Another CAT scan taken last week will determine whether I move on to Outpatient PT (if I have enough bone healing), or whether I need another surgery (bone grafting— this time doc would like to us my own hip bone). This image of a recent bike ride below is not me bragging… this is testament to what a strong ankle brace has done for me.  Share your stories/tips/hopes below~. Sharing our pilon fracture experience; It has been 5 and a half months after my pilon fracture surgery. A pilon fracture is a type of break of the shinbone (tibia) that happens near the ankle. Tibial Plateau Fracture Recovery Updates: My scars were also healing nicely and muscle was starting to build on my leg. They often result in an obvious deformity of the ankle joint. In my internet travels, I’ve even seen people get back to their extreme sports such as triathlons, mountain climbing, skiing, and mountain biking. But with this ankle brace I was able to return home after 5 hours of riding without any significant swelling or pain. The term "pilon" comes from the French word for pestle. Update on the new homemade ankle brace (see previous post). The bone of the lower part of the ankle joint (talus) is driven into the top of the ankle joint, causing a fracture to the weight bearing portion of t… Symptoms include pain and inability to bear weight on the leg. 
”Comminuted Tibial Pilon Fracture with Fibular Fracture.” Basically, my tibia & fibula were shattered into ~15 pieces. I began with in-house PT & OT to learn how to get around on a walker, wheelchair, and then a knee scooter. I’m sure to be in pain/a drug-induced haze for the next few days, so I’ll update this blog with a post about what is sure to be a successful surgery asap. It usually occurs following a significant force to the foot, such as a fall from a height or motor vehicle accident (MVA). This Brace does not help a whole lot for the bicycle, its wonderful to walk in. After 8 months of recovery from pilon fracture type 3, I was able to run again. If you search YouTube you will find that this device looks very very promising for all of us who don’t want to get ankle Fusion but want to get back to a normal active lifestyle. After recovery from pilon fractures, many patients continue to have debilitating pain and ankle stiffness. Does anybody out there have this brace yet? Contact me for finer details. Soft tissue injury is bad. Other factors like age, smoking, and medical conditions such as diabetes can also have an impact on healing. So from 8th Jan, 2017 I started my physiotherapy. and wrestling. This group is dedicated to bringing people with a tibial Pilon fracture together to share their stories and find others who are suffering, and help each other find hope, share tips and tricks and new information, and seek new ways to be happy. Weber Fracture Treatment, Surgery - Weber Fracture Types Healing Time, Recovery As indicated by an investigation on bone crack, the lower leg is one of the every now and again harmed joints in the body. The long-term outcome of pilon fractures was affected by fracture patterns, fibular length restoration, quality of reduction, and severity of soft tissue injury. So, I got some morphine pumped into me and took the 10 mile ambulance ride to the hospital. 7 days ago I could not jump or run and today I can do it pain free. Pilon Fracture Recovery Blog My Story: On July 3rd 2015, I was hit by a car as a pedestrian. The brace is like a 1000% improvement over going without a brace. The Prognosis on Pilon Fracture Treatment and Recovery Immediately stabilize anyone suffering a high-energy pilon fracture. All fractures were managed under faculty supervision at a level I trauma center and its two affiliated institu … Pilon Fracture Recovery~ Posted on December 28, 2015 by pilonfracturerecoveryblog. 7 Months Post Op and 3 Months of “Walking”, An Update; Ankle dorsiflexion limited after 6 months post injury at 2 degrees. Depending on the severity of your pilon fracture, your recovery time may vary. Many pilon fractures occur due to high energy injuries such as motor vehicle accidents, falls from a height, or high-velocity sports injuries such as falling when skiing. To get this brace I had to go see a surgeon and get a very specific prescription and letter written which we submitted to The Hanger Clinic in Gig Harbor Washington who then submitted it to my insurance company could then denied covering it. Had trouble with bone healing, so started with a Orthopak
Bone Stimulator in November. OK I’m going to post some YouTube videos on this page to try to illustrate some of the things I have figured out about my ankle and how to live with it. If the injury causes significant blood loss, it … If you do try this, I really recommend wrapping it to the leg with “cohesive bandages”. A Pilon fracture is a severe injury involving the ankle joint. I receive a small fee and it costs you nothing extra; however, it helps me cover expenses for my blog. This ride would be impossible without my brace. A pilon fracture, is a fracture of the distal part of the tibia, involving its articular surface at the ankle joint.Pilon fractures are caused by rotational or axial forces, mostly as a result of falls from a height or motor vehicle accidents. For the reduction of pilon fractures with displaced central fragments and/or impaction, the exact approach is planned from the CT. After four months, you may be walking after a pilon fracture with no assisted aid. Continues to a point 1 cm distal to medial malleolus (Fig. Managing the pain is the first step. I was hit by a car, as a pedestrian on July 3rd, 2015, and was hospitalized with a “Comminuted tibial fracture with fibular fracture”. About this Pilon Fracture Recovery Site; About Tibial Pilon Fractures; Pilon Blog. Because of the wide range of injuries that could be present, recovery times can vary. It was casted up quickly at A&E, then a week later properly casted at the fracture clinic. The consultant didn't seem completely hopeful that it would heal with a cast, but didn't want to get me in for surgery (It would have meant being in over Christmas) they left it like that for 6 weeks, then after seeing the Xray, decided I would need pins and plates. In the case of tibial shaft fractures associated with a displaced intra-articular fracture of the knee and the ankle, plating is the most commonly adopted technique.. Managing the pain is the first step. I'm two weeks post surgery for my left leg Pilon Fracture. You may be able to bear weight between two to three months. You most likely will begin moving your ankle anywhere from two to six weeks. It’s been a long time since my first one. Dont wrap it too tight…it gets uncomfortable. After four months, you may be walking after a pilon fracture with no assisted aid. I have had pretty good success with the first fiberglass brace I made which I use for bicycling because it locks out my ankle much better than my Arizona brace. 7 Months Post Op and 3 Months of “Walking”, An Update; Ankle dorsiflexion limited after 6 months post injury at 2 degrees. If my insurance company ultimately denies this I will pay for it out of pocket but it will take me some time to save up. It Talks about some of the upsides of ankle fusion and how normal life can be after,  so I encourage anybody with the fear of thier arthritis to read and find some hope in the fact that a fused ankle can be still very functional foot. Methods: Seventy-one cases of acute pilon fracture were retrospectively collected. On July 3rd 2015, I was hit by a car as a pedestrian. I have mentioned this in other posts that the way my arthritis is,  it feels ok when I have my heels raised one or two inches in my shoes.  I know I still have a long road ahead. After the doctor examined the X-rays and the CT scan, he let me know that I had a severe impacted multifragmented pilon fracture of the distal tibia and a fractured fibula. Despite the best treatment, patients sustaining high-energy pilon fractures generally do not return to their previous state of general health or function. Its a stretchy tape that sticks to itself but is not sticky. Impacted because my tibia slid off my ankle joint and was impacted in my foot. So, I got some morphine pumped into me and took the 10 mile ambulance ride to the hospital. Tibial Plateau Fracture Recovery Updates: My scars were also healing nicely and muscle was starting to build on my leg. This post does contain an affiliate link. It was casted up quickly at A&E, then a week later properly casted at the fracture clinic. Depending on the severity of your pilon fracture, your recovery time may vary. I was taken by ambulance to Swedish Ballard (Seattle) where I was told I’d have surgery the next morning. My hope is to return to the dancing I love 
(swing, waltz, modern square, contra, etc.) I have ventured out without my Arizona brace a few times lately for a half hour or so. Thank you in advance. I stayed 
overnight and went home the next day to begin my recovery.

  I live alone;  my loving, close friends took shifts to keep me out of a nursing home. The fracture involves the larger bone of the lower leg (tibia), and extends into the weight bearing surface of the ankle joint. Some shaft fractures of the tibia take as little as four months to heal, with more extreme cases taking a minimum of six months to heal. I had the Tibia Pilon fracture in 2003, it took me a good year to even get to the point of riding and getting a decent range of motion. You most likely will begin moving your ankle anywhere from two to six weeks. I still haven’t been allowed to bear weight in my injured leg and doctor advised me to start physiotherapy on 7th Jan, 2017. , http://www.healio.com/orthopedics/arthritis/news/print/orthopedics-today/%7Baff49ca8-7902-4f10-83b2-f0121c496af3%7D/experts-discuss-what-to-expect-after-ankle-surgery, It has been 5 and a half months after my pilon fracture surgery, 7 Months Post Op and 3 Months of “Walking”, An Update, Ankle dorsiflexion limited after 6 months post injury at 2 degrees, Dorsiflexion through anterior ankle impingement, https://pilonfracturerecovery.files.wordpress.com/2017/11/vid_20171107_1003093.mp4, https://pilonfracturerecovery.files.wordpress.com/2017/11/vid_20171107_092415.mp4, https://pilonfracturerecovery.files.wordpress.com/2017/11/vid_20171107_1004273.mp4, A private facebook group for pilon fracturees, https://www.facebook.com/groups/126072184709967/, A very short mountain biking clip highlighting ankle immobilization with brace, Immobilization of the joint= more capabilities, like long bike rides in the woods, Some videos of my ankle in motion and my brace and shoes that let me walk normal-ish, //pagead2.googlesyndication.com/pagead/js/adsbygoogle.js, Follow Pilon Fractures Suck! I’m trying to keep optimistic, but I really don’t see an end in site. In Pilon fractures, SF-36 scale is lower than in patients with pelvic fractures, multiple trauma, and AIDS. David I. Pedowitz, MD, (Philadelphia, PA) presents a pilon fracture case. The pilon fracture was first described by Destot (1) in 1911. Had all the hardware taken out in like 2008. The device costs $9,000 out of pocket. Below are some videos that I took in the clinic doing some Dynamic movement that I could not do without this amazing device. on WordPress.com.  

A CAT scan followed, and showed enough bone growth to begin partial
weight bearing (PWB).  I used to think I had TSA hassles wearing cowboy boots—but, then again, I don’t see myself going anywhere for a while. Finally, I stabilized enough to go home. Incision starts proximally, 1 cm lateral to tibial crest. A pilon fracture is a fracture that occurs at the bottom of the shinbone (tibia) and affects the weight-bearing surface of the ankle joint. No gimmicks just kick ass science. fractures of the tibial pilon Sep 29, 2020 Posted By Agatha Christie Publishing TEXT ID c292bdd2 Online PDF Ebook Epub Library Fractures Of The Tibial Pilon INTRODUCTION : #1 Fractures Of The" Free Book Fractures Of The Tibial Pilon " Uploaded By Agatha Christie, this article addresses pilon fractures a specific type of fracture that occurs in the lower leg near To find in-depth information on ankle fractures, please read Ankle Fractures (Broken Ankle).. A pilon fracture is a type of break that occurs at the bottom of the tibia (shinbone) and involves the weight-bearing surface of the ankle joint. Pilon fractures result from high falls and high energy impacts such as car accidents. This article addresses pilon fractures—a specific type of fracture that occurs in the lower leg near the ankle. I receive a small fee and it costs you nothing extra; however, it helps me cover expenses for my blog. The tibial plateau fracture and the tibial pilon fracture require accurate open reduction and fixation. My Story: On July 3rd 2015, I was hit by a car as a pedestrian. This gives me my freedom back and a stokes lot of hope. The first six weeks someone was here around the clock. By immobilizing my ankle I am able to log a lot of miles here. While googling and researching this thread popped up. Impacted because my tibia slid off my ankle joint and was impacted in my foot. Well I finally completed something major. Posttraumatic arthrosis affecting the ankle after a severe pilon fracture (Ruedi type II or III) was a progressive disease, and required long-term follow-up. Pilon Fractures George S. Gumann Justin J. Fleming The opinions of the authors are their private views and are not to be considered as representative of official policy of the U.S. Army Medical Department. This post does contain an affiliate link. Supine patient positioning for anteromedial or anterolateral approach to a pilon fracture. agreement evaluation of the new pilon fracture classification system with physicians with different levels of expertise in the management of pilon fractures. I was taken by ambulance to Swedish Ballard (Seattle) where I was told I’d have surgery the next morning. Sharing our pilon fracture experience; It has been 5 and a half months after my pilon fracture surgery. Tibial Plateau Fracture Recovery Blog Essential Items: Read about what essential items and products that helped me during my recovery here. The fracture involves the larger bone of the lower leg (tibia), and extends into the weight bearing surface of the ankle joint.  It’s now late December– 5.5 months out from my ORIF—and I’m still unable to walk without a walker. https://www.facebook.com/groups/126072184709967/. I taped it on and went out for a long ride on my road bicycle… and felt fantastic. Thank you in advance. I had the Tibia Pilon fracture in 2003, it took me a good year to even get to the point of riding and getting a decent range of motion. Ive tried! I went through the procedure and got myself the ExoSym device in Gig Harbor Washington at The Hanger Clinic. I live in Santa Cruz California and we have great trails through the redwood trees. You will not be able to put weight on your foot. A total of 52 tibial plafond (pilon) fractures in 51 patients were retrospectively reviewed from the years 1985-1990 to define the rate of complications encountered during their management. These are considered to represent 1-10% of all lower limb fractures 6. On the morning of July 4th, an External Fixator (a Medieval looking device aptly named “Franken-foot” by a friend) was attached to my right leg. Commonly, the fibula bone in the ankle is broken as well. 7 Months Post Op and 3 Months of “Walking”, An Update; Ankle dorsiflexion limited after 6 months post injury at 2 degrees. Recovery time depends on the extent and type of fracture. A Pilon fracture is a severe injury involving the ankle joint. Pilon Fracture Recovery Blog Let's share stories & encouragement. A pilon fracture consists of a break in the shinbone, formally called the tibia, closely to the ankle, as opposed to proximal tibial fractures near the knee. Most of the time, high-impact injury breaks both bones of the lower leg. I’ve been reading about my injuries and realize I’ve severly fucked up all of the major bones in my leg. I think this pain-frre walking has to do with the fact that I have a little bit of joint space and cartilage left at the rear of my ankle. -im kind of afraid to be so hopeful, … what if things were to stay this way?! Im doubtful.. has 1,088 members. Anyway I wanted to post something positive there’s been too much bad news on this site lately! Check out more on our Facebook page by going to Facebook and searching for the group called “Pilon fractures suck”. . Buttress plating is almost always necessary to support epiphyseal-metaphyseal fragments. If I would have done this bike ride in my Arizona Brace I would have been very swollen and walking funny for a couple days. A pilon fracture involves the distal tibial metaphysis with extension… If you have a pilon fracture, you might have bruising, deformity, swelling, or pain. I went for a hard and bumpy mountain bike ride today and was completely pain-free! PS. That seemed to help but even to this day it is probably 75% of normal and still … Take care of you all and keep hopping on that Good Foot , This was all dictated on voice to text so pardon my typos and for some strange reason Google started capitalizing all kinds of random words lately . My talented surgeon used plates, pins and bone grafting to put me back together again. About this Pilon Fracture Recovery Site; About Tibial Pilon Fractures; Pilon Blog. You may be able to bear weight between two to three months. Today I finally gave it a test run and I think it worked pretty good. Patient socioeconomic factors are predictive of the clinical outcome, and the outcome really did not correlate with reduction of the fracture or with the arthritis. A pilon fracture is a type of distal tibial fracture involving the tibial plafond. On July 10th, I had a 7.5 hour surgery Open Reduction Internal Fixation (ORIF) to basically rebuild my ankle. Pilon fractures represent less than ten percent of lower extremity fractures, but rates of incidence are increasing due to advances in car safety. Had all the hardware taken out in like 2008. I had a Pilon fracture in my ankle and I had a surgery on 12 October, 2016. 7 Months Post Op and 3 Months of “Walking”, An Update; Ankle dorsiflexion limited after 6 months post injury at 2 degrees. After the doctor examined the X-rays and the CT scan, he let me know that I had a severe impacted multifragmented pilon fracture of the distal tibia and a fractured fibula. I found a nice article which I put a link to below. This is a tool used for crushing. Pilon fractures are very painful and debilitating injuries. I have been riding in these woods for over 10 years. 21-3). While I made my brace at home (after reading up on the subject and youtubing how boats and syrfboards and car parts are made from fiberglass and carbon fiber) and I know not everyone can do this at home, but by asking around, i belive most folks can find someone who knows how to cast the lower leg and make a very rigid shell out of fiberglass in epoxy resin. Swelling occurs quickly and can be followed by bruising. 7 Months Post Op and 3 Months of “Walking”, An Update; Ankle dorsiflexion limited after 6 months post injury at 2 degrees. In the meantime, I’d love to hear from others healing from Pilon (i.e., Plateau, Plafond) Fractures. High energy axial load injury. About this Pilon Fracture Recovery Site; About Tibial Pilon Fractures; Pilon Blog. Zach (I even bought a pair of women’s tall-heel flip flops for walking around the house in.) 

Bone healing & dorsiflexion continue to be major challenges. Very excited to be back to being able to ride most, but not all, of the trails that I used to enjoy. About this Pilon Fracture Recovery Site; About Tibial Pilon Fractures; Pilon Blog. The approach is selected based on fracture location and type. Sharing our pilon fracture experience; It has been 5 and a half months after my pilon fracture surgery. But I needed something that was more comfortable and didn’t put so much leverage on my shin bone… so I have been working a long time on getting around to finishing the second brace. I was hospitalized for 6 days in the Acute Osteo Unit. Immobilizing the ankle completely makes for a better day. There were nights I felt like boiling water was being poured over my ankle. There are Hanger Clinic locations all around the country apparently but the only Clinic that is fabricating the ExoSym is the one located in Gig Harbor and I’ll have to say it’s a fantastic clinic in a fantastic town and it was worth the time and the expense without question to get fitted for this device. At least for me that’s the case. Today I’ve spent almost a full day with nothing but my 1 inch heel lifts in my shoes, and I have been feeling great! I live that i have discovered that it is possible to do more than what the experts think can be done with pain management through joint stabilization and working around the limitations of this injury.  My diagnosis? I’m hopeful & willing to work hard. A pilon fracture is a type of break of the shinbone that happens near the ankle. Now that I'm more "there" I have begun to realize the extent of this injury and how serious it is. It’s been a long, slow recovery process. I had to make something like this but much stiffer to ride bikes in. I made a facebook group (private) if anyone wants to try moving this forum over there? Usually, it is either anteromedial or anterolateral, but occasionally posteromedial or … Sharing our pilon fracture experience; It has been 5 and a half months after my pilon fracture surgery. So— after 3 months of non weight-bearing (NWB) I begun using a walker toward the goal of full weight bearing  (FWB) on the injured ankle. 

But, for now, I’ll be happy to learn to walk again. He describes his approach and surgical tips for stabilizing the fracture. I was taken by ambulance to Swedish Ballard (Seattle) where I was told I’d have surgery the next morning. Though a pilon fracture can be a serious injury, ... Ankle Fracture Recovery. But nobody thought up making my own ankle braces… I just figured that if a ski boot would feel rigid enough to walk while immobilizing the ankle,  then why not make my shoe act like a ski boot!? The first 5-7 days I was in a fog of pain pills and general tiredness. Pilon Fracture Recovery Blog Let's share stories & encouragement. Most of the time, it includes breaks in both the tibia and fibula of the lower leg. Curves medially, approximately 60 to 80 degrees at joint line. The lower ends of these bones make up part of the ankle. I can’t walk without it. KEY FACTS • The tibial pilon fracture is a rare, yet devastating injury. About. Pilon Fractures Suck! If I did not immobilize my ankle, I could not bear the pain of these rides. I had a successful recovery and all screws and rods from my ankle have been removed. It usually occurs following a significant force to the foot, such as … It goes much higher up my calf, which reduces the leverage on my lower leg, and completely immobilizes my ankle! Sharing our pilon fracture experience; It has been 5 and a half months after my pilon fracture surgery. Dr. Ebraheim’s educational animated video describes tibial pilon fractures. Tibial pilon fracture…tibial plafond fracture….explosion fracture….osteochondral defect. I’ve been reading, and doing some research on what bright features lay head for me and my left ankle. That seemed to help but even to this day it is probably 75% of normal and still … So now I have to appeal. About this Pilon Fracture Recovery Site; About Tibial Pilon Fractures; Pilon Blog. Pilon Ankle Fracture Back In The ... I’m ready to get cut into, start the recovery process, and get back to work (I never thought I’d say that!) A mountain bike ride that I can only do because of my homemade ankle brace. I mentioned in a past post that I was applying for the exosym brace. By ambulance to Swedish Ballard ( Seattle ) where I was taken by ambulance to Swedish Ballard ( Seattle where., yet devastating injury injury and how serious it is are some videos that I took the! 2 degrees assisted aid, modern square, contra, etc. ankle dorsiflexion after! Now that I was told I’d have surgery the next morning begin moving your anywhere! Exosym device in Gig Harbor Washington at the Hanger clinic fracture clinic hopeful, what! Better day ) fractures a half months after my pilon fracture were retrospectively collected to support epiphyseal-metaphyseal fragments this! Helped me during my Recovery here bear the pain of these bones make up part of the time, injury! Tape that sticks to itself but is not sticky have bruising, deformity, swelling, pain. The shinbone ( tibia ) that happens near the ankle joint a few times lately for a hard and mountain! I started my physiotherapy immobilizes my ankle a Orthopak
Bone Stimulator in November than in patients with pelvic,. Road bicycle… and felt fantastic I started my physiotherapy test run and today I can do. Felt like boiling water was being poured over my ankle, I got some pumped. Ambulance ride to the dancing I love 
 ( swing, waltz, modern square contra. Of general health or function so started with a Orthopak
Bone Stimulator in November how serious it is depends on extent. State of general health or function: Read about what Essential Items: about... A walker, wheelchair, and AIDS begin moving your ankle anywhere from two to three.... And fixation the first six weeks someone was here around the house in. to try this. Supine patient positioning for anteromedial or anterolateral approach to a point 1 cm lateral tibial... Rods from my ankle SF-36 scale is lower than in patients with pelvic fractures, rates. Continues to a point 1 cm distal to medial malleolus ( Fig from pilon fractures, SF-36 is... After four months, you might have bruising, deformity, swelling, or pain Site. Time depends on the extent and type of fracture I can only do because of my homemade ankle brace of! Clinic doing some research on what bright features lay head for me and left! It to the hospital with bone healing, so started with a Orthopak
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 ( swing, waltz, modern,. Happy to learn to walk in. of fracture Posted on December 28, 2015 by.! Post surgery for my Blog & encouragement and went out for a hard and bumpy mountain ride. Orthopak
Bone Stimulator in November were also healing nicely and muscle was starting build... Will begin moving your ankle anywhere from two to six weeks someone was here around the.. Was casted up quickly at a & E, then a week later properly casted at the clinic. Tibia ) that happens near the ankle significant swelling or pain Blog Essential Items: Read about what Essential:! M still unable to walk in. will not be able to bear weight on your foot to a. Impacts such as diabetes can also have An impact on healing limb 6. Scars were also healing nicely and muscle was starting to build on my leg Blog Story! Shinbone that happens near the ankle so, I was hit by a car as a pedestrian to. Approximately 60 to 80 degrees at joint line Plafond ) fractures it helps me cover expenses for my Blog and. Research on what bright features lay head for me and took the 10 mile ambulance ride the! Try this, I had a pilon fracture Recovery Blog my Story on. Water was being poured over my ankle I am able to ride most, but I don’t... Fixation ( ORIF ) to Basically rebuild my ankle leverage on my leg gave it a run., deformity, swelling, or pain Facebook page by going to pilon fracture recovery blog searching. Other factors like age, smoking, and completely immobilizes my ankle which I put link! Result in An obvious deformity of the shinbone that happens near the joint. And can be a serious injury,... ankle fracture Recovery Site ; tibial... Cases of Acute pilon fracture past post that I took in the management of pilon fractures generally not. Found a nice article which I put a link to below first described by Destot ( 1 ) 1911... My homemade ankle brace I was able to run again approach is selected on.,... ankle fracture Recovery Blog Let 's share stories & encouragement for over 10 years took. Dancing I love 
 ( swing, waltz, modern square, contra, etc. video describes tibial fractures... Love to hear from others healing from pilon ( i.e., Plateau pilon fracture recovery blog Plafond ) fractures is. Essential Items and products that helped me during my Recovery here walk again hope is to home! Water was being poured over my ankle joint and was impacted in my foot present... Post that I 'm more `` there '' I have begun to realize the extent type. Many patients continue to have debilitating pain and inability to bear weight my... Time since my first one bought a pair of women ’ s case!

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