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Author Topic: 14 weeks after Tibial plateau fracture and still have swelling  (Read 77152 times)

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Offline indapinda

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How long does it take for the swelling to go away, its been 14 weeks and I still need to keep my foot elevated or it swells up in about a minute. I wear support knee highs now which does help, but I have to say that compared to when I first broke it the swelling has only improved about 20%. After standing for about 5 minutes my ankle and foot are so swollen , I am hobbling around the rest of the day.

Offline TaniaSki

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #1 on: June 24, 2010, 11:15:10 PM »
I am 11 weeks out out my TPF and and still experiencing swelling too.  Doesn't sound quite as severe as yours though.  It's always a bit swollen, but after a day at work or a few hours out, my foot blows up.  Would be interested in hearing others' experience on this!
3/28/10:ski accident
3/31:TPF ORIF surgery-7 screws, 1 plate, cadaver bone; NWB; brace locked at 0 8 wks; unloader brace 4 wks
6/21:WBAT; unloader brace; 1 crutch
7/1:no crutches; unloader
8/15:unloader as needed
9/17:hardware removed
3/1/11:discharged from PT
4/4/11:discharged by surgeon!

Offline liss627

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #2 on: June 26, 2010, 06:45:12 PM »
I am almost 5 months from my TPF & I started having swelling as soon as I went FWB & still have it to some degree, also my foot is sore, I wear tennis shoes most of time, other day I wore some flats with little cushioning & my foot ached at end of the day, I am getting so tired of it. I wrap & elevate it at night and in morning it is better but gets swollen as day progresses, even though I keep it elevated at work (put it on pillow on top of trash can). I am going to Dr. on 07/06 & will ask him how long this usually lasts, as I said I am getting tired of it, and just want my foot to feel normal again, my leg is doing OK, if only my foot would cooperate. ;)

Offline SimonL

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #3 on: June 27, 2010, 10:50:12 PM »
I am now about four and a half months post TPF and operation.  I still get swelling around the knee - especially if I walk for a significant time.  But it is getting better.  I guess it's just a matter of time.

Offline ohsobright

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #4 on: June 28, 2010, 08:56:44 PM »
Sorry to burst anyone'sbubble but i am 6 months post and still have one leg bigger than the other, swelling the worst above the ankle. 70% normal when i get up in the morning and over the course of the day swells. The more i am on my feet the bigger my leg. One good thing, my calf has been solid since my op but in the last few weeks has begun to soften (never thought i'd  be happy with a flabby calf!)
Other posters previously have mentioned taking up to a year i believe. Just go with the flow, although we may not notice, there must be improvements every day if we keep at it. Just the other day i was complaining about no change/plateauing and I met a friend who thought i had majorly improved since last seeing me.
14/12/09 slipped, Lt TPF, spiral # tibia, # fibula,# disloc patella,lig ruptures.
17/12/09 ORIF, bone graft.
21/12/09 discharged full leg backslab NWB
30/12/09 staples out full cast NWB.
20/1/10 cast brace NWB
22/2/10 PT
3/3/10 Cast off, PWB
31/3/10 WB with cane
23/6/10 FWB

Offline vichall

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #5 on: June 29, 2010, 03:47:10 PM »
Twelve weeks out from TPF, I have days where the leg looks almost normal in the morning. Swelling increases over the course of the day, especially if I'm just sitting a lot. The more therapy or walking PWB on crutches or stationary biking I do, the better it stays. Of course, some heavier therapy occasionally causes its own swelling, but overall things are hugely improved.

Vickie
4/7/10 - TPF type V, also R radius, R orbit
4/8 - ORIF TPF, 2 plates, 12 screws; R arm cast
4/12 - rehab hosp, TTWB
4/21 - stitches out, arm cast off (brace)
4/24 - home
5/5 - PT/OT, 118 ROM
6/2 - PWB 50%, crutches
7/7 - FWB, 130 ROM, 1 crutch
8/2 - unassisted
8/31 - discharged PT; personal trainer

Offline TaniaSki

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #6 on: June 30, 2010, 12:20:53 PM »
After one week of WBAT, the swelling in my ankle (cankle now) and foot is getting worse.  It's a bit swollen even when I wake up in the morning and gets worse throughout the day despite elevation and icing.  Have been using compression sleeves too.  Don't know what else to do - is there anything else I can do? 
3/28/10:ski accident
3/31:TPF ORIF surgery-7 screws, 1 plate, cadaver bone; NWB; brace locked at 0 8 wks; unloader brace 4 wks
6/21:WBAT; unloader brace; 1 crutch
7/1:no crutches; unloader
8/15:unloader as needed
9/17:hardware removed
3/1/11:discharged from PT
4/4/11:discharged by surgeon!

Offline UKCathy

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #7 on: June 30, 2010, 02:06:54 PM »
I was advised to get someone to massage my foot and ankle, quite firmly, using oil or moisturiser. Encouraging the fluids to move back up my leg.
I don't know how much it helped, but it felt great!

cathy
14 March 09 Got off horse awkwardly
15 A&E, x-rayed, TPF diagnosed, admitted
19 ORIF - 1 screw
20 Discharged with 3/4 plaster toe to hip
2 April Staples out, full plaster toe to hip
7 May Plaster removed, NWB
18 June FWB
3 July Discharged by PT
6 July Back to work

Offline liss627

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #8 on: July 01, 2010, 03:58:15 AM »
Don't know what else can be done, just wait it out, I have been FWB for 2 months & still have swelling, I wore some flip flops the other day & I think they made it worse; I think I can only wear tennis shoes at least for now, this is getting old! I would not have a limp if my foot was not swollen, it causes me to limp, grrr!!! :-\

Offline vichall

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #9 on: July 01, 2010, 04:13:15 PM »
Just another thought of something to try:

Early on, I did have some lymphatic drainage massage done, which seemed to be a turning point in swelling reduction. If I get more swelling after I go to FWB, I will definitely try that again.

The therapist taught me to wrap the leg from toes to over the knee with compression bandages, and I do that when the swelling is worst (elevate it too). It's not overly comfortable during, but it does move fluid out.

If you'd like to find one of these therapists, search under treating lymphedema.

Vickie

4/7/10 - TPF type V, also R radius, R orbit
4/8 - ORIF TPF, 2 plates, 12 screws; R arm cast
4/12 - rehab hosp, TTWB
4/21 - stitches out, arm cast off (brace)
4/24 - home
5/5 - PT/OT, 118 ROM
6/2 - PWB 50%, crutches
7/7 - FWB, 130 ROM, 1 crutch
8/2 - unassisted
8/31 - discharged PT; personal trainer

Offline BrokenPonyGirl

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #10 on: July 05, 2010, 04:52:01 AM »
Me too - I'm 15wks down and I still have a CANKLE  ;)     As the other say, I guess it just takes time.
20.3 severe dislocation entire lateral condyle, entire meniscus & MFL & LCL reconstruction.
30.3 knee in hinged brace ROM 30
7.4 stitches removed ROM 45
30.4 ROM 90 remove brace for showering
9.5 nolonger on pain meds
21.5 ROM 103
31.5 Can now start weight baring
16.6 ROM 115
18.6 Walking!

Offline KartBoy

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #11 on: July 05, 2010, 11:42:19 AM »
Sorry to read about the swelling you TPF newbies  ;), but its part of the problem with doctors and medical professionals in general, they don't seem to want to tell you the real story, having had my TPF over two years ago you all need to realise, and I'm sorry to be so harsh but you have had one of the worst injuries you can sustain to one of the most complex joints in the body and your life has changed irrevocably.

I really do hope that you can recover as much as possible, but as one doctor put it, you will never entirely recover from the injury. I personally am about to have cartilage transplant but the best I can hope for is at least being pain free and not needing a knee replacement for maybe another ten years. I might also be able to do light exercise and swimming but coming from marathon distance running/ sking and advanced Open water diving that ain't much consolation.

I'm struggling most now (and maybe you will get this from the tone of this post) with having to come to terms with the way my TPF wrecked my life, The sooner you start this process the better it will be, I love the support of some people on this forum but sometimes polyanna just aint' appropriate, although you do need to be optimistic, and you do need to do everything you can to get your mobility back, even it that means bugging the doctors until they are sick of the sight of you.
Get well!

7th Mar 08 - Pedestrian hit by car
10th Mar 08 - TPF (Plate + 6 screws)
12th Mar 08 - TPF Revision
Feb 09: Hardware removed + scope
Jun 10: ACI Stage I
Aug 10: ACI II (Stanmore)
Oct  11 - MRI + Scope (In pain)
Aug 12 - MRI + Scope (In more pain)
Sep 12 - TKR ruled out :(

Offline sgtchar

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #12 on: December 13, 2010, 02:59:51 AM »
 Can anyone with like injuries give me an idea of when I can drive and go back to work? I'm 13 weeks out right TPF (grade V, 3 plates, 12 screws) Last OS visit 5 days ago d/c'd the hamstring brace and light WB with crutches. I plan on having PT in the home. It's only been 5 days but my knee looks like a basketball by the end of the day. I have an appt in 6 weeks I hope I can drive and go back to work by then.
12/08/2010 crutches light WB
10/09/2010 I&D incision site 2/2 infex.
09/13/2010 HM w/ walker NWB x 12 weeks
09/09/2010 internal fix 3 plates 12 screws
09/01/2010 external fix
08/31/ 2010 RT Schatzker  V TPF 2/2 MVA

Offline vichall

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #13 on: December 13, 2010, 06:20:05 PM »
Sgtchar,

My injury sounds similar to yours, but only 2 plates with the 12 screws, and the bonus of nerve damage from the surgery.

I got the clearance to drive when I was cleared for FWB. Even so, it took me a couple of weeks of gingerly driving around my neighborhood to decide I really could do it. The swelling got worse at that stage from the increased time upright and then started to get better when my walking improved.

Now at 7 months post-op, I haven't noticed any swelling for some time. I don't think I really know when it completely disappeared, but within the last month or so. Occasionally I get a bit of swelling from a heavy workout and I slap some arnica on the knee overnight, which takes care of it.

I'd guess it's very likely you'll be cleared at the next appointment, as long as you make good progress on the walking.

Hang in there! It does get better. Just this morning I walked downstairs completely normally for the first time with my hand floating above, but not touching, the rail. Progress is slower this far out, but still steady. People on the street probably can't tell that I'm not fully normal, although it's clear to me that I'm only 90%. I hope I'll get to 100% by the one year anniversary.

Vickie

4/7/10 - TPF type V, also R radius, R orbit
4/8 - ORIF TPF, 2 plates, 12 screws; R arm cast
4/12 - rehab hosp, TTWB
4/21 - stitches out, arm cast off (brace)
4/24 - home
5/5 - PT/OT, 118 ROM
6/2 - PWB 50%, crutches
7/7 - FWB, 130 ROM, 1 crutch
8/2 - unassisted
8/31 - discharged PT; personal trainer

Offline Lordbryan

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Re: 14 weeks after Tibial plateau fracture and still have swelling
« Reply #14 on: December 19, 2010, 01:41:41 AM »
Oh my......  I just had my accident a week ago.   I've had a MRI but haven't seen the specialist yet.  Sounds like I have months of healing to go through.  The report showed tibial plateau fracture, acl complete tear, miniscus tears, mcl tear and lcl tear.  What can I expect to hear from my specialist this coming Tues.  Please help me















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