Another tpf

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  • #2736 Reply
    Rebecca
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    I am so glad to have found this page! I am/was a fit 54 year old whose 90lb Siberian husky body slammed me on walk early yesterday morning.
    It looks like I will be dodging surgery- but am pretty worried as my knee has been acting up prior to this accident and I was booked for an MRI next month with suspected meniscal tears. I was an avid runner and was actually able qualify for Boston.

    It’s early days; immobilized and bedridden and in significant discomfort but I want to approach my rehab as intelligently as possible. I’m so glad to have found this forum so I can learn from all of you that have gone before me!!

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    • #2905 Reply
      Rebecca
      Guest

      I’m in Canada and got into physio 9 days after my accident. They fit me with a lockable hinged brace – but didn’t lock it and gave me exercises (including ROM). They told me to let pain be my guide, put ice grips on my crutches and referred to to OT so they could figure the best way to get compression stockings on my leg. I can’t do many of the exercises but am doing what I can without pain. I’m back for X-rays on Tuesday.

      Fingers crossed

      Good luck everyone and speedy healing!

    • #2892 Reply
      Dlesley
      Guest

      Hi Karen,
      My tpf was also a dog injury. My hefty staffy cross ran full pelt into my left leg July 9th. I was misdiagnosed initially and waited 2 weeks and 2 days for similar surgery – grafts, a plate and 6 screws. I am almost 10 weeks post surgery and struggling to walk. My leg refuses to bend so ROM is not great and then the converse – I cant straighten it to walk so I look as if I have a permanently bent knee. I am trying hard each day to build up the strength in my upper leg but like you feel I have been let down by poor follow up physio. Are you in the UK? I think physio is a post code lottery here. Even the surgeon agreed that the follow up was not as good as it should be ! I have had one appointment so far and I have another next week. I have no idea if I am doing the exercises correctly etc. I have decided to seek some private physio at a sports clinic I have attended before as I do not feel my recovery is as good as it could be. I am older at 58 so progress could be genuinely slower but I want to be walking better and sooner than currently. I find stairs difficult so am still living downstairs. My goal is to make it to the top of the stairs, sleep in my bed and have a long hot shower. Good to have goals however small! I wish you all the best in your recovery.
      Lesley

    • #2893 Reply
      Dlesley
      Guest

      Hi Karen,
      My tpf was also a dog injury. My hefty staffy cross ran full pelt into my left leg July 9th. I was misdiagnosed initially and waited 2 weeks and 2 days for similar surgery – grafts, a plate and 6 screws. I am almost 10 weeks post surgery and struggling to walk. My leg refuses to bend so ROM is not great and then the converse – I cant straighten it to walk so I look as if I have a permanently bent knee. I am trying hard each day to build up the strength in my upper leg but like you feel I have been let down by poor follow up physio. Are you in the UK? I think physio is a post code lottery here. Even the surgeon agreed that the follow up was not as good as it should be ! I have had one appointment so far and I have another next week. I have no idea if I am doing the exercises correctly etc. I have decided to seek some private physio at a sports clinic I have attended before as I do not feel my recovery is as good as it could be. I am older at 58 so progress could be genuinely slower but I want to be walking better and sooner than currently. I find stairs difficult so am still living downstairs. My goal is to make it to the top of the stairs, sleep in my bed and have a long hot shower. Good to have goals however small! I wish you all the best in your recovery.
      Lesley

    • #2885 Reply
      Karen
      Guest

      Hello Rebecca,

      I had a similar accident as you. A 70 lb black lab ran head first into the side of my right knee. When I went to the ER they said it was just a sprained knee. A day later, they called to say I have TPF. I then went to a specialist who saw something on the xray and requested an catscan. It was determined that the top of tibia was shattered. I had surgery on 7/8/14, they put a plate and 8 screws along with bone graft to repair the damage. I was NWB for 7 weeks then started with a walker. I have now graduated to a cane.

      While I was lying around I would do ankle stretches and bending my knee. I wish I had know to squeeze my quad because that seems to be where I am having issues during my recovery. I also feel that I should have went to a physical therapist during my 7 weeks NWB. I think they would have giving me different exercise to my recovery go better.

      Good luck with you recovery,
      Karen

    • #2810 Reply
      Eileen
      Guest

      Rebecca,

      Although you have not had an MRI, an X-Ray may be sufficient to see that you have only a lateral, non-displaced fracture which, I believe, is far less severe than many of the tpf’s on this forum. It would seem you just have to wait for the bone to heal. However, I encourage you to peruse this site and other resources on the internet.

      Good healing,
      Eileen

    • #2804 Reply
      Rebecca
      Guest

      Hi Sam thanks for your reply! Maybe cast is the wrong word- more like a brace(?)
      Lucky you were able to get a CT and they caught the extent of your injury. I live in the NWT in Canada. We are pretty remote ( MRI and CT) scans are out of territory which means if they deem you need one you fly to another province for it. Also I haven’t actually got to see the OS – they are locums and I have seen two different doctors – one ER and one who was covering the fracture clinic – at least that one talked to the OS about my X-rays. As I’m writing this I’m getting a bit nervous … I don’t know if it’s even possible to get a second opinion … I have just been trusting that they know what their doing…

    • #2792 Reply
      Sam
      Guest

      I am 13 weeks post TPF. With x-ray my fracture was nearly unnoticeable. The CT showed a horrible break and I needed surgery. I just think you may need a second opinion. TPF are generally NWB for at LEAST 8 weeks (10 is standard). Also casting is not recommended. Keeping that knee moving is a must! Good luck!

    • #2791 Reply
      Rebecca
      Guest

      Thanks for your suggestions Eileen:-)
      – I asked to see my X-rays at the fracture clinic today. Stable, Lateral TPF – I won’t need surgery but told me these are tricky breaks so I will be immobile leg elevated for two more weeks and then they will do another xray. If all goes well the are predicting 8 weeks NWB. They are ordering a special cast for TPF- hinged? Do you know anything about those? Right now I’m in a Ziffle.

      I’ve been doing ankle circles and feet flexes and any other movements that don’t hurt to keep the blood moving and muscles alive!

      How are you doing? How long were you off work?

    • #2779 Reply
      Eileen
      Guest

      Rebecca,

      So sorry you are joining us. I suggest two things. First, ask to see your images and have someone explain exactly what you are looking at and what your prognosis is. Second, do glute and quad squeezes, ankle stretches, and any other safe exercises, such as upper body weight-training while sitting or lying down.

      It is a difficult road, so keep finding faith and hope along the way.

      Eileen

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