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Author Topic: New TPF 14/02/09  (Read 863 times)

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Offline Smokey01

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New TPF 14/02/09
« on: March 11, 2009, 06:36:41 PM »
Hi everyone, I have been reading alot of the threads on here and found it all very encouraging and helpful, so initially I would like to say thank you for all of your comments, it really does help. Like most people on here I guess, I am worried about my recovery, as I have had 2 arthroscopies on my knee in the last year to fix torn cartiledge and now I have a TPF. This was fixed in Canada (Vancouver) and I have 8 screws and a metal plate holding things together. Now its only 3 weeks ago, so I am not expecting miracles now but I do have a few questions that I would love some answers to just to ease my concerns.

(1) Will I be able to ski again, assuming I could ski before...:) ?

(2) Is it normal for my foot to feel cold all of the time ?

(3) Will my leg be as strong as before with the metal work in or better without, after I have healed ?

(4) How long does it generally take to start walking again (i'm going nuts) ?

(5) Diet, should I concentrate on any food types to aid bone healing etc ?

(6) Can anyone recommend actions after recovery, i.e. should I wear a knee brace to help support this leg, or will it be OK. If I need a brace, which ones are best for this type of injury support.

(7) Are there any suppliments out there that will help, both now and later in my life to avoid future problems.

Thanks in advance, any advise would be appreciated.



Offline maryc

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Re: New TPF 14/02/09
« Reply #1 on: March 11, 2009, 07:52:36 PM »
Hi Rob - welcome to our tpf club.  Sorry you had to join us.  I'll take a stab as answering some of your questions.
1- Skiing - a big "depends on  your injury".  You probably won't know too much until you begin weight bearing to see how the bone healed and what the cartilege damage end up being.
2 - cold feet - been there - it's due to a slowing down of your circulation since you're not using your muscles to pump the blood back up your leg.  Try ankle pumps and wear thick socks.  While you're doing the ankle pumps add in drawing the alphabet with your foot, keeps your ankle rom and your achilles stretched.
3 - My OS said I "get" to keep my metal, he's such a kidder.  Whether or not you keep the metal depends a lot on whether or not the metal interfers or causes pain.  Usually most OS's don't want to take the metal out before 12 months are up, unless there's a real issue.  I've heard that the area where the break was actually becomes stronger when it is healed.  Don't know if there is any truth to that.
4 - Usually people are non weight bearing (NWB) for from 7 to 12 weeks but this is really an individual thing.  For many TPFs the healing of the bone is not as important as healing the cartilege damaged by the impact.  Having the cartilege heal properly is really important is delaying the onset of arthritis.  If the OS says no weight, then it's no weight no matter how little pain there may be.
5 - Lots of protien, green leafy things an milky stuff.  Avoid caffiene and soft drinks (the phosphates supposedly leach calcium.  If you smoke, now is the time to quit.  Smoking can inhibit bone growth.
6 - I only used a brace when I was up on my crutches, more for protection than anything else.   Follow what your OS said on this one.
7 - If you are taking extra calcium make sure to take vit d to help with the absorbtion.  Some people take glucosimine, it may help.

The best advice I can give you is follow your OS's and PT's instructions.  Do your exercises 2 to 3 times a day and be patient.  As it has been said so many times - this recovery is a marathon not a sprint.
Sending healing rays your way
8/4/07 fell
8/5 diagnosed TPF
8/6 surgery plate and 6 screws
8/12 out of hospital NWM
8/21 staples removed
9/18 OS appt - WBAT with crutches
10/10 - WBAT with cane
10/27 - back to work w/cane
12/26 - no cane, slight limp when tired
1/25/08 - released from PT, no limp
2/3/09 - Released by OS

Offline Smokey01

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Re: New TPF 14/02/09
« Reply #2 on: March 13, 2009, 08:53:40 AM »
Thank you for you reply, really hope I can ski again, love it so much and would be lost without it. I have my first physio on the 17th so I will do as I am told and follow their advise and the OS. Foot seems to be warming up a bit so that's good just need to keep looking after it now and be patient.

Really appreciate your comments, its so helpful and its interesting just how much you learn about the problems people face just simply getting around. Sorry for another question, but does anyone know of a really good wheel chair hire specialist. It seems its easy to hire a manual chair but an electric chair   to suit is almost impossible to find. Sure you can buy them, but 6,500 is outrageous when I only need to hire one. My problem is that I am 6'4" and normal size chairs are too small for me. I have seen a model scooter called a Royale which looks perfect but can't see where this can be hired, and or how much, as I can't really afford very much as I am not working.

Once again any help would be great.

Thanks everyone.