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Author Topic: Re breaking and setting TPF  (Read 420 times)

Offline Chalis

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Re breaking and setting TPF
« on: October 01, 2012, 09:08:54 PM »
Hi guys I was after some advise.
I had a VI TPF fracture in 2009 which resulted in a plate/6 screws and a long recovery time!
I had the hardware removed 2010 and a year later some torn cartilage repaired/removed. I have tried to put this all behind me but I am still in a lot of pain. Some days are okay whilst others are an absolute nightmare.
I struggle as I can't straighten this knee, and one leg is therefore a little longer than the other. This in turn also causes hip and back pain. GP suggested getting a wedge in my shoe and referred my back to the specialist.
Surgeon x-rayed again last week and advised that my knee joint is approx 5 degrees out and my joint is already showing early arthritic changes. The angle of my joint is also putting a lot of stress on my knee cap.
He is sending me for a CT scan and proposes to re fracture my TP and align this again more correctly.
Has anybody ever had this done?
Pros - are that my knee would be as 'normal' as possible and the joint may last me longer (he advises that a knee replacement wouldn't last me until I'm 70)
Cons- more screws/plates :( and 3 month non weight bearing again. I really don't know if I could face it again (although this would be a controlled fracture - so not so traumatic in that sense?)

I'm really torn as I am 28 and want to make the best decision for my future. Would it be worth throwing another year away to recover? Or shall I carry on with the pain killers and hope that my knee holds out?

Any advise/experiences would be most appreciated. My family are very supportive but it's really hard to try and put this injury into words!
Sarah



Offline jpalen

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Re: Re breaking and setting TPF
« Reply #1 on: October 02, 2012, 01:03:19 PM »
Hi Sara
Your knee situation sounds terrible. I had a TPF complex comminuted fracture which insurance declined surgery for and have arthritis and inability to straighten the leg fully.
I also have hip and back issues due to it. Mine I can live with. The pain isn't bad enough for pain killers most days. I'm 52 and working, the ortho said a knee replacement wouldn't last a mechanic more than 5 years and to wait til I retire if possible. The option of breaking the bones and resetting with plates and screws did get discussed and was thought that the resulting trauma and scar tissue would be worse than the current situation.
I would see about a wedge to even your legs out first. It is the least invasive and easiest to test and if it works, you just bought some more time.
I would get a second or even third opinion about re-breaking the bones and resetting.
Wait for the knee replacement. You're young and they keep getting better technology.
Prayers for healing and peace.
Jim
TPF October 3, 2010
External Fixator Oct 4, 2010
Remove External Fixator Jan10, 2011

Offline Chalis

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Re: Re breaking and setting TPF
« Reply #2 on: October 02, 2012, 05:46:29 PM »
Thanks so much for your reply jim and I think you're right. It seems such a drastic step and I'm not sure whether I can face it yet.
I will see what the CT scan says and go from there. I am also worried that it could make it worse.
Best wishes
Sarah

 














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