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Author Topic: TPF...11 days post-op  (Read 835 times)

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Offline ketch

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TPF...11 days post-op
« on: January 30, 2012, 07:10:28 PM »
New to the site.  Looks like I'm going to find a lot of information here during my recovery.

I am wondering how much flexion I should have in my knee about now.  I can get my knee to zero degrees extension and then to 60 degrees of flexion.

How it happened?  Hubby was on his tractor, I was talking to him while standing to the right of the tractor.  He said he was heading to the barn, I backed away.  However, as the rear wheels passed by me I stepped back in so as to get to my truck on the other side of the tractor.  It was dark and I did not see nor remember that the scraper blade was hanging out there on the 3-point hitch. :o

I have a TPF Type II with 3 screws and fixative bonding material.  Doctor did not mention any ACL, MCL or Meniscus injuries...

I'm really wondering about flexion...Doc told me that if I could get my knee to zero degrees extension on my own, that I may not need PT at all.  That does not sound realistic...

Any insight would be greatly appreciated.

Offline ketch

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Re: TPF...11 days post-op
« Reply #1 on: February 02, 2012, 12:34:59 AM »
Well, I guess not many members have had a Tibial Plateau Fracture. 

If anyone has any insight on the following...

I recently went back to work (up and about walking w/ crutches, sitting and occasionally laying down)  I have been there six hours per day.  When I get home, my leg (from above the knee down to the toes) is ice cold.  I come home and have my husband massage the leg and then put a heating pad on the leg for over an hour to get the temperature back to normal.

What's going on?  I don't see the doc until 2/9


Offline maryc

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Re: TPF...11 days post-op
« Reply #2 on: February 02, 2012, 06:43:28 AM »
Oh Ketch, I'm so sorry you had to join our group.  Most of us that have has TPF's hang out in the specialists office - bone breaks around the knee
Your cold leg is probably a result of poor circulation.  Since you aren't able to use your calf muscle to circulate the blood.  Elevate your leg as much as possible - you should elevate it above your heart if possible - it does make for some rather un-glamorous positions.  Also ankle pumps will help the circulation.  Pump your foot like you're stepping on the gas.  Do this at least 10 times very time you think of it. 
At this stage extension is very important - you can't walk without a limp without zero or negative extension.
Flexation at this stage varies widely.  Keep working at it. 
I had a type II with a plate and screws and I couldn't have recovered without PT.  Most doctors don't really understand the PT process that not only includes exercises but emotional support.  Push for PT if you can once your are weight bearing.
A common phrase here is recovery from a TPF is a marathon not a sprint - it takes time.
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