.  You can vote by clicking on the stars above.  They should turn yellow. 

 

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Some pictures of my Broken ankle!!!

With the cast on.

Different styles of walking boots

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I mostly used a walker instead of crutches!!

The walkers were easier and didn't make my arms sore. Crutches were hard for me to use. I mostly used a walker especially around the house. I would recommend one with the basket for when you feel better you will want to be able to carry things around. It is helpful for tidying. I noticed someone mentioned a knee walker. I didn't know about these when my ankle was broken but it sound like it would be great!!
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Post Comments Below!!

Sharing your experience with others!

Communicating with others in similiar situations really helps. It can be very depressing and frustrating having a broken ankle and not being able to get around. Sometimes others have ideas and ways to help that you wouldn't think of. So feel free to comment below or ask questions.

  • DebbieHp May 29, 2012 @ 8:40 pm | delete
    Mark, Tendons take a long time to heal. I have a tendon in my shoulder from years past that I injured and it took a full year to feel completely normal again and that was just one tendon. So I can imagine our ankles with the muscles, ligaments, tendons, surgery and everything else that has to work to make us walk correctly is going to take a lot of time. I just wish I felt a little more stable walking...I guess that will come with time too. I have been practicing at home but walking in the parking lot of PT scares me because it isn't flat, it dips down. Then there is that big scary curb to deal with. Plus the stupid sidewalk has all those cracks in them that sidewalks have...why can't they be like the street all smooth. Whose idea was it to make them into blocks with those cracks between them huh?

    Yeah where is our fellow gimp TOM??? He could go to the library and get internet access. LOL...Hope he is okay. I worry about him.

    No, I never practiced in a parking lot because of my arm or nothing. I just got in the car and drove home LOL...my arm did kind of hurt from turning the steering wheel but it was okay. After what she does to me, it was no pain. She bent my arm back today to loosen up my shoulder. Man, that hurt. I have some frozen bits in there that hurt pretty bad. But after the arm hang and then she takes my elbow and puts in over the table to give her leverage and puts her weight into it to try and straighten it...damn that hurts. I asked her if she ever broke an elbow before..she said not yet. Hope I am not the first. LOL...god I will be glad when I can stop this torture. I am starting to not care if my arm is ever normal....I can use it good enough LOL....Debbie
  • MarkBnh May 29, 2012 @ 7:20 pm | delete
    Deb, congratulations on the driving today! That is certainly a milestone for most of us. I read somewhere that most people resume driving at 9-14 weeks so you are on schedule even with your arm problem. Did you ever practice in a parking lot? At least it wasn't your right ankle like me and Tom.

    Yes, balance is absolutely an issue with my recovery. I gave up the cane fairly quickly but I had to really be careful on sloping pavement, grass yards, gravel, etc. I still used the cane on my wheelchair ramp even when I gave it up everywhere else! That's why I was glad to get rid of that ramp. I'm sure it's related to lack of strength in many muscles in your bad foot. I still have my tendon issue but I have noticed my ankle getting stronger over the last two weeks since doing leg work at the gym on my own. As it gets stronger my balance also improves. I'm sure it also just improves with time.

    Hey, we better hear from that Tom guy soon! He can always post from the McDonalds wifi. Ha ha.

    Liz, congrats on reaching another milestone. You and Deb are stealing the progress spotlight now. My progress is at kind of a slow pace now. Whoever said "a year or two until normal" seems to be correct.

    Stay well.....especially if using crutches!

    Mark
  • Liz May 29, 2012 @ 7:04 pm | delete
    Debbie,
    I only have the one body part and still going to PT. 16 weeks of therapy and still no end date set.
  • DebbieHp May 29, 2012 @ 6:32 pm | delete
    Yayy Liz, So happy for you!! I know it has been a long road for you. Glad that is finally over and you can move on now. =) Wish you luck at the doctor.

    I finally drove today!! Yayy..all the way home from PT and had no problems. I was really happy to drive. Felt good.

    Now, she wants me to lose the cane when I leave the house. I am little nervous about it but I think I can do it. I had a little vertigo today for some reason. Just tired I think.

    She also added 3 more exercises and I told her that I can not do all these 2x a day. Once a day is it and she said it was fine that I have made great progress and am almost to normal with many of my body parts. She thinks I am walking really good heel to toe which is why she wants me to lose the cane now. My elbow is getting close to normal she says. We will see because tomorrow we measure.

    So all that stressing thinking if I didn't do the exercises I wouldn't progress and she was fine with me doing them one time a day. Whatever I can do is fine. She said if I didn't have so many body parts I would probably be done with PT by now. It is good to know all my hard work has paid off but I think I am at my limit so once a day now and then just the 4 hard ones 3x a day at most.

    I guess as far as walking unassisted. I am very nervous about it, but I have to look at it as the last thing keeping me from normal. Once the cane is gone they can't take nothing else away and I just have to work on improving my walk.

    Did you guys feel like you didn't have the best balance once you started walking unassisted? ----Debbie
  • Liz May 29, 2012 @ 5:28 pm | delete
    No more Wound Care!!!!!!!!! I had my picture taken and rang the bell!!! Still no baths or deluxe pedicure until OS gives me the okay though. Hopefully Monday when I see him.
  • Pui May 29, 2012 @ 5:17 am | delete
    Hi Deb and Mark,

    Thanks very much for taking the time to respond to my query. There were a couple of those exercises I hadn't come across on the web, so they are very useful. I have done a couple of them this morning and can certainly feel a stretch in my foot that I hadn't before.

    I will ask at the hospital also, for anything else I should be doing.

    Thanks so much for all your help and best of luck with all your recovering, I'll be checking in to see how you're getting on!

    Pui
  • DebbieHp May 28, 2012 @ 9:26 pm | delete
    Welcome to the site for all you new people. I posted my exercises again for any who are interested.

    I just wanted to mention to the new people that I dislocated my elbow so you will hear me speak of that a lot as it hurts worse than the ankle. Also, my wrist and shoulder are something I injured slightly LOL..they say...hurts like hell but anyway, I do exercises for those parts of my body too.

    For all those that have followed my progress, I just want to say I have decided to do all 37 of my exercises ONE time a day for the rest of this week and see how I feel. It is crazy how tired I am and that my temp dropped to 96.7 degrees.

    I did them once today and took TWO naps I was so tired. My temp is back up to almost normal and I feel better and a lot less sore. Anyway, me being a type A personality, I need to take a step back and regroup. So going to cut out part 2 of my exercise program. LOL ---Stay tuned. Hope Tom is okay...You out there trying to still get cable Tom? Poor man, hope the cable folks didn't get lost on him. ---Debbie
  • DebbieHp May 28, 2012 @ 9:19 pm | delete
    Hi, Below are exercises given to me by physical therapy. I had a bimalleolar fracture on each side of my ankle. I had a plate and 7 screws put in and a pin on the other side. I was in a splint for a week after surgery and then in a cast for 4 weeks. Below are the exercises I was given 4 days after cast removal. I have them grouped by how they were given including weeks given ect. Your situation doesn't sound as bad so you may be able to do all of these exercises.

    The reason you are having issues outdoors I believe is due to uneven ground. Careful you don't twist your ankle. If your ankle feels weak outside you could wear a small air brace to help keep it stable like this http://www.dme-direct.com/deroyal-confor-plus-stirrup-ankle-splint. You may not need this but it would help outdoors.

    You also need help losing the limp. It could be due to your dorsi flexion which is the ability to bend your foot back toward you as far as your good foot. This is due to your calf muscles being tight as well.

    1. Ankle range of motion- : x10 for 10seconds each
    a. Pull your foot upwards
    b .Push downwards
    c. Rotate inwards, then outwards without rotating your leg
    d. Ankle circles = x30 each counter clockwise , then clockwise
    e. Spell alphabet with big toe - Capital letters, printed
    f. Balance on bad foot. Practice switching between good and bad foot for 2- 5 minutes.

    2. Standing Calf Stretch- left foot back – lunge forward 10 seconds x10
    3. Soleus – left foot back, sit back on knee hold 10 seconds x10 – given to me week 5
    4. Double leg squat – knees behind toes, x30-45

    Towel stretches (These are really good ones according to PT a must) x10 for 10 seconds each.
    a)Place towel at ball of foot and pull towards you
    b)Place 1/2 towel under your foot, then tent other half over your toes, pull back then pull down - This loosens the toes for walking.

    Sitting: Raise heal pointing toes up, hold for 10 seconds, x30, Then up raise up on toes hold for 10 seconds lower heal slowly back down x30 (Later like now after 2 weeks of these, then week 3 she had me doing these standing with no brace)

    Still sitting put either some marbles or a pencil on the floor, with bad foot try to pick it up with your toes for 3 minutes. After 2 weeks she raised this to 5 minutes.
    These were added week 3:
    1) sitting with your left foot crossed over your right stretch your toes forwards and backwards for 3 minutes.
    2) Place your foot off the edge of the bed rotate foot towards ceiling and down, flip sides x30ea
    Week 1-3: Practice weight bearing and started using a walker while taking small steps. First time I tried I could only take 4 steps so the next day I had to work up to 5 steps. I kept adding steps. I worked up faster than that though once I got the hang of the small steps. Week 1 and 2: 30% weight bearing. Week 3 and 4: Weight bearing as tolerated. Now, I have a walker with wheels and I am taking actual steps one foot in front of the other. Today we are supposed to try a cane because the idea would be to practice steps with the cane and then use the walker as main mode of movement but eventually ( her eventually is like in 2 weeks we want to be on the cane and off the walker)
    Week 5: I was on a cane still
    Week 6: Step ups- 6-8” – step x30 (Step up with bad foot holding onto a bar or railing, then step down with bad foot) Now at week 6, I am walking unassisted indoors on a cane outdoors.
  • MarkBnh May 28, 2012 @ 8:36 pm | delete
    Punster, it sounds like you are doing most of the typical rehab exercises that we all get at physical therapy. The doctors often underestimate how difficult it is to walk normally after an ankle injury. Sounds like the doctor didn't think you needed therapy. Wrong! If you have insurance or are in a country that pays for it, maybe your doctor will agree to send you to therapy. If not, you might do almost as well on your own if you keep it up. If you have access to a gym or fitness center, try riding a stationary bike and using the treadmill at low speed. That's what I'm doing for myself right now. It seems to be helping me.

    Deb is the exercise expert on here. She has some long posts several weeks back which describe the exercises in detail. You might still find them. Good luck!

    Mark
  • Puister May 28, 2012 @ 7:20 pm | delete
    Hi Mark,

    Thanks so much for your prompt response and advice. I had a guess it might well be the uneven surfaces of the pavements / streets.

    The hospital sent me off with no real advice on what to do, I had to specifically ask for a walking boot, upon removal of the cast, as the doctor was quite happy for me to walk on my foot without one. I was not.

    All the exercises I'm doing I have looked up myself on the internet, so I do the foot and calf stretching by standing on my tiptoes, doing ABCs with my foot in the air, rotating the foot, stretching etc. Do you think there are any others which could be helpful?

    Thanks Mark.
  • MarkBnh May 28, 2012 @ 7:11 pm | delete
    Pui, most of us here have much more serious breaks than you which have taken much longer than you to recover and walk. However, we still know your pain and frustration with not doing better sooner. One word of advice....patience! This is a serious injury and it can take months to fully heal and recover full movement.

    I'm not sure why you are doing worse outside than indoors. Perhaps you are trying to walk faster? Is the ground uneven? After being idle for weeks, your foot muscles become weak and they need time to recover. This weakness can affect your balance on uneven ground or pavement. Did you ever do any physical therapy for your ankle? Who gave you the exercises?

    I think you just need more time for the muscles and soft tissue to regain full use. Keep up the exercises, rest when needed, and give it some more time.

    Mark
  • Puister May 28, 2012 @ 7:17 pm | delete
    Hi Mark,

    Thanks so much for your prompt response and advice. I had a guess it might well be the uneven surfaces of the pavements / streets.

    The hospital sent me off with no real advice on what to do, I had to specifically ask for a walking boot, upon removal of the cast, as the doctor was quite happy for me to walk on my foot without one. I was not.

    All the exercises I'm doing I have looked up myself on the internet, so I do the foot and calf stretching by standing on my tiptoes, doing ABCs with my foot in the air, rotating the foot, stretching etc. Do you think there are any others which could be helpful?

    Thanks Mark.
  • Puister May 28, 2012 @ 7:19 pm | delete
    Hi Mark,

    Thanks so much for your prompt response and advice. I had a guess it might well be the uneven surfaces of the pavements / streets.

    The hospital sent me off with no real advice on what to do, I had to specifically ask for a walking boot, upon removal of the cast, as the doctor was quite happy for me to walk on my foot without one. I was not.

    All the exercises I'm doing I have looked up myself on the internet, so I do the foot and calf stretching by standing on my tiptoes, doing ABCs with my foot in the air, rotating the foot, stretching etc. Do you think there are any others which could be helpful?

    Thanks Mark.
  • Pui May 28, 2012 @ 6:53 pm | delete
    Hi there, I've just come across this site from surfing the net for help / advice on my recovering ankle fracture. I had a subtle fracture to one of the bones in my right ankle, towards the back / heel. The hospital had initially missed it on the xray and prescribed a bad sprain. 10 days later it hadn't healed at all, pain was crazy, so I went back and this time they saw the fracture. Luckily I'd not caused any more harm to it.

    I injured my ankle on 31 March, I had a cast put on 10 April, non weight bearing for 4 weeks. Cast came off on 9 May, I've been able to slowly put more and more weight on it and can walk reasonably well inside my apartment with a slight limp. I can get up stairs well, down with a bit more care.

    However, the problems start when I have to walk on the street. Any clues as to how to progress my healing there? My limp becomes emphasised as there is a degree of pain and discomfort I don't get when indoors.

    I'm doing exercises every day, elevating the foot when not using it as it is still swelling up when I do use it.

    Help please!!
  • Pui May 28, 2012 @ 6:53 pm | delete
    Hi there, I've just come across this site from surfing the net for help / advice on my recovering ankle fracture. I had a subtle fracture to one of the bones in my right ankle, towards the back / heel. The hospital had initially missed it on the xray and prescribed a bad sprain. 10 days later it hadn't healed at all, pain was crazy, so I went back and this time they saw the fracture. Luckily I'd not caused any more harm to it.

    I injured my ankle on 31 March, I had a cast put on 10 April, non weight bearing for 4 weeks. Cast came off on 9 May, I've been able to slowly put more and more weight on it and can walk reasonably well inside my apartment with a slight limp. I can get up stairs well, down with a bit more care.

    However, the problems start when I have to walk on the street. Any clues as to how to progress my healing there? My limp becomes emphasised as there is a degree of pain and discomfort I don't get when indoors.

    I'm doing exercises every day, elevating the foot when not using it as it is still swelling up when I do use it.

    Help please!!
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I also recommend the items below!

These chairs made it easier in the first few weaks when its too painful to move far. I remember the rush of pain I would get when I would let my ankle dangle from the bed. The rush of pain you get when you have to get up and move. I used the bedside toilet in the beginning and eventually used the one that fit over the regular toilet seat. It was higher so I didn't have to get up from such a low position. It was very helpful.
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Helpful info

American Academy of Othapedic Surgens
Broken bone info.

Broken Ankle Sites for info.

Fractures of the Ankle
Here are some exray pictures of ankle fractures with the plate and screws.
Xray
Xray of broken fibula with plate and screws
American Academy of Othapedic Surgens
Another great site I found for info.
Stress fracture of tibia following a stress of ipsilateral fibula ...
fracture of the distal fibula with sclerotic edges (Fig. 1). ... Radiographs revealed healed fibula fracture without any. new bony injury. ...
Ankle Fracture
Ankle injuries are among the most common of the bone and joint injuries. Often, the degree of pain, the inability to walk, or concern that a bone may be ...
Ankle Fractures - Broken Ankle
An ankle fracture is a common injury. Broken ankles are among the most prevalent fracture types. Find information about broken ankles as well as information ...
eMedicine - Ankle, Fractures : Article by Michael E Mulligan, MD
Synonyms and related keywords: ankle fracture, broken ankle, fractured ankle, broken ankle bone, fractured ankle bone, fractured anklebone, broken anklebone ...
Broken ankle - internal fixation: Patient's Guide
Orthopaedics: Broken ankle - internal fixation: A guide to operations, procedures and medical investigations provided by Private Healthcare UK.
Broken Ankle - How to Treat a Broken Ankle - Broken Ankle Treatment
Broken ankles are very painful and rarely life-threatening. Learn how to recognize and treat a broken ankle.
Ankle Fracture
This type of ankle fracture can usually. be treated by putting a cast or splint on the. broken ankle. You wear the cast or splint until. the fracture heals. ...
Photo Gallery, Kay's Broken Ankle
Although the break is in the ankle region, the fibula is broken. The fibula is the lower leg bone that is not the major weight-bearing bone. ...

Broken Bone Blogs

These blog sites were so helpful to me. I was able to compare notes with other people with broken ankles. Ask questions, get helpful tips.
Healbrokenbones blog
This is a wonderful blog site that has helped me alot. Other people who are going thru the same things I went thru I just wanted to share this site with others. Check it out!!
bohnsack.com blog site
A great place to get valuable info from fellow broken bone sufferers.

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A shower chair was a must for me.

There was no way for me to shower without one of these shower chairs. I wasn't strong enough to shower standing on one ankle. I highly recommend one!
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Some You Tube Videos

ANKLE SURGERY
by lenamendoza1 | video info

18 ratings | 30,017 views
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Some Books that might help answer some questions.

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The Broken Ankle by The Consortium
The Broken Ankle by The Consortium
The Broken Ankle by The Consortium
The Broken Ankle by The Consortium
The Broken Ankle by The Consortium
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Invacare Knee Walker INV 65950

Amazon Price: $537.37 (as of 05/30/2012)Buy Now

Better thank crutches, better than a regular walker, easier to move around in than a wheel chair. This knee walker is the best, comes with basket to carry items from place to place. Ever try carrying something while walking with a regular walker or crutches?