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This topic contains 33 replies, has 1 voice, and was last updated by  John L 9 months, 2 weeks ago.

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  • #2292 Reply

    Glen

    Hi,

    Does anyone have information on running after a tibia plateau fracture, at how many months after fracture is it safe to start, are there running programs available will long distance running still be possible?

    Thanks!
    Glen

  • #2336 Reply

    Christina

    would also love to know the answer to this. I was an avid runner before, and now about 9 weekend out from my injury and another 3 before weight bearing.

  • #2345 Reply

    liz

    It depends on how bad your break is/was im 3 moths post op stage 5 or 6 tpf my doc said I can never run again. I would ask your doc

  • #2351 Reply

    Amanda

    Hi

    In August last year I broke my leg in a motorbike accident. I compacted the cartilage in my knee which was built up with synthetic bone, had a spiral fracture through the tibia and fractured the tibial plateau (type 6). All the surgeons I’ve seen have been very impressed with the damage I did! It required two operations (I had compartment syndrome) and now has a plate and 14 screws attached. I was on crutches for 3 months with no weight bearing and in a leg brace so was unable to bend my knee for that time.

    At the time of the accident I was training for a half marathon. I’ve been a runner for about 15 years. Whenever I asked if I would be able to run again, the OS suggested I consider swimming or bike riding.

    One year on and I’m running twice a week. Nothing like I used to be doing but it’s a start. It’s taken an enormous amount of hard work and dedication to strength and stability exercises to get this far with some ups and painful downs along the way. I’ve searched endlessly on the internet for information about running after a TPF but haven’t found anything. I think people just don’t do it. I know I’m taking a risk by running and will probably need a knee replacement much sooner, but for me it just wasn’t an option not to at least try. I don’t expect I’ll ever run a half marathon again and always on softer surfaces with good shoes.

    If you want to run again make sure you talk to your OS and physio and understand the risks you’re taking and then decide if they’re worth it for you.

    Cheers
    Amanda

    • #110438 Reply

      John L

      Amanda?? Do u or did u work at applebees???

  • #2354 Reply

    Eileen

    Hello fellow runners,

    After my type II surgery, I still have a .5 cm depression. Last week, my OS took me off PT and told me to return to “normal” activities. When I asked when I could run again, he said “never.” I don’t accept that. I have checked with other PT’s, an NP, and a PA, who say three months is too soon to know how well the knee may function. My goal is to trail run one year from the day of my accident.

    I wish all of you good healing.

    Eileen

  • #2363 Reply

    Lisa

    That’s the spirit, Eileen.

    I went to see my doctor yesterday. I asked about my prognosis to return to “normal” activity one day. I asked this keeping in mind that, thru this website, I read that doctors have told others “never” or “kiss that activity goodbye”

    My doctor is amazing! I was told that there really is no way to tell the outcome for people as everyone has different attitudes, drives, other goals and barriers. The take home message: “What you can accomplish will be self driven”.

    I have the coolest doctor. I consider myself blessed.

  • #2403 Reply

    Veronique

    Hello all,

    I had a tibial plateau fracture, Schatzen II on 3.12.2013 and several knee surgeons told me I’ll be never able to run again. See my posting “Desperate, knee still stiff …”.
    More important for me is being able to sit on my knees again (for yoga, gardening, cleaning).

    I feel unsafe when crossing a street (always with brace, crutch and yellow safety jacket), so drivers can see from far I am disabled.
    But what when I eventually can walk without brace and crutch?!
    Many drivers expect the pedestrian to speed up when crossing, so they don’t have to slow down or come to a halt. They can’t know that I won’t be able to run, if they drive towards me. Unfortunately, Belgium is populated with many reckless and unsafe drivers …

  • #2428 Reply

    Eileen

    Lisa,

    I have been blessed with good healing, and I would like to find a doctor who supports me with knowledge and encouragement…I am still searching.

    Eileen

  • #2443 Reply

    Brian

    Hi All…i just wanted to add some input from my personal experience. This is all POSITIVE STUFF because after i had my surgury, i had a hard time finding positive stuff on the internet…so i stopped looking and decided i’d write my own ending.

    I don’t know what “grade” my TPF was, but i do know that it was a displaced fracture that required surgury (bone graft/pins/plate/screws). I was non weight bearing for 6 weeks, out of work for 3 months and an incredible amount of phyical therapy just to learn how to walk again as an adult.

    IF YOU WANT SOMETHING BAD ENOUGH, YOU NEED TO WORK HARD AND FIND DOCTORS THAT SUPPORT WHAT YOU WANT. I went through 3 doctors after my surgery until I found one that I could work with. My Physical Therapist was one i had used for a previous injury and knew she would totally support me. Don’t take NO or CAN’T for an answer from ANYONE and that includes family. There’s going to be pain, there’s going to be discomfort and there are going to be times when you just sit down and cry. Push through it and see the big picture. Set a series of managable goals and one crazy goal. I have had the amazing opportunity to become an IRONMAN since having TPF surgery (my crazy goal). It has taken me over 2 years to make this dream a reality, but it has been worth every step of the way and all the hard work it took to get there.

    I’ve been through a lot with this injury from physical to emotional and I LOVE talking to other people about how to overcome things. Please feel free to contact me at any time if you want more input or just want someone to talk to.

    Brian
    [email protected]

  • #2447 Reply

    Eileen

    Brian,

    I am grateful for your post. I have been healing fast, but my depression fracture was not fully corrected by surgery. It is very unclear what I am to do next, and I don’t want to do something to harm my best recovery.

    Are you running with the hardware still in your knee?

    Eileen

  • #2459 Reply

    Veronique

    Hello Brian,

    Like Eileen I am happy with your positive story!

    My tibial fracture was Schatzen II, a displaced and depression fracture.
    I have also seen 3 doctors, but they don’t seem to mind that I have daily pain. I have my sheet of paper with questions and remarks at every appointment. All I get are vague answers and that “things will never be the same as before”. And they absolutely refuse to go into the emotional upheaval caused by the accident. On top of the physical and emotional pain, I also have to deal with an overwhelming amount of paperwork for the insurance company and the upcoming lawsuit.
    The only person who fully supports me is my lawyer. Wish my doctors had the attitude of my lawyer!

    I badly want to sit on my knees and heels again. Running a bit would be fine too.
    But like Eileen, I’m afraid of doing something wrong that might be harmful to my recovery.
    I don’t know what kind of pain I should endure to progress and what pain to avoid so as not to undermine my recovery.

    You probably recovered quicker and better because you are not in your fifties.
    I am 58 and was in excellent shape and health until the day before the accident.
    All my life, everyone has been telling me I look 10 years younger.
    Since my accident I aged a lot, mentally and physicaly. I lost my “joie de vivre”, my lust for life.

    I also wonder, do you run with or without hardware?

    Thanks again for your story.

  • #2463 Reply

    Lesley

    Hi Veronique,
    I just wanted to say please don’t give up. You sound so sad in your posts and you are angry and that is very understandable. It sounds as if your recovery is taking a long time. I am almost 7 weeks out of surgery and have just started partial weight bearing. I have bone grafts, a plate and screws and if I try to bend my knee it hurts like mad. I am waiting to get some physio but that is rather slow in coming in the UK as it depends on where you live in the country. My tpf was caused by my dog who ran into me at speed – not an uncommon thing from what I have read on this site. I am the same age as you so I am not hopeful that mine will be a quick recovery either and I was neither fit nor very healthy before this happened. To compound things, I lost my husband last year so I am still grieving for him and I so, so wish he was here to keep me going. I have had very dark moments too but reading the posts on this site has helped me enormously. I just like the idea that lots of other people really do understand what I am going through. I just wanted to let you know I am thinking of you even though we do not know each other. You sound as if you need a big hug but this is the best I can do. Don’t give up. You will get there. I am sure there will be lots of us who wish you well. Take care on your road to recovery.
    Lesley (UK)

  • #2484 Reply

    Veronique

    Thanks for your encouraging words Lesley!

    Yes I am indeed still sad and angry with the woman who ruined my life and robbed me of my most precious possession: my health.
    I have been investing so much time, energy and money in my recovery and I still can’t walk normally and have not had one pain free day since 3rd December.
    Luckily the thousands of euros spent, will be completely refunded by the Flemish Social Security and the insurance company of the other party.

    I read in one of your postings that your husband died last year. It must be tough revalidating and grieving at the same time.

    I have had a very tough time since 2010 and the accident was the proverbial drop that overflowed the bucket.
    As a single I have no partner to lean onto and have a lot on my plate.
    My 92 year old mom is disabled due to a failed hip prosthesis in 2000 and is in a wheelchair since 2010.
    Since 2010 I have been living in 2 places, caring for mom, running 2 households, maintaining 2 houses and 2 gardens and doing a stressful part-time job.
    Mom needs help for every transfer (bed, electric couch, wheelchair, …), but luckily is mentally 100% fit and has a positive attitude.
    There was/is family help 2 mornings a week and at-home nursing every afternoon.
    I only had 1 free night a week in my house, when my sis spent the night at mom’s. Seldom had a weekend or a full day off since 2010.
    Organizing an annual 2 week holiday for myself, required immense preparation and finding someone to sleep-in for a fortnight.
    To keep everything under control, I was constantly running against time and I hardly had me-time.
    Luckily I slept well and my weekly yoga class also kept me going.
    Nobody understood how I could handle all that, but I could. Thanks to a good health!
    My only problem was too much stress, but I quoted my health 9/10.

    Now my good health is gone and life became a burden. So you can understand how upset I am.
    I was so stressed and worried the day of my accident when I had to organize urgent 24 hour care for mom from my hospital bed.
    Once out of hospital I moved in with mom, since I had to be NWB for 8 weeks and it was the most practical solution.
    I now had to organize help for both of us as I had to stay in bed for so long.
    Every day for 3 months we had 3-5 professionals (family help, nurse, physiotherapist) and except for 3 days, we had daily visitors during 1 month.
    It was heartwarming so many family, friends and neighbours dropped by to express their sympathy, but there was not much peace and quiet around the house.
    December-January was the toughest period: I was often exhausted from the pain and from all the people coming and going.
    Furthermore I had to deal with the huge administrative hassle following an accident. Just 3 of the many issues.
    I had to fight with my insurance company who initially claimed I was not covered!! Contacted a lawyer who studied the contract and said it was crystal clear I was covered.
    I had to phone the police 4 times before they finally showed up after 21 days to take down my statement.
    I spent tens and tens of hours just dealing with the paperwork for the insurance company and the upcoming lawsuit.
    From the stress and the pain my weight went down from 52 to 49 kgs. So lifting mom– who weights about 68 kgs – several times a day, is tough and painful for my right hip.
    I so longed for a holiday, but could not go due to the pain and the fact that I could not be without physiotherapy.
    Having to go through the winter without having had a holiday (we had a lousy Belgian summer), having another surgery in December, revalidating, organizing once more extra help for that period, … is trying.

    It is hard caring for someone else when you are not well yourself.
    I sometimes am so tired from keeping myself motivated in the revalidating process while still juggling my daily life.
    Occasionally I have help from friends and neighbours, but unfortunately they too struggle in the daily ratrace. So I only rarely ask anything.
    I also have several foreign friends with who I stay in touch by mail.
    Since March-April I again do my ususal chores, but since I can’t sit on my knees and walk well, everything takes much time, effort and pain.

    One positive note: I am still in sick leave until the end of September and in October I stop working!
    Can afford financially to leave earlier. Will receive a small replacement income until my pension starts in 2016.
    So I am relieved I never have to deal again with the daily traffic jams and the stress at work!
    But I regret I could not end my career in beauty due to the accident.

    Finding this website and reading the posts indeed helps, for I know I am not alone delaing with this awfull type of fracture. This is by the way the first time ever I am active on a community site. Thanks for the hug!

  • #2491 Reply

    Lesley

    Dear Veronique,
    I could feel the pain in your words. You are a truly remarkable lady to manage all that you have done so far for yourself and for your mum. I have been lucky to have my youngest son at home as he has looked after me quite well even though he grumbles at times. I have no idea when I will be walking again. I read this site regularly for information. I start physio next week when I will be approximately 8 weeks post surgery. I don’t have very good ROM at the moment and I am still in a leg brace. Like you, I am thinking of retiring earlier than planned. I am almost 58 and don’t want to go back to full time teaching. Being immobile has given me time to think about my future and my goal is to recover and get fit and healthy. I wish I could do more than just send a virtual hug but my best wishes are with you.
    Take care,
    Lesley

  • #2626 Reply

    Eileen

    Veronique,

    Now that I am back at work, I don’t get too much time to come to this site. But I know you have been struggling–keep going. Keep being your best self.

    Lesley,
    If you are still waiting for PT, do quad squeezes. Sit with your legs straight and tighten the quads, hold a few seconds, and release. 10-20 repetitions whenever you think of it, but at least three times a day.

    May you be healthier tomorrow than you were today.

    Eileen

  • #2629 Reply

    Lesley

    Hi Eileen,
    Thank you for your encouraging words. This site has done so much for my well being as I do feel I have friends here. Glad to hear you have made it back to work. I am improving each day and I am much more mobile. I feel happy with the world and I have lost that look of stress that came with my job. I have decided to retire from teaching and live my life. I am taking one day at a time but I feel good mentally now. Bizarrely, having to spend the last 8 weeks getting over the tpf has done a lot for my peace of mind and now that my pain is minimal, I can see me regaining my health and fitness. My very best wishes to you. Thank you for all your posts as they have helped me a lot. My leg brace comes off today. Another little milestone achieved! Take care.
    Lesley

  • #2705 Reply

    Eileen

    Lesly,

    I’m glad you are enjoying a bright look at the future. I hope you continue to mend well.

    Eileen

  • #2769 Reply

    Veronique

    Hello Eileen & Lesly,

    Thanks for your encouraging words! I am glad you both have improved a lot.
    Since mom has been ill (she’s better now) I haven’t had the time to be on the forum these last weeks.
    I haven’t improved since April, and I’m afraid I won’t make any more progress until the internal hardware is removed in December-January.
    I still can’t walk normally with a bent knee. Hence I limp and I have pain in my R knee, R hip and lower back. I still have 1 regular physio session and 2 hydrotherapy sessions a week.
    Haven’t had 1 painfree day since the accident, but most days the pain is bearable now.
    I will keep visiting this site until healed from my second operation.

    Take care,
    Veronique

  • #2780 Reply

    Eileen

    Veronique,

    I am glad you may get some relief from another surgery. I too am hoping and believing that I may get my surgery repaired–better still, repaired with removal of hardware.

    Eileen

  • #2831 Reply

    marion gibbins

    My physio a nice young woman says STOP when you have pain ,listen to your body .So that is what I do now and am still making progress but slowly .Ice helps as does elevation and rest

  • #3019 Reply

    Brian

    Sorry for not checking back in with all of you sooner than this 🙂

    To answer the question, do i still run with my hardware, the answer is yes. I was told that my hardware is there for good and will never be removed. Having said that, I was told by Doctor #2 that while i would experience pain, structurally the repair was sound. I was also told the same by doctor #3 when I had my meniscus repaired in that same knee during my 2nd surgery. I spent thousands of dollars of my own money on out of pocket expenses that my insurance wouldn’t cover. But, this is my leg and my life and therefore it was worth every penny to me. I’m still paying off bills.

    Here are some of the things that i’ve gone through that Doctor’s don’t tell you about. Please don’t see this stuff as negative as I want to keep a positive spin on this post. See it as factual experience.
    – My knee feels like a block of wood or “chunky” as i like to say. Some days there are spots that are numb. Over the 2.5 years, this has gotten much better and most day’s it feels almost “normal” now.
    – I can now kneel down on both knees, without too much pain. This took quite a while to do. I still can’t sit on my heels though. To do this, i have to kick my left leg out to the side and be in more of a crouch.
    – I have more trust in my knee as i’ve put it to the test. I hike in the Adirondack Mountains, snowshoe, XC ski and just got back to my snowboard this past winter.
    – I could not live without going to my chiropractor the first 6mo after i started walking again. My knee affected my back, other knee, hips/pelvis, ankles and feet. In short, everything changed because of the way i now walk. This takes time to get used to. After 2.5 years things are better, but i still have bad days. My left foot (same side as surgery) felt like a bag of crushed bones being held together by my foot skin for the longest time. I’ve not been able to explain this feeling to anyone, they just look at me like i’m crazy when i describe it. Superfeet Green Orthodics…my savior in my running shoes 🙂
    – I’m just starting to be able to jump rope again. Prior to my injury, i loved doing this as a warmup. It’s been discouraging to say the least.
    – Jumping or doing trail runs terify me. Physically i could probably do it, but mentally i’m still not ready after 2.5 years.
    – My left leg atrophy was absolutely disgusting. It looked like i had an adult leg and a childs leg. While i’m still not 1:1, my muscle is coming back and getting much better. Regaining muscle in my left leg has eased some of the other pain/discomfort i’ve experienced in other area’s.
    – There have been times where it feels like the metal in my knee has heated up and is actually burning me from the inside out. this is rare but extremely painful and there’s nothing i can do about it.
    – Some days my knee just aches when the weather changes or a front moves in.

    Not knowing the particular situation or the amount of pain that each of you are going through, i can’t tell you what to do or how much to do it. What i can say from my experience is that i push through a lot of pain, but i’m also at the point where i know what is normal pain and what is new or different pain that i have to stop and “listen to”. Each of you have to get to this point on your own.

    You are never going to be the pre-surgery you and the sooner that you accept that the easier it is to move on. NOW, that doesn’t mean that you have to settle and it doesn’t mean that the “new” you isn’t a better verion of the “old” you. Personally, this injury has taught me how important the journey is and to stop focusing on the end results. I know that sounds cliche, but it couldn’t be more true for me.

    On the tough days I smile to myself and i’m thankful that i have my legs.

    Keep working hard and stay positive 🙂

    Brian

  • #3023 Reply

    Christina

    Hey Brian

    Do you mind me asking how old you are? I was reading over your list of things to look for in the future, and I can’t say much of it applies to me. I’m just over three months out from my TPF, and things like running, hopping, skipping and jumping don’t give me the same feelings of fear that they did for you.

    That being said, I’ve tried to run across the street when jaywalking, and it’s not that it hurts, it just feels weird in my TPF knee – it doesn’t feel quite as springy as my non-TPF knee.

    I’m 28, though, so I’m wondering how much age has to do with feeling like before.

    Christina

  • #3107 Reply

    Brian

    Christina – No bother at all. I’m 40 years, 6 months and was injured just after my 37th birthday. I think that how I was injured is what causes a significant portion of my self doubt for certain situations. During a race, my leg was bent the wrong direction (at the knee joint) with enough force that it caused the TPF. Now a days, i’m always overly caution about stepping on uneven surfaces or ice. The good part is that with all the hiking and snowshoeing in our Mountains that I do, i’m helping myself get over those fears. I’m even considering a team trail run next Spring…which would be a huge step for me.

  • #3114 Reply

    Christina

    I had the same feelings the first time I rode (on my motor scooter) past the scene of my accident. I’ve only been back on scooter once, but I imagine if I had to do it on a regular basis, I’d be pretty hesitant, too.

    Good for you on planning a trail run! I’ve got a 16.3km hike lined up for October 26th, and I have no idea how that’s going to go down. My ACL is in rough shape, and only my LCL is just about normal. Part of me thinks that halfway through the trail, one ligament will give out and I’ll have to drag myself out on my seat. Oh, well. Nothing ventured, nothing gained! (and if a ligament or two does pop, at least I can get them fixed and not worry about the bomb ticking every time I do something remotely active.

  • #3182 Reply

    Kelly

    Hey fellow TPF sufferers! I have happy news about running and my knee! I was on a horseback riding accident which caused my TPF (I’m sorry I don’t know what grade) I hade a plate and 6 screws placed. 3 months non-weight bearing. It was a very depressing Summer for me. I had just graduated Dental Hygiene and at 25 years old I felt like my running night never be the same. As soon as I got the clearance I was at the gym atrength training (this is your friend and key to gaining back muscle lost and preventing pain) I started running so slow. It was discouraging at first. I was use to running 7 or 8 mph and now I was doing a 4mph walk. This progressed into 5 mph. I took it slow. I Rememeber how hard that was. I am happy to report that I have done 9mph sprints. I’ve completed 2 half marathons. I’m training for a Ragnar right now, and hoping to complete a full marathon in January!!! This took time, patience, and determination. I still get pain in the plate and screws when I run, but I gauge it. I know my knee now and try not to push it too much, too soon! But for give up hope! Just keep working hard and listen to your body!!!

  • #3209 Reply

    Max

    hello, my name is max I’m 27 and had a high grade 4 on TPF on 2/8/14 during my first (and last) time skiing, and had surgery on 2/13/14.

    – internal fixation w/ a plate from the top of the tibia to a little less than half way down my leg four pins and six screws all together.

    -NWB for 7 weeks with no PT sessions ( I had just lost my job a week or so before so no insurance for anything but the surgery)

    – on the advice of my OS I did all the exercises he had told me while I was immobile like the spelling the abc’s with my ankle/foot & doing leg extensions through the pain focussing on regaining range of motion which turned out to be vital later on.

    – 3 months in my OS instructed me that low to no impact exercises were my only option to regain muscle mass and to help mitigate the pain.( as long as I only did low impact my OS told me that any pain I encountered it was safe to “work through it”)

    – I took up road cycling on my Canondale CAAD8 and piled up over 2000 miles over the months since May!

    – began running on a treadmill in August and like Kelly said slowly at first and worked my way back up. Even after all of the cycling running was a different kind of monster for me.

    Also, Brian your description of the hardware burning from the inside out sometimes, nice to know that it doesn’t only happen to me.

    As long as the bone/joint is fully healed and flush I was instructed by my OS to “have at it”, pain should be expected but don’t overdue so much you can’t continue to keep exercising.

    Good luck to all!

  • #3287 Reply

    Eileen

    Hi All,

    My OS said that a study found that 50% of patients get pain relief from having hardware removed. I am going to request surgery and will let you know how it goes.

    (I still run in my dreams, and I am hoping and trusting in faith.)

    Eileen

  • #5342 Reply

    Simon

    It’s good to read how well Brian bounced back from his injury.

    I suffered my TBF eight weeks ago and was operated on seven weeks ago. Bone graft, plate and eight screws in my left leg.

    I’m hoping for good news when I attend Fracture Clinic next Friday as I’m sick of all this inactivity (although I do enjoy zipping around our local zoo in the electric scooter that they lend me!). I’d love to get back to swimming and possibly cycling again. Running too I hope, I’m a keen triathlete, but perhaps a little longer yet I suspect.

    I entered myself for the Barcelona Ironman a few weeks or so before my accident. I’d already booked flights and accommodation too. So I’m doubly determined to do it, even if I have to walk most of the marathon.

  • #5344 Reply

    Eileen

    Simon,

    I am so excited about my own recovery and will share what I’ve learned.

    Try to exercise your upper body and whatever else you can while you are NWB. Be sure to research new alternatives for athletes,ask good questions, and advocate for a return to YOUR normal activities. Also, be patient–bones must be healed and soft tissue strengthened and stretched before you will safely run again.

    I wish you all the best healing.

    Eileen

  • #5443 Reply

    Christina

    Just saw specialist #4 today and, incidentally, asked about running. It’s been almost 7 months since my TPF and with a vacation and epic trek coming up in April, I thought I’d take up running as a way to get in shape.

    Well, it was only the second day before my knee felt funny, the funniest it’s felt since injury. And when I asked specialist #4 today about it, he was pretty firm in his answer: “no running.” Didn’t really go into details why, other than to vaguely say bones can take up to a year to heal.

    He said he wasn’t concerned at all about my (partially torn) ACL, but did recommend I wear my knee brace when walking…with the knee brace designed to offload pressure on my ACL.

    So, Simon, in terms of running- it seems like some docs will say okay and others won’t, but it’s not terribly clear *why* they say so.

  • #5686 Reply

    Simon

    Good news from the Fracture Clinic. My break is healing nicely. In fact the doc had to refer to the pre-op xray to see where the break was.

    I have to wear my brace for another 4wks. But I can remove it at bed time (bliss) and start putting some weight through my broken leg (30% – ‘toe touching’). I can also swim (front crawl with a pull buoy) and ride my turbo (static bike) set to ‘zero resistance’ – so long as I wear my brace and don’t use a cleat (clip-in pedal) on my knackered leg.

    So I’ve swum three times since Friday, 1K each time. No pain in my leg so far. What’s more, my aching back and shoulders (worn out from the crutches) feels so much better. Getting in and out is a little hairy/slippery.

    I’ll leave it another week before setting up my bike on the turbo. But I;m already feeling like I’m getting back to normal. Walking is so much easier with the crutches when you’re able to put some weight through your broken leg. Managed a 3hr walk around the local zoo on Sunday.

    Si

  • #6268 Reply

    Cayle

    This info is the cat’s pajsmaa!

  • #110415 Reply

    BUMP

    bumping

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