I’m sorry Miss Walsh, you have a Trimalleolar Fracture…

So my life has sort of fallen off course! My 20 years on this planet; I have never been seriousley injured. I have never broken a bone, never have had stitches, nothing. Although, I am a huge klutz; I have always lived on the safer side of life.

Unfortunately, on January 22nd 2008, that all changed. It was an okay day, the first day of classes. I woke up late for my 1:30pm math class, I was being lazy because I dread math! I finally got to school by 2pm! I was happy because there was no traffic and I scored a spot in the front of the building. I went to class, my professor seemed cool and I even knew a couple of people that were in my class. 3:15 pm came and I rushed out of class, anxiously awaiting some nicotine! I decided to take the outside stairs leading to the student life center! It was a cold day a bit damp and rainy, but not too rainy. I guess you would say it was drizzly!

As I approached the doors that led outside to the top of the stair case there was this big 300 pound moron taking her sweet ass time to get outside, it aggravated me so I cut her off. I guess I’m ruthless! I stepped down two stairs, everything was fine, the 300 pounder was now caught up and behind me. All of a sudden I slipped and fell down the flight of concrete stairs about 8 steps. I landed on my knees and immediatley felt a jolt of bad pain. I also heard a horrible pop noise and ripped off my ugg boot. I started cursing and moaning with pain. Something was terribly wrong with my ankle! It hurt unbearably and I could not move it. As the pain increased, I thought to myself this is what I get for talking shit about that slow, heavy girl! God sure did punish me!

These really nice women happened to see me fall and they got me help immediately. Everyone kept asking if I was okay. It was quite aggravating because I was in killer pain. It all happened so fast, the pain and throbbing persisted, but I did not cry. I sat on the cold concrete platform of the stairs with rain drizzling on my cold ankle. I waited with these two women who kept me company. Thank goodness for these lovely ladies. The cops showed up pretty quickly, they said the emt was busy helping with other serious incidents on campus, so they brought me blankets and called 911. They asked me what had happened and I explained to them that I fell down the stairs. Turns out the stairs were covered in ice and had not been salted! The police took note of everything.

I waited about 15 minutes in the cold for the emt to come. She checked out my ankle, but wasn’t sure if it was broken or not. I prayed to God that it wasn’t. It looked super swollen and mangled, but I really couldn’t tell, since I’ve never experienced any type of break or injury like that. I was very upset and called my mom. She upset me even more because her first response wasn’t are you okay? It was DO YOU HAVE HEALTH INSURANCE? I said yes of course I do angrily and said I don’t want to talk to you. One of the nice women who helped me from the beginning (Karen) took the phone and told my mom the details.

Monoc the paramedic company finally came. My ankle began to really give me a lot of pain, they gave me some ice to reduce the swelling. It was now time for me to go to the hospital, but I couldn’t stand on my own or walk because my leg was really fucked up. The paramedics got this conveyor belt seat contraption, they put me in it and took me off the stair platform where I was laying and down the rest of the stairs. They put me on a stretcher and shipped me off into the ambulance. I was comfortable until the ambulance started moving. I felt every bump and pothole it was excruciating. The emt first responder rode in the back with me. She had to ask me a thousand questions. I got aggravated because I was in so much pain, but I answered them as best I could. The ride to the hospital felt like forever, although it was only 15 minutes away from my school in the sweet little town of Red Bank, NJ.

Once I got to the hospital they wheeled me to the ER. Although I was in terrible, horrible pain it was fun being wheeled around on the stretcher. The ER doctor was very nice and my wait was very short to see him. I was sent to a room, given ice and relaxed for a few minutes, until it was time for xrays. Xrays were horribly painful. I had to turn my body and move my ankle to the sides which was extremely torturing. I was moved back to the room in the ER and was very suprised to see the nice woman Karen waiting for me. I was very happy because my mom hadn’t yet arrived and it was nice to have company. What really sucked was that the xrays didn’t come out right, so I had to go back in and repeat the process all over again. It wasn’t as bad the second time around because I knew what to do.

It turns out my ankle injury was so bad the ER doctor couldn’t pick up on all the damage, so they immediately called an orthorpedic surgeon down to look at my xrays. By this time my mom had arrived. The surgeon came down to see me. He was a typical surgeon, very brief with little bedside manner. He told me what was wrong and what he could do to help me. All my hope shattered in to pieces on the ground. It turns out I did not have a sprained ankle at all! Instead I had 3 broken bones and a ruptured ligament! My injury is called a trimalleolar fracture. In easy non-doctor terms, I broke my tibia, fibula, and ankle. I was horrified!!! He showed my mother the xrays, she was stunned. He explained that I needed to have surgery as soon as possible.

With that said I was admitted to the hospital, and changed into a hospital gown. The surgeon put a splint on my leg and explained to me that my surgery was scheduled for tomorrow afternoon. He also explained to me that I needed a metal plate, pins, a rod, and 3 screws to fix my ankle. He got in to lots of details about why I needed all these things, but I can’t remember all those details. I was weary! I wanted a second opinion so another orthorpedic surgeon came down to look at my xrays. He agreed with my surgeons diagnosis. He left and after about 2hours I was wheeled up to a room. Karen left, but my mom stayed.

That night was terrible, I was given shots of morphine for pain, it made me so sick. I think I slept a lot that night, but I don’t really remember. My mom felt so bad for her initial reaction to my injury on the phone, she realized the severity of the situation. She stayed with me for a while, but I told her to go home and that I would be fine. I had 2 wonderful night time nurses named Wendy and Claudine. They were so nice, and helpful I loved them. It was so hard for me to do anything. I was not allowed to get out of bed. The following day came 1/23/08 and that afternoon around 4pm, I had my surgery.

I was very, terrified. I’ve heard so many horror stories about surgery, it was the last thing I wanted to go through, but I had no choice. The nurses and my mom told me I had to take out my piercings before going into the OR. I cried because I love my monroe piercing. I refused to take it out. Claudine said she would talk to the anaesthesiologist to see if I could keep it in. (Taking out piercings prevents infections) Pre-operation I was happy because Claudine said I only had to take out my belly ring. I didn’t mind doing that. She said I could keep my monroe piercing in. Although I felt terrible, she made me very happy.

I said goodbye to my mom as the transportor wheeled me down to the OR. I was terrified. I started crying, but then I calmed down. The nurses put a cap on me and took me into the operating room. It was very cold and scary looking. It was all Male nurses and doctors they all introduced themselves, they were all nice and very funny. I felt better. They lifted my body on to the table and the anaesthesiologist came over to me and introduced himself. He was this funny asian man. He told me he had some good stuff for me as he hooked me up to the IV. I fell asleep, and woke up in the recovery room. The surgery took about 2 hours or a little less. Being in the recovery room is a huge blurb. I remember a nurse watching me. I kept asking her where I was and why I couldn’t move. (I was strapped down) She answered me once, but after that ignored me. I was all drugged up, I can imagine how annoying I was. I felt like a prisoner stuck inside that bed.

I was eventually wheeled back to my room. I was so suprised to see that I had visitors and lots of flowers and presents. I was very, very excited and happy. Tara came to see me, that made me really happy 🙂 She also brought me my favorite foods, but I didn’t eat them until like 2 days later. I slept really well that night, and continued to get morphine shots. I stayed in the hospital from Tuesday until late Friday night. I was in a lot of pain the whole week and I was scared to do things on my own.

The whole hospital/surgery experience wasn’t as scary as I had thought it was going to be. I met a lot of nice people that helped take care of me. Getting home was a huge challenge and learning to get around. I had to use a walker for the first 2 weeks that I was home. I was really embarrassed, but the crutches were too hard for me to manage. I didn’t really get out of bed too much only to go to the bathroom. I did not have a full plaster cast. It was some type of cast, but it was soft. I guess it was like a splint with a plaster back. I went to the doctor a week after my surgery. More xrays were taken and he cut the cast type covering off. He put me in a big funny looking boot called a cam boot. I have to wear it all day, but I can take it off for a few hours or sleep with it off. He showed me some exercises that I needed to do to gain strength and get rid of stiffness in my ankle. He arranged for physical therapy sessions right away. The following week I went back to the Doctors and got my staples removed. It wasn”t that painful, just kind of pinchy. I guess I cheated by taking a percocet before getting them taken out.

I started going to physical therapy last week. I love it and I am now on crutches. I was a huge klutz on them, but now I can go out in public without stares. My physical therapist (PT) is awesome. He gives great leg massages and has taught me a lot of different leg exercises to get my ankle better. I was terrified about going to PT at first because of horror stories I’ve heard. But its really isn’t bad. I like going.

It’s been about 3 weeks since my surgery or a little over? Things are going much better. This is the first week that I am no longer using a lot of my pain meds. I did pop some oxycontin tonight because I had pain after pt. But other then that I don’t need them anymore. The whole initial healing process takes 12 weeks. I think I have ten more weeks left without walking. Around the 8th or 9th week, I need to have one more surgery to remove one of the screws. I am not looking forward to it, but I am glad that I will have one less screw in my ankle 🙂 I think after that I can begin walking. I found out today that I also hurt my knee. I may have torn my miniscus, which is tissue that lies between the knee joints. It’s not a huge thing, but it hurts sometimes. I may get an MRI done when I go to the Doctors. It’s always something!

This whole ordeal is something that I can cope with but, I get upset a lot because I had to change a lot of things in my life. I had to drop some classes, stop going to work, and stop driving. I don’t get to see my friends a lot either, or the boy that I like. Those are huge things for me to be missing out on. But I am keeping a positive attitude. In 10 more weeks hopefully I will be a lot better. I may go back to work in a week or so because I am running out of money. I still need to pay car insurance even though I’m not driving, which sucks!

There are some good things that have come out of this situation. After 3.5 years of smoking I finally quit and feel great about it. I also have lost some weight because I eat a meal or 2 a day, I don’t want to get FAT!!! I am also becoming closer with my stepdad because he helps take care of me during the day when my mom is at work. But most of all this situation has made me realize that life changing events can occur at anytime. No one is invincible to anything. I thought I was invincible to breaking bones and surgery, but look what happened! I am now thankful for all the days I had when I could walk normally. But I am even more thankful that I am going to heal and that I can now walk with crutches. Being positive is key and it is something that I am doing well with.

I hope my story makes you cherish the way your life is and the importance that a life changing event can occur at any moment. Just remember when things get messy all you can do is try your best to clean up! Never give up and always stay strong.

xoxo-Melissa

125 Responses to “I’m sorry Miss Walsh, you have a Trimalleolar Fracture…”

  1. Well, at 50 (shhhh..I don’t usually tell my age) I am still a delectible redhead, lol. AND two and a half years ago I ALSO had a trimalleolar fracture. Childbirth is nothing compared to the pain, the surgery, the recovery. I have 2 plates and 12 or so screws that they won’t take out as my break was so bad and they elect to leave them in unless something happens. Anyway, I will never run again, but am back up to 4 miles on the ellipitcal. I hope that I can inline skate and ski again…I haven’t tried putting on the boots. My plates and screws hurt w/too much pressure.

    I teach art, am an artist, and man, did that change my life. It slowed me down (I was running down the stairs too) and gave me a new perspective. It also made me face my fears of surgery, needles, etc. Grrr…..sometimes life just does that to ya.

    Anyway, fun blog, go with the older guys till you ae my age, then a bit younger is ok, LOLOL. I hope you heal well—you are young and should bounce back just fine!

    patti

  2. I too have suffered the same injury and came across this page whilst looking to see what long term effect this may have on my sport.I am now 8 weeks into my recovery and cannot bear much weight on it. Swelling is also pretty awful.I totally agree with patti’s comments on the pain, Ive broken arms, legs, ribs, skull and fingers but boy this particular hurt like hell. Two canisters of entonox and a shot of morphine before they could move me. I also managed to quit smoking too woohoo ( only because no-one would wheel me outside for a smoke, but im glad no-one did now)
    Anyway i hope to be back on my mountainboard soon. Byee Daz

  3. I have the same fracture, done it on Jan 12th and had surgery Jan 14th. just wondering when will we be able to start walking again, i am getting tired of this soft cast/brace, even thou i do sleep without it.

  4. I too had this injury on Dec. 07, 2007. I am still in physical therapy, I can’t walk down the stair and my ankle is still sore and sensitive. I don’t think I will ever run again. My PT tells me I need to do more stretching and let strengthing exercises. I was just wondering if all of you who posted above are back to “normal” or if you are still having trouble walking normal and going up and down stairs! I am 47 so maybe that has something to do with the slow healing time!

  5. maire Says:

    All this is very interesting, came across this trying to research a bit more about my fracture, its also a trimalleolar. I’m a twenty year old female and fell practicing kicks in my martial arts class. its now been nearly three weeks since it happened. I had surgery the day after it happened and was discharged the day after that. Unfortunately the whole experience has been so frustrating. everything to do with the hospital seemed so badly organised. no one even told me what they would do in the surgery. all i was told was that i had three broken bones in my ankle and i needed surgery. I only found out that i had plates and screws inserted by researching it on the internet. my first night in the hospital, they put a cast on it and then i was left on a trolley in a corridor, a very busy one, the main A and E corridor. this is common though in ireland, there were many other patients in the corridor as well. they did give me some ice at the start but this promptly melted and then i spent the night in a pool of water. It wasnt the nicest place to be when you are in excruciating pain. so obviously i didnt sleep at all. the next day i had surgery and luckily i got a bed in a six bed ward afterwards. unfortunately most of the people in the ward were a bit on the mad side so most of the night was filled with different patients screaming and ranting, a patient in another ward even tried to escape so all the nurses were occupied trying to chase after him. this was bad for me as i have never been in a hospital before and when i looked at my drip all my blood was going back up into it from my arm. This gave me a big shock and i started to get very upset and distressed as i didnt know if it was serious or not. I pressed the button for assistance but it took an hour before anyone came to change the tube. The nurses were all brillant but they just seem to be undersourced and underfunded. even when i was discharged no one came to check up on the ankle or even tell me about what to expect. i just asked a nurse if it was ok to go as my parents had arrived to take me home and she said ok yes well why not go if you want. I had my two week consultation there recently. i didnt even know i had staples in my leg as no one told me. Unfortunately yet again i didnt get to see a doctor or get an x ray as they forgot to tell me i was supposed to. I thought it was strange that i wasnt getting an x ray so i asked the casting technician if i should be getting an x ray and he said no i was free to go and that id get an x ray in 4 weeks time so i left. two hours later they rang me asking me why i hadnt seen the doctor or gotten my x ray. exasperated i told them what i had been told. This is just typical of irish hospitals, no one ever tells the patients anything, i dont understand why they cant get something right on such a basic level. just telling people whats going on. ive only been finding out what actually happened to me and what to expect by finding it myself on the internet and sites like these! Sorry for the rant but i’m so frustrated that it helps writing it. anyway as i said i’m now three weeks in my cast. They said it’ll come off after six weeks, ie in about another three/four weeks. but no one has told me if ill be able to walk or what to expect or how long it’ll take to get back to normal so if anyone can help that it’d be great. i’m very fit and love sports. i cant bear to think that i might not be able to go back to my martial arts or my climbing and hiking and dancing. i love being active and i cant imagine life without these things. i really want to go hiking in june…i just dont know if i’ll be able to…Anyone have any answers?

  6. David Says:

    Glad I made it to your website. You described whining about your breaks, but I saw no whining. It was a bit wrenching to me knowing what you went through because you are such a sweet person and you never even made a peep in class about what you went through. Anyways every time I see you you always have a smile, so I can vouch for your positivity. I never knew what a Monroe piercing was until I read this post. I will have to read more of your blog. I hope you heal really well! Wont see you in class Wednesday as I am out of class for a much happier reason, to see my niece! See you last day of class, Walshy Walsh.

  7. Anne Clarke (Nee Walsh) Says:

    A redhead also!. I’m 46 but did my trimalleolar at age 28 playing lasertag. Child birth definitely is much easier! I was told I would never run/ do sport again but withing six months was water skiing. After 1 year there was only 65% movement and could run and I insisted on having the metalwork taken out. It made an enormous difference – squash, tennis, skiing, anything. I have been able to continue with everything just because the plates and screws were taken out. Good Luck, it is a two year recovery process and remember to do lots of swimming.

  8. Lori Matthews Says:

    On June 7th 2008 I fell 12 ft. (PRAYING OUT LOUD!) when the ladder I was working on slid out from under me. My right ankle took virtually the full impact resulting in a trimalleolar fracture. I am thankful for that is all I injured. Sooo could have been worse! I had plate & 10 screws put in. Well it has been over 8 months & the healing process has gone MUCH better than I antisipated. I read several blogs right after my fall, that really had me discouraged. Nevertheless, with alot of help from God, family & friends I was working again after 3 1/2 months. I was not in the best of shape before the fall nor did I have physical therapy. I went dancing New Year’s Eve. I go on long hikes now on a regular basis. I would say my ankle is about 80% healed. I suppose I will keep the hardware in as long as it doesn’t interfere with the quality of my life. Blessings to all that are still in the healing stages!

  9. Dorothy Naib Says:

    I was pleased to find his site and learn there is light at the end of the tunnel! In January 2009 – 12 days before my 67th birthday – I slipped on a travelator at my local supermarket. I had excellent treatment in A & E had the operation 3 days later and was sent home with a zimmer frame to hop around with! Within 36 hrs my right hand was suffering with tendonitis and I was confined bed/wheelchair. I developed thrombosis in the injured leg so the plaster had to be cut off for scans. I was put in a very large Donjoy boot ( ankle too swollen for my correct size and have had sleep in it as well. It acts like a cantilever and has nearly catapulted me out of bed on several occasions. It is 7 weeks now and I have to go back in another two weeks
    when I am praying that I will be able to start some gentle weight bearing and escape from the house other than my current 3 weekly visits to the anti-coagulant clinic. Like a previous poster I have a strong faith but the isolation this has caused is pretty awful as my husband and son work very long hours. My mobile phone is a real boon and I count my blessings because my situation is not permanent. Incidentally I was on my way to the bank with the Sunday offerings as I am Church Treasurer – because I had to have an anesthetic to reset the ankle in Casualty they had to count all the money and put it in the hospital safe!!! However they had a man recently who had £4,000 in a brown paper bag because he no longer trusts banks – sensible guy?? I am a lot older than most of you but although not sporty I really enjoyed my morning walks and want to get back out there REAL SOON! Thanks for all the encouraging bits . Hope you can see the humorous side of my posting.

  10. Sally Says:

    I am very happy to have found this website. On January 9, 2009 I was walking my dogs and had an “agony of defeat” wipe out on my neighbor’s icy sidewalk. I, also, had never broken a bone before but knew immediately that I was in big trouble. Aside from the pain, when I looked down toward my ankle the bottom of my right foot was pointing off to the right and my ankle was pointing to the left. Not a good thing. (I am proud, also, to state that I never let go of the leashes and I also didn’t cry…) Anyway, I tried to get up to knock on the neighbor’s door but that was obviously not going to happen, so I tried to wave down some apparently blind drivers passing by me lying on my side in a pile of snow. No luck. I did manage to find my cell phone and call 911 but was having trouble figuring out the name of the street I was lying in. Eventually I did and they sent an ambulance, but it went to another guy around the corner who had fallen on his own driveway and hit his head. So HE had two ambulances and I had none. I called back 911 and told them to please send my ambulance to me around the corner and THAT got all straightened out. The EMT’s managed to get me in the ambulance and decided that I needed a paramedic instead so they pulled over and waited for the paramedics to transfer me into their ambulance. As all of you know, the jostling around is a bit agonizing, but I didn’t cry. I DID shake a lot now though because I was half frozen to death at this point, and I was in a bit of shock too I think. I got to the hospital and the nurse pulled my sock down and said a very loud OOOOOOH. I asked her if it was broken and she said, “Oh yeah.” I told her I wanted to see and she said, “No you don’t.” I assured her that seeing it wasn’t going to make it feel any worse than it already did, so I looked; it was gross. The doctor came in, did x-rays and told me that it was broken and dislocated. Unfortunately for me, they had to immediately re-locate my ankle before surgery because it was seriously screwing up my circulation. I asked if they would please wait to relocate it until I was under anesthesia, but they said they couldn’t. NOW THAT WAS REALLY NOT FUN!!! And I had to go into emergency surgery because either the dislocation or one of the fractures had “tented” the skin on my ankle so badly that it was becoming necrotic and they needed to remove that part of the skin, too, before it got any worse. I came out of surgery with a gazillion staples going up the medial and lateral sides of my ankle and a huge patch of flesh with no skin, but just a dressing under lots of bandages and a splint. I had a trimalleolar fracture with dislocation, some ruptured ligaments and a fragmented fibula. There is more hardware in my ankle than at Home Depot. I have had an RSD scare and cellulitis in this ankle in the last eleven weeks. BUT, I want to say that I really believe that a lot of recovery depends on just having a positive attitude. My doctor was very eager to get me into physical therapy as soon as possible because of the RSD scare. I started limited weight bearing after six weeks and have just really worked hard in PT and out of it as well. You really can’t be wimpy about it; some of it hurts, but as my physical therapist told me, he has another patient with a similar, but not even as severe, fracture who is afraid and will not push herself and she is nowhere near where I am now. I have been walking without even a cane for two weeks! I limp, but I’m walking. Next week I get out the syndesmotic screw and I hope that will help me lose some of the limp. I think that is really limiting my dorsiflexion and if that is improved my limp will be too. I am a bit concerned about a lot of the nerve pain and neuralgia on both sides of my ankle and wonder when, and if, this is ever going to go away. Sometimes it feels like a nail gun shooting nails, one after another, into the malleoli, but always the neuralgia on the skin is tough to take. Socks can be a bit brutal. I know I’m only into this about 10.5 weeks, but can anyone who’s been recovering longer tell me if that improves? I am 49 years old, but in good physical condition. I’m not ready to accept that I will never be able to wear socks or walk any great distances without groaning for the rest of my life! Good luck to everyone!

  11. Sandra Says:

    I suffered a rimalleleor in 2001 faling down stairs – only exception I am a blonde – lol. And yes it was the WORST pain in the world wose than childbirth. I had a plate 7 screws, 2 pins and 2 wires inserted. Within a year of the initial surgery I had 2 more removing all the hardware, it was hurting more than helping. Fast forward 8 years and I just had arthroscopic surgery (did your any of your surgeons ever mention you would need this in the future mine did TG) I am 8 days post op and my ankle looks like it got hit with a baseball bat – nevermind that it feels like it too! Not as much pain as the first time around! I was 25 when my injury first happened after about 2 yrs I resumed ALOT of my physical activites some not all – ultimately I had a lot of extra roton cartilidge, bone spurs, scar tissue – my surgeon basically told me it was a mess. I was yet again the case of the day! He told me that after the first surgery. If anyone on here is in NY and is not happy with their surgeon I have the man for you. Dr. Howard Baum Bay Ridge Orthopedics I LOVE him. He takes his time, explains everything in ayman terms, excellent bedside manner and is EXTREMELY patient. Hope everyone starts feelin better…happy trails

  12. Connie Knapp Says:

    I fell on an icy sidewalk on Feb 8, 2009. I suffered a severe trimalleolar fracture. Recovery has been difficult for me but right now the most significant problem I am having seems to be shooting pains in my lower leg, ankle and foot. Is this a nerve pain or what? Does it get better with time?

    I hope someone can answer this question for me.

  13. Thanks to the OP for your comments. Your experience, and Sally’s experience mirror mine pretty much.

    I slipped in the snow on the 2nd Feb and as I was in the middle of nowhere mountain rescue had to come and get me.

    When I got to the hospital a student doctor examined my ankle and expressed his opinion that it was only sprained. Thank God that his opinion wasn’t accepted.

    I was sent for xrays, which were very uncomfortable. My foot felt like it was (painfully) floating in midair- absolutely useless. The doctor came in and said that I had a trimalleolar fracture, immediately followed by two nurses with a plaster cart. They had to re-locate my ankle there and then. Sally, you’re absolutely right- that was the most pain that I have ever experienced. One of my friends is a very experienced nurse and she told me that morphine does not work on bone pain. Shame the doctor didn’t consider that. Horrible, horrible experience. The worst bit was when they re-xrayed it and discovered it hadn’t worked. I was taken into resuss where they completely sedated me because it had been so distressing.

    I had to wait for two days for surgery, but in the meantime made some great friends on the Orthopedic ward. I’m 28, and everyone else was 65 plus, but they were amazing and we were quickly known as the ‘troublemakers’.

    The surgery went well, but they kept me in for 10 days because I managed to fall again! How stupid am I?! I was released and was non-weighbearing for four weeks until they removed the plaster. They wanted me to walk on it immediately, but in my mind it had not been that long since they put it on! It was hard going for the first week, but as long as I have been disciplined with my PT my recovery has been amazing. Not as good as Sally, but I’m getting there.

    I have to say that I’m annoyed with the socks thing as well. I can only wear knee-highs or over the knee or I get loads of swelling. I’m also having problems with shoes causing me swelling and water retention in my foot as well. It’s a good excuse to wear my sandals, but I have a major interview in three weeks and I can’t exactly wear sandals with my suit! Anyone else have this problem? I’ve been sitting with my leg elevated most of the day and my ankle looks pretty normal today, but it doesn’t take much to swell. Oh well, at least I’m walking about.

    I occasionally get those kind of pains, Connie, but I think that it is the muscles and tendons readjusting. I was told that it takes seven times longer to build up muscle in comparison to losing it. It was like that at the end of last week after I had been doing a *lot* of walking around. I elevated it for most of the next two days, alternated with regular exercise, and it seems to have sorted it out. Sometimes a bit of warmth relieves it as well. It might sound a bit simple, but it really has worked.

    Oh, I was also told not to sit with my legs crossed at the ankle as it can reduce circulation, and what with still getting blood pooling, needless to say I have taken their advice!

  14. Thank you all for sharing your stories. I haven’t logged into my blog in months, but I am glad people are finding my story useful 🙂 It’s been over a year since my break and things have been better. I can’t run and still get sharp pains in my ankle, especially when the weather is bad, but I have healed! Just remember, as bad as things get there is always a light at the end of the tunnel. The healing process takes time, just be patient and go to physical therapy and you will be fine 🙂

    -Easy healing to all,
    Melissa

  15. I, too, had my Tri-Mall fractures on January 9, 2009, Sally. At dusk, I walked out to the mailbox. Snow covered a patch of ice and I slipped. I knew it was not good. When I looked at my ankle, there were three rings of light spinning around it. (My son asked me to please stop telling this story! He said it had something to with my eyes and shock.) I called for help, got some and an hour later I was in ER. The EMT was going to cut off my new boots, but we managed not to have to. (To think that was my worst worry at the moment!) X-rays showed the Tri-Mall. I was admitted. I hope that, like childbirth, I will forget the pain of having the bones realigned. My surgery was two days later. I was in the hospital for 9 days and then transferred to rehab nursing home for 3 weeks. I live alone and had to be able to maneuver myself on the walker. I have nerve damage and weakness in my other leg and lower back. The PT’s there were great. The third time my cast was taken off for periodic x-rays, there was an ugly infection in one of the incisions. It has taken over 4 weeks to cure the infection. I was switched from the plaster-type cast to the black removable kind, so that bandages could be changed. I think the infection came about after the stitches were removed, but I also had an abscessed tooth about week 5. Apparently any infection in your body can travel to the hardware area in your fractures. (The OS said I will always have to have antibiotics when I have dental work from now on.) I was faithfully taking the penicillin precribed by the dentist, but after some swabs of the wound site, found I needed a sulfa-type antibiotic. I will have x-rays again this week and if all is well, I will have the pins removed and I can begin PT. When I see the x-rays, it looks like the pins are really long screws. I wonder what to expect when they are removed…?

    I am in my late 50’s, so I expect that my recovery might be longer than a young person. My Doc said that I had no signs of osteoporosis. I had wondered if that might have contributed. Anyone who could offer some info about pin removal, would be appreciated!

  16. barry d Says:

    hi there i fell awkwardly and have suffered a trimalleolar fracture to my right ankle 8 days ago im 30 years old and very active(was).the seriousnes of my injury has only come to light after personal research on the internet.my consultant says that my bones are all in a position that does not require surgery,but at the time of my injury my foot was definetly twisted to the right.one of the radiographers told me that a timalleolar fracture was rare whereas the nurse at the fracture clinic said they are common.what i am worried about is that the consultant might be wrong as i cannot find any information on the web regarding a trimalleolar fracture that did not require surgery and the initial diagnosis by the a&e doctor was that my ankle did require surgery and after admission to a ward was then informed by the consultant that surgery he hoped would not be required.but i would be set re-set in cast and attend his fracture clinic weekly so he could keep up to date with the positioning of the broken bones.my next appointment is 3rd july 09,(4 days).can anyone tell me if my conultant is probably wrong or if i am lucky that my fracured bones are all in close enough proximity of each other to heal without surgery my (fibula has a spiral fracture).i am in scotland and have never submitted a post on a forum before.
    (will it heal better with surgery?????.)
    kindest regards
    barry

  17. David Says:

    Hi

    I am glad I found your website. I had a ‘Tri……’ (cant spell it) fracture on the 4th June. I had surgery on the 11th June and after 2 weeks in hospital I am now laid up at home for an indefinite period with only a zimmer frame for a friend. I miss my work, I miss getting out and I find the whole thing psychologically stressful. This fracture has changed my whole life.

    All I did was lose my balance in the comfort of my own home and I fell. In doing so my left foot was lmost turned back to front.

    Because you have been through this, you know how I am feeling. How long do you think my recoveery will take. I want a normal life again.

  18. Robbyn Says:

    Well, I’m another redhead and at 45 was paragliding and now I am recovering from the a trimalleolar fracture. Maybe, I’m just lucky but the recovery is pretty easy. I don’t have any pain just a bit of stiffness. 2 weeks in a split, 2 weeks in fiberglass, 2 weeks in a cam walker and now I’m walking around with a drug store ankle support. Don’t know why but only the first three weeks were discouraging. After that it has been a piece of cake. Rode trike while in fiberglass, moved apartments the day after the cam walker and now with a shoe on there is very little limp.

    I can tell the range of motion is decreased but I think it will come back in time for ski season.

    I dunno why but it really has not been that much of an obstacle, after those three weeks.

  19. Crystal Says:

    I’m sitting on the couch right now on week 8 after my trimal fracture. I had one surgery 3 days after my break and another one about 10 days later.
    I’m so jealous of your getting out of the splint so fast LOL I’m still in mine.

    Anyway, just wanted to wish you happy healing!

    Crystal
    trimal fx 6/23
    ORIF 6/26
    ORIF 7/6

  20. Lauren Says:

    Hello, really glad i found this website, all the other medical mumbo jumbo on the web was getting a bit too confusing :/
    I’m a twenty year old female with a trimalleolar fraction with dislocation in my right ankle….yeah, it sucks!
    I stupidly fell down a grassy banking while walking through a forrest, with a lovely concrete path to break my fall. I instantly knew there was something wrong as the pain was pretty intense, i could also feel a lot of crunching and movement of my bones, then i realised i must have dislocated it as it looked pretty deformed. So naturally, i started howling like the big wimp i am, was loaded onto an ambulance and taken to the hospital.
    I was given gas and air in the ambulance, which helped to calm me down a bit, then morphine at the hospital.
    I was told i would need surgery the next morning, but my bones would have to be realigned before hand. The realignment was bloody sore, and something i hope to nevvvverr go through again!
    Anyway, long story short, surgery went well, its now 4 weeks after the op and i’m in a non weight bearing cast, need to go back in for surgery to remove plates and screws in about 4 weeks, then i’ll hopefully be on the road(hopefully walking up the road) to recovery!
    I feel really lucky to have only damaged my ankle, it could have been a lot worse, and the treatment was great, but god is it an inconvienience?!?
    Not being able to go to work or uni, having to hobble around in crutches, and not being able to do most things you could easily do before!
    Ah well supose i’ll just have to sit about for 3 months, get waited on hand and foor, watch day time tv, paint my toenails and eat waaayy to much food, but oh well, c’est la vie!
    Hope your all recovering well xxx

  21. Sally Says:

    The last time I wrote was March 25th and I was 2 1/2 months into recovery. Now I am 8 1/2 months into recovery and have progress to update you on.

    I had the syndesmotic screw removed at the 12 week mark and that really helped with increasing my dorsiflexion, although it is still not near what it was before. (I still go down the stairs somewhat sideways because my ankle still hurts if I bend it too much — some days more than others.) I had LOTS of pain all the way up the outside of my leg before this screw was removed and it virtually disappeared after I had it removed. The random shooting pains in my ankle bones are rare now.

    I still have all the other plates, wires, pins, and screws in there, and the doctor says he will re-evaluate at the 18 month mark to see if I want them taken out; that is up to me. Since my ankle looks soooo ugly and it still hurts I will consider it.

    I walk and have even run (it was ugly though) on the treadmill for 2+ miles at a time, but I think I will stick to the walking as the running seems to cause too much pain afterwards. Most of the time I am not aware of my ankle, but if it is touched I am still VERY aware of it, and mornings or getting up on it after I haven’t been on it for awhile are stiff and achy. I haven’t noticed that the weather has any effect on it, it just seems to be a random thing; there are good days and bad days.

    My doctor said it will probably take up to 2 years to get as healed as it is going to get. I am hoping for the best. Good luck everyone!

  22. Sue Bushell Says:

    Hi Everyone, I am a 59 year old with the dreaded Trimalleolar Fracture which I got in mid July after walking onto the road from a kerb in the dark !! Progress has been slow and frustrating as I am a great walker and usually very active but I am getting there at last. I progressed onto sticks last week (13 weeks) and since then I am able to get up and down the stairs (walking, not on my bottom) I drove a car for the first time Thursday which was quite painful, tried again yesterday drove 20 miles and it was fine and pushed a supermarket trolley (no sticks), holding for grim death. I have physio every couple of weeks and she pushes me to do stuff I really do not want to do and I have also have been having Osteopathy every week since the op. I am very lucky that I do not have pain when resting, but the ankle is stiff and can be painful when walking, but each day I achieve something new however small and pathetic it may seem to everyone else. I hope this in some way helps any of you out there who felt like I did at the very beginning which was quite despairing, it is really little steps.

  23. Susan Says:

    Hi,

    I am 39, and now about a year on from my trimalleolar fracture (sustained October 16th 2008). It is a horrible injury, and my ankle is still a bit stiff when I walk to this day. I don’t know when it will ever feel “normal” – as in like my other ankle – again. But it’s manageable. I have since had a baby, conceived in the December, so that has taken my mind off it.

    It’s not an injury I’d wish on anybody, but it does get better, slowly. My advice would be to not try to rush the healing process – it does take time. And don’t put ANY weight on your limb whilst in plaster – that can hinder your healing. It’s a severe fracture and the bones need time to rest and heal.

    Best of luck to all those still recovering.

  24. Lynda Says:

    After reading all these stories I am realizing I had poor treatment when I had my tri-m fx on Jul 29, 2007. My grandson took me to the ER to rule out a break – we thought I had just sprained it. Was told my the PA there I would need to consult an orthopedic surgeon the next day (this was a Sunday). The put me in a splint, gave me crutches and sent me on my way with a prescription for pain meds. I was not admitted no was any attempt made to set the break. I was able to get in to see a ortho surgeon the next day at his office. They took more x-rays – not comfortable – and resplinted me and scheduled me for surgery 2 days later – I was sent HOME – not put in a hospital. I had outpatient surgery 3 DAYS following the accident. I was sent home – in massive bandaging and splinting with a nerve block, which helped manage the pain for 2-3 days. I saw my doctor in a week, stiches checked, put in a “boot contraption – non weight bearing” sent home. I finally got my cast 2 weeks following surgery and was in it for 4 weeks. Then I was in a walking boot – bearing weight for about another 4-5 weeks, followed by a lace-up support contraption – which one could hardly wear shoes with. My aunt recently had a similar break and was transported by ambulance to a hospital – ON A SUNDAY – and had surgery that night. The thing that really irks me is that I have very good insurance and wonder why I was left to largely “fend” for myself, rather than having been admitted to a hospital, given the severity of my injury. More than 2 years later – I walk, but I have considerable hip pain as a result of my gait issues – this is diagnosed by a doctor – not a figment of my imagination. I also have almost constant back and leg pain. In the cold weather I get awful sensations and can rarely get my foot to feel warm. I have little sensation at all on the top of my foot any longer and have hyper sensitivity on the bottom. For example, if I step on a cold floor barefooted, it feels twice as cold on the foot of the break than the other. I was 60 when I broke my ankle, and my ortho was fairly informative on the surgery and implants. He never prepared me for this to be a life altering experience. When I asked him pointedly about 6 months after the injury if I would ever be back to normal, he told me I have a permanent partial disability. I wish all of you the best in your recovery. I am back to walking a mile – I usually wear a support ace bandage to minimize swelling. I am planning on beginning pool exercise in the next week or so – I am hopeful this will bring some relief. It is somewhat comforting to know that all my difficulties are not “in my head”. My family has been a bit impatient with me and I think they believe I am malingering.

  25. i have a trimall, broke on monday afternoon and today is friday… i am in a splint (second splint as i had to have a second reduction less than 12 hrs later) having difficulty with crutches and i am wondering if i should try a walker… i am scheduled for surgery on wednesday…

  26. Judith Edghill Says:

    I also had a trimalleolar fracture and dislocated right ankle, but thank God I had no pain when it happened, and the doctor could not understand that, they put in two pins and plate with 5 screws, this happened in June and I am taking PT now, it has come a long way but one side still hurts a bit and the doctor said probably he will take out the two pins, but of course I am afraid to do it but come next year I will think about as it may allow me to walk with out a limp. I never took any painkillers only Panadol for the first few days and I really thank God for that.

    Judidth

  27. Sue Bushell Says:

    Last logged on 31st October 2009, just thought you might all like an up-date. It is now 20 weeks since my op, I can walk unaided but my ankle is still stiff and painful unless I take a couple of painkillers, I also walk with a limp at times. Have walked a mile on the Heath near home and walked to the village which is just under a mile, used to take me 12 minutes now take 30 mins! But I am able to do most things, but much much slower and more awkward. I am really hoping to improve my stride and still having treatments to help with this rehabilitation, but thank God that I am least able to get around on my own again. I live near Guildford, Surrey anyone in this area with the same problem?
    Good Luck everyone and Happy Christmas !!

  28. Hi All. Glad to see Judith’s comment regarding the lack of pain. 3 weeks post trimalleolar fracture I have had no pain as such, just some numbness and occasional aching which doesn’t last long. As most people talk about the horrific pain I was starting to worry that the lack of pain,while great for me, might prove to be a symptom of something bad. How did I fracture mine I hear you ask – I turned 40 and decided a parachute jump would be a good way to celebrate. The jump went great, the landing not so much.

    Is there anyway to contact people who have posted here?? I would love to talk to Marie (2008) as I am also Irish and a nurse so have found the whole process interesting from the professional/patient view points.

  29. I sustained a tri-mall fracture of the left ankle in a motorcycle crash on Feb. 1, 2009. The foot was caught in the footpegs and shifter mechanism as the motorcycle fell on top of it and slid forward as I was sliding down the road, completely turning the foot over and nearly backwards. It looked really ugly. I also seriously dislocated my right thumb at the same time. I am grateful not to have been more seriously injured. The ankle did not hurt much initially and only started to get horribly painful after the ambulance arrived. The bouncy ride to the hospital was tough until the morphine took effect. The bones were realigned in the ER and that hurt. I had surgery the following morning and received a plate and 14 screws. Recovery was tough for the first six weeks or so, made more so by not being able to use my right hand to support my weight. This ankle fracture kept me out of work for three months. It was painful and slow to heal. Nearing the one year anniversary of the injury I have about 80% mobilty in the joint and some stiffness but little pain. I walk normally but can’t run very well. All the hardware is still in and I will probably leave it in. Normal activity is not compromised but if I wanted to be a runner it would have to come out.
    Best of luck to all. This is not an easy road but it gets easier.

  30. Hi everyone
    I suffered my trimalleolar fracture 24 May in Sicily, where it was manipulated three times without any painkillers. They eventually put a wire through, but still not right. Eventually flown home by private airplane (thank goodness we were well insured) and was operated on again on 4 June – two plates 8 screws.

    As you all realise it is not easy. Surgeon seemed to think I should be dancing into clinic after three months – not helpful. Thank God for a wonderful physio who was more realistic and has helped me enormously. I last saw her in November and my husband has continued with the physio – dorsiflexion pretty good, but it has been hard work. I am now walking properly (probably would have been earlier but the snow has prevented me walking long distances). It still hurts a bit and becomes very swollen if I do too much and of course stiffness is always there. But I can walk, even run if I hang on to my husband and after eight months can just about walk downstairs properly.
    An exercise my physio gave me was walking on tiptoes – not sure what it does, but it has helped – painful to begin with but worth it.
    As far as removal of plates and screws is concerned, at present I don’t fancy going through another operation. I’m 62 so will probably leave them in.
    Good luck to you all and God Bless. There is light at the end of the tunnel.
    Pat x

  31. Sue Bushell Says:

    Hi Everyone,

    I last wrote on this site in December, and my ankle is improving daily, even managed low heels on my 60th in December. I can walk three miles but is still uncomfortable, can walk upstair ok but coming down still awkward though I am getting better each day. I am still having physio and my physio also recommends the standing on tiptoes, especially standing one legged, on my bad leg on tiptoe, that is still not comfortable. But I am happy with my slow recovery, I was told 6 weeks physio, that was 6 months ago. I found this site really reassuring especially in the early days, if only they explained more at the hospital what to expect.
    Good luck everyone and don’t give up.

    Best wishes

    Sue “B”

  32. Julia Dignan Says:

    I accquired my tri malleolar fracture on 3rd Jan 2010. I had surgery on 14th Jan.

    I resisted googling until now and it’s good to read other people’s experiences.

    I had the slight complication of being 32 weeks pregnant at the time of the fracture which meant the surgery had to be done with only a spinal and no sedation. Thank goodness I had my iPod. I did have to turn the volume up when I heard drilling though…….

    Baby is due in a couple of weeks. It will be interesting dealing with a newborn whilst on crutches.

    Wish me luck

  33. Daphne Nelson Says:

    Hi everyone I am sooo glad to have come upon this site. Sue Bushell, I live not too far from you in Crowthorne Berkshire, used to shop in Guildford occasionally.

    I slipped at the bottom of Mount Vesuvius Italy on 29th September 2009 and suffered and agonising trimalleolar fracture – I still have nightmares of the ambulance journey through Naples – the fear at the hospital being told I would have to fly home for surgery – being off loaded from our cruise ship that day and sitting on dock seeing boat sail away waiting for someone to get us to a hotel – waiting 2 days to be flown home. But my ,what a releif to land at Gatwick and be taken by ambulance to Frimley Park Hospital, it was so comforting to be home.

    I had surgery after 6 days (due to swelling). Was in plaster approx 3 months. I have 3 plates and numerous screws . I too am finding things difficult. I am 63 yrs old and was always very active so find the future quite frightening. Although I am having physio and trying very hard the pain just wont go away. I was told that one of my screws was too long and may have to be removed – I think that time has come as I can feel it digging into my foot and stopping me from bending the foot fully. I feel my skin is alive with electric shocks and just touching certain areas, even lightly, make me wince. The stiffness I get makes the ankle feel very alien to me.I also get swelling in the ankle and up the leg most of the time and have gone through many socks cutting slits in the tops to make them more comfortable. If only I could get into a decent pair of shoes . I can’t beleive how my life has changed from one little slip.

    I know it will improve but I am also realistic – as long as I can get rid of the limp and pain I should be okay.

    Daphne x

    Daphne x

  34. Shirl Says:

    Hello everyone I have a Tri-Fracture which just happened Monday 15 out of hospital Sat. afternoon. I’m in pain but, remaining positive !!
    Has anyone tried a knee wheeler for this type of injury instead of the regular walker? When can I look forward to pain relief?? Quick recovery to all
    SEW

  35. Julia Dignan Says:

    Shirl, I was in pain for about 4 or 5 days after the surgery. Once I got home, I could only take paracetemol because I am pregnant (had a couple of shots of morphine in hospital though). It was pretty miserable at first, but the pain lifted completely and I haven’t had to take any painkillers since and am now 5.5 weeks post surgery.

    I am now out of my plaster cast and pretty mobile with a removable boot. I have started physio and can’t believe the difference already less than a week out of plaster.

    My baby is due this Saturday, but I am hoping he stays in a while longer as each day is a little bit more recovery time for my ankle.

    Stay positive! There’s light at the end of the tunnel. 🙂

  36. Susan Says:

    Julia Dignan wrote:

    “I had the slight complication of being 32 weeks pregnant at the time of the fracture which meant the surgery had to be done with only a spinal and no sedation”
    .
    Julia, I wasn’t pregnant at the time of my surgery, but I also had it done under spinal block with no sedation – at my choice. I’m very wary of general anaesthetics, and didn’t want to feel disorientated by chemical sedation either. My favourite relaxing music on my mp3 player was also a lifesaver for me, even if it didn’t quite fully drown out the sawing and drilling – I just had to not think about it too much. The bonus of all this was returning to the ward fully awake and grog-free, able to have a cup of tea and lunch immediately. I really would recommend regional anaesthesia whenever possible.

    I feel for you having this injury with a baby on the way – it’s bad enough as it is. I fell pregnant four months after my fracture, when thankfully the worst pain was over. I hope you have plenty of help. Good luck with the birth! 🙂

  37. Hello Julia !! Thanks for the info. From your experience do you feel a visit this Wed. to my Dr. office is to soon I was just released from the hospital this past Sat. Also a PT is calling to come by right away and I only have 25% weight bearing at this point. I thought you returned after at least 2 weeks for time to mend. I have the knee walker it is so nice !! I’m excited about your baby !!! Keep in touch Thanks SEW

  38. Julia Dignan Says:

    I have no idea if it’s too soon Shirl, sorry. I had been told to come back to the fracture clinic 12 days post surgery. I was completely non weight bearing for that time and then they took the staples out of my surgery wounds and changed me into a plaster cast with a flat foot on it so I could start weight bearing. They take x rays each time I go to the clinic and the outcome is based on how the x rays look, rather than the length of time elapsed, so I guess it will be different for everybody.

    What is a knee walker?

  39. Julia Dignan Says:

    Susan, I was listening to one of my favourite bands during the surgery, and when I’ve heard one of the songs on the radio since, it’s brought me right back to lying there…. I’m not sure that the music will ever be the same again for me!!

    Totally agree about it being great not having been groggy after the surgery. I enjoyed a cup of tea and a sandwich pretty much straight away, and I also enjoyed being pain free for the first time since the injury for the few hours before the spinal wore off. Wasn’t so good when it did wear off though….

    This is my second baby, so I am reasonably chilled about it. I think I would have been in a real panic if this was my first pregnancy!

  40. Shirl Says:

    Julia a knee walker is a scooter type walker where you place your leg on a knee pad and off you go !! OH it has helped so much. Please check
    it out on line Medical walkers and look for knee
    walkers. It allows you more freedom getting around and your body doesn’t take such a beating
    as I received from the reg. walker. I found this
    for $50.00 a month rental which some insurance
    co. will cover or you can purchase one. I found in my area they are cheaper on line to purchase.
    In your case this might be just the thing for you
    with the baby and all.
    Let me know if you check it out and what you
    think !! Have a great day
    SEW

  41. I ws googling to learn more about what to expect after my surgery for trimalleolar fracture. Funny, but what draw me to click on the link and read on was Melissa’s injury date. The dreadful Jan.22!! I too fractured my ankle on Jan.22. I am glad I read on and learned of your experiences.
    My heart goes to to Julia. It must be really hard to undergo the surgery and everything with a baby on the way. It is hard for us and I can’t think how it must be with a newborn baby. Julia, I hope you gave birth without any complications and you and the baby are well. I sincerly pray that your baby will be a very sleepy and good natured baby.
    A tip to all of you: Instead of crutches or walkers, I am using a normal wheeled office chair to get around at home. It is easier and reduces the pressure that hopping on chrutches produces.
    I was lucky that I was in the ER 4 hours after the incident and did not have to go through re-alligning without anesthesia. My ankle and ligaments was fixed up with a 7 screw plate, a syndosmosis pin and 7 additional screws. But I had fracture blisters two days after the surgery and had to stay on the hospital for 12 days until the doctors decided my blisters could be treated as an out-patient. Last Monday, I had an appointment for wound crust cleaning and stitch removal and I found myself in the ER due to wound edge dehiscence. I had to saty for another 5 days at the hospital. I guess I was lucky that they decided to re-open the incision lines and have them stitched again by a plastic surgeon. My doctor told me that if the incisions were left alone, I would not be able to start PT.
    So now I am wondering about PT. Is it painfull as many tell? Do you continiously need to exersize during the day. How long does it take to bear partial weight on the foot after you start? My doctor also told me that I will need to wear varicose socks for some time. I hate those socks. Did any of you wear them?

  42. Susan Says:

    Cela, I started PT sessions about 3 months after my fracture (which happpened in October 08). I went for a few weeks, but had to give u on them because I really do think they pushed me too hard, too soon. I had a half hour walk there and back to the health centre, and after a session I could hardly walk back home – I spent the last part clinging onto a wall to suport myself, barely able to walk, and crying in pain.

    Then I found out I was pregnant in January 09. I just stopped going to the sessions, gave my ankle more rest – just exercised gently – and now I’m pretty much okay. I get a bit stiff but nothing more than that, and can walk normally. This is an injury that really does take time to fully heal – one doctor told me 18 months to 2 years – and I’d say that was about right. I think it’s important not to push yourself *too* hard. I know that contravenes conventional theory, but that’s been my personal experience at least.

    Julia, I hope you and your baby are well, and you are managing with plenty of help.

  43. I sustained a trimalleolar fracture 5 days before christmas, and spent ten days in hospital, christmas day was a non event it was so quiet { as those that were able were allowed home} except me, the operation took eight hours and the recovery is very slow, even after the very long operation, I had to endure 3 sessions of manual manipulation of the ankle to get it to a 90% angle, {its hard to believe that they do not give you any sedation for this procedure}, anyway, I have began physio and am asked to fully weight-bear in the hydro pool, very very painful, it does seem a lot to ask only two weeks after ankle in final position, but hopefully it will be worth the pain.

    Here’s wishing everyone all the best, it appears that we all progress at different speeds and that there is light at the end of the tunnel. I thank God that this is not a permanent disability.

    By the way, has anyone had any experience of making a compensation claim? as I slipped on a public footpath to a very busy shopping area, it was at mid-day and the pathway still had not been made safe with salt or ice.

    I had to wait on my backside on the ice in a blizzard for over two hours, yes you got it right, have you ever heard of anyone waiting over two hours for an ambulance, when they are on the ice in the snow and can’t move?
    One funny thing about the incident was that the people were passing going shopping and two hours later when they had done all their christmas shopping, muggings was still on the floor, they couldn’t believe it. On the whole aren’t people really fantastic in a crisis, I had numerous offers of mobile phones to make a call, and offers of whisky or was there anything they could do to help, it was very very humbling and heartwaming.
    After making over 12 phone calls the police decided that I would not die of a broken ankle, but because my entire body was shaking uncontrollably with the cold, they decided they had to move me or I’d die of hypothermia, so they moved me by getting an old carpet and lifting me onto it and then six men lifted me onto a market stall and covered me with blankets, you can all imagine the pain, don’t forget these are not medics and no doubt caused more injury and pain, I was terrified of the pain and more terrified that they too would slip on the very slippy ice and drop me again, they tried once more for the ambulance and still could not be given a time duration for how long we would have to wait and this is the Police explaining that I am going into hypothermia, I’m writing this, and I can’t beleive it myself, the Police then made the decision that they did not want to be responsible for a fatality and rang a colleague to bring a police van and once again I had to endure being lifted again to the police van. more pain and more damage to the injured knee and leg.

    After trying to hold onto my leg for two hours in the snow, I couldn’t straighten it and had to lie on the wet van floor, and as you’ve all said the drive their due to being on the floor was excrutiating, but the worse pain was when the medics tried to get me out of the van on the floor and without any warning they got hold of the injured leg which had basically set in that bent t positiont for over two hours in the freezing cold and they just yanked it straight ouch!!!!

    I know they have other priorities but sometimes you feel they forget there is a person in a lot of pain at the other end of the injury, just as in the hospital I was known as bed no 12, very impersonal don’t you think ?
    As to making a claim some say I should claim against the lack of provision of ambulance care and some say the council for not making the public pathway safe.

    I would be very grateful for any suggestions.???

    Thanks for taking the time to read this, its good to talk to people who understand the situation

    God Bless you all wishing you a speedy recovery.

    moe x

  44. Susan Says:

    Maureen Flynn wrote:

    “I had to wait on my backside on the ice in a blizzard for over two hours”

    Hi Maureen, I also had to wait two hours before I was rescued, lying on my back in the mud, although thankfully for me not in a blizzard. It took so long because I fell on a cliff path which was impossible for an ambulance to get to, so the coastguard had to arrange for a Royal Navy helicopter to take me to hospital. It wasn’t a pleasant experience waiting, but luckily I had some walkers who were passing by and stayed with me to buoy my spirits – they were truly wonderful.

    Your experience sounds horrendous; you must have had a particularly nasty fracture. Your treatment was absolutely appalling, and I’m not surprised you wish to sue. Are you in the UK? I can’t believe how you were treated – at least in my case I knew the delay was due to the terrain on which I fell being so inaccessible. Also, I wish you could have told those ignorant olice that a dislocation and trimalleolar fracture IS a medical emergenncy – if the blood supply to the foot is compromised for too long, there’s a risk of losing it.

    Anyway, good luck with your action and recovery.

  45. Michelle de Vroome Says:

    Another redhead with trimalleolar #, age 38. I was rushing around about to leave my apartment for my second week of my paramedic training when my little chihuahua Sami started barking out on the balcony. I ran towards the balcony door calling her name as it was 530 in the morning and crack! I caught my boot on the bottom of the door frame while the rest of me proceeded through the door way. At first I could not understand what happened but as I sat up to look at my foot it was sitting in a very unusual position to my leg with pain just shooting through it. I lifted it and that is the moment I knew my paramedic training would be on hold. I was just so dissapointed. I could feel the bones moving freely inside as I dragged myself back in to make the phone call to 000 (our emergency no. in Australia). I knew I needed to move quickly before the pain got worse. I live in a secruity block so I needed to get my neighbours to help me so I could let the paramedics in. I was able drag myself out in to the hall way and knock on their door. I was so pleased they heard and came to my knocking and I just layed my head down on the floor in relief. Their kindness was just what I needed. My friend Wendy lives in my building so I asked if they could get her for me while we waited.
    2 years ago I was caring for my gorgeous husband who had heart failure and was waiting for a heart transplant when he died suddenly one Sunday morning. He was sitting up in bed and called to me “baby” then he fell back resting his head on me as his heart stopped. I tried everything as did the paramedics that day but we could not give him a new heart. I was always the strong one, the carer, the nurse and then I lost my darling one.
    As I began getting my life back on track I decided on a career change. I have been working as a midwife with the most caring group of people for the last 15 years and began to remember the dream I used to have of becoming a paramedic when I first started my nursing training. So 2 weeks ago, on the 15th March my new life started….
    Now I am lying in my hospital bed, waiting for my operation tomorrow, ORIF. I am not sure what will happen with my training, there is another class starting in July and I am hopeful that I will be fit to join. It is such a physical job. I am lucky I can always go back to my old job and I have plenty of leave saved up.
    My care has been great, from the moment the paramedics arrived the morphine started. I feel very sorry for the people above who did not get adequate pain relief, I can’t imagine! When they realined my foot in Emergency they gave me a big dose of Fentanyl which is a definate favourite of mine now if you need anything done.
    It sure looks like I have a lot ahead of me but I have been very reassured by those above who are a year or so down the track and doing well. I would love to be able to run again.
    Thank you for such a great place to debrief and to hear from others who have been through the same thing. M x.

  46. Linda Says:

    I fractured my ankle on my birthday 6 weeks ago while on vacation in Hawaii. My husband & I were trekking down an uneven trail when (according to him) I tripped on a tree root. All I remember is falling, hearing a loud “Crack!!” and looking down at my misshapen ankle after I hit the ground. I knew right away that it was a bad break (I am a physician assistant who ised to do ER work) and sure enough, it was a trimalleolar fracture. I must say though that the medical staff in Hawaii, from the paramedics to the ER staff to to the ortho surgeon & the floor nurses were great. I was in the ER an hour after I fell & was in the OR within 5 hours after my injury. The ER doc gave me a nice loading dose of Dilaudid before he manually reduced the fracture so, while it hurt, it wasn’t the most unbearable pain I have ever had (for me, labor with a 9.5 lb baby was worse!). I was discharged from the hospital 2 days later & flew back to the mainland US well dosed on Percocet. I have been back at work for 3 weeks now thanks to an amazing little device called a knee walker. It is a little scooter -like device that I kneel on with my bad leg, using my good leg to propel myself around the hospital. You can find them by just Googling “Knee walker”; that is what I did. I still have to use those blasted crutches for steps though. I have also had a LOT of help fro my wonderful co-workers.
    Anyway, I am now 6 weeks out & have a follow up appt with my local ortho doc this afternoon. I have been in a CAM boot for the past 3 weeks, taking it off to do range of motion exercises 3 times a day. I have not had any pain in my ankle in the past 2 weeks. I am hoping to be able to start doing some weightbearing soon. I am sure that this will hurt, but I have a pretty high pain tolerance. I am doing my best to keep a postive attitude & hope for the best.

  47. Julia Dignan Says:

    Hi, just to update. My son was born on 1st March. He is beautiful and healthy, despite everything I put him through! I managed to avoid having another section, thank goodness! I wore my orthopaedic boot throughout the birth, including in the birthing pool, and tbh, the broken ankle was irrelevant during the birth.

    I am now 14 weeks post surgery and have made good progress. I can almost walk properly, I don’t limp but I feel a bit of strain in my knee, so something isn’t quite right. Hopefully it will be sorted soon. I have now got to the point where I am not constantly thinking about my ankle with every step I take.

    My 4yo son is pleased to have his old mummy back, and I am looking forward to getting out and about with him over the summer.

    I hope everyone is making good progress.

    Julia x

  48. Linda Says:

    Well, got some good news yesterday. My doc says that the ankle is healing well & has given me permission to slowly start putting weight on it. I am supposed to put 25% of my body weight on it this week, 50% next week, 75% the following week etc. Still have to wear the boot for the next 6 weeks but have received the OK to take it off at bedtime (to my husband’s relief; I think he was afraid I was going to kick him with it!) and to take showers. I am scheduled for outpt surgery for June 3 to have one of the nails taken out (recommended by my doc, and a friend who is a retired ortho surgeon agreed I should go ahead & do it). So far the little bit of weightbearing I have done has not caused any pain, but like I said, I have a high tolerance (My dad was by a 30 yr retired Army drill instructor who also saw action at Normandy on D-Day & at the Battle of the Bulge; complaining was not an option in our house). I hope that everyone else is doing very well also. Julia, I am glad to reead that your both you & your baby boy are doing so well.

  49. tricia Says:

    Hi,
    I suffered a tri fracture in March 2009, I have a plate and 14 screws. I was in a cast for 3 months, and had to have my foot manipulated 3 times to get it into the correct position during this time, and I was totally non weight bearing for 3 months. It has been a nitemare to say the least. I had 1 screw removed in June 2009, and was told to start putting wieght on my leg, i had physio too. It is now 14 months after my accident, and i haven’t had a single pain free day in all of that time, my ankle seems to get worse all of the time and some days I can’t get out of the house at all … unfortunately this has caused me to put on a lot of weight, which of course does not help with my ankle, but being imobile has been the cause of this. My life has been turned upside down. Has anybody else had similar experience?

  50. Kathy Says:

    I (age 55) broke my left ankle (trimalleolar) on 4/23/10 by slipping in puppy pee and falling down the stairs. Yes, we kept the puppy. We have a split entry stairway so getting out of the house has been challenging. A friend of ours, (a physical therapist) told me to think of the stairs as Heaven and Hell. Going down, Hell, use the bad foot & crutches first. Going up, Heaven, use the good foot first. I have one plate with 5 screws on the fibula and 2 larger screws in the tibia. Yes, the pain is comparable to childbirth. I reacted to Vicodin so switched to Darvocet, not as effective in my mind. I was in the hospital less than 22 hours. After surgery, I was in a splint for 10 days, then X-rayed and casted for 4 weeks, all non-weight bearing time. Now I am in a CAM boot. I begin therapy this coming Wednesday. I hope to go back to work on June 8. I’ll begin putting weight (40 lbs) on my foot on this Friday, and then another 40 lbs the following week before returning to the doc for re-evaluation. I has been a rough spot in the road, but we have a wonderful church family who have supported us with meals and prayers.

  51. LInda Says:

    Another update. The synsemoidal screw was removed on June 3. My ortho doc set me free from the CAM boot yesterday. He said that my ankle has healed well and that I do not need any follow up physical therapy. I have almost full range of motion in my ankle and have been told by 2 orthopedic surgeons that the rest will return as I walk. I have a program of home exercises to do to strengthen my leg though. It feels strange to walk without that 3 lb weight at the end of my leg but I am walking, slow but steady, without the use of a cane or other assistive devices. My pain thus far is minimal (I realize how blessed I am for that). I am limping slightly (others say they can’t see me limp but I can feel that I am) and am extremely conscious of my ankle as I walk (same as I was when I first began weight bearing with the boot on). I am not running, but then I was never much of a runner anyway. It has been a long 14 weeks since I was first injured, and I realize (especially after reading the accounts of some of the others on this blog) that I have been truly lucky & blessed that my recovery thus far has been so uneventful. Kathy, I am 55 also (actually broke my ankle on my 55th birthday!), so age does not have to be a deterrent in recovery. I am not trying to brag but just want to let everyone know that one can recover from this type of severe fracture.

  52. Kelly Says:

    As others have noted… so glad to see other people talking about this! Tripped on a soccer ball May 20th, 2010 and bought myself a dislocated ankle, an ambulance ride, and surgery with a plate, 5 screws on one side and two on the other. I was very active, a runner, and mom of two young children (ages 2 & 4). Keeping up with them has been difficult – especially at first when I tried getting around on crutches. I actually fell a few times – excruciating! So I started to research knee walkers but didn’t buy one because they are a bit pricey. My husband went to a yard sale and for $10 bought a wheeled walker with a seat. I kneel on the seat and push myself around like a scooter. It has been a Godsend! I can make dinner, go for walks with my family, go to the mall – you name it! And, I don’t have to be afraid of falling since it’s pretty sturdy. My kids even like to sit on it facing forward while I kneel & push (the seat is wide enough& the seat back bar holds them in), so it doubles as a stroller! LOL! I can even sit down when I get tired. My arms were sore at first, but those muscles have built up fast to compensate. Honestly, I think it is the only thing (other than support from family and friends) that has helped me keep my sanity, since I’m definitely the type of person to claw at the walls when made to sit still. Sorry most everyone has experienced such pain, but it’s comforting in a weird way that I’m not alone!

  53. Kelly, that is a good improvisation with the $10 wheeled walker; you can’t beat that. I cannot imagine trying to care for 2 little ones while recovering from this injury; I really admire you. I am now in a little over 2 weeks of post-CAM boot freedom. I am walking pretty well. I have some pain when I walk, but it is not in the ankle itself. It is in the muscles & ligaments of the lower leg that went so unused for so long and only occurs when I am stepping forward with my left foot and pushing off with my right foot. Even this has improved as time has gone on. I was shocked to realize how weak the muscles in my right calf had become but they are slowly getting stronger. I am truly lucky & blessed that I have had such a smooth (knock on wood) recovery so far. I am also lucky that I had such a skilled orthopedic surgeon in Hawaii (I was on vacation when I fell) who did the original surgery and such a wonderful surgeon here at home who provided all my followup care. I hope that everyone who is currently dealing with the same injury has the same luck that I have had so far.

  54. Ramya Says:

    I was googling for information on trimalleolar fractures with a lot of trepidation, as I was 29 weeks pregnant when I broke my ankle. Thanks a lot to everyone who posted here, especially Julia, I feel a lot more positive now. I twisted my foot as I was stepping off a kerb and fell on 06/28/2010. 10 days and a surgery later, I am in a splint and not allowed to bear weight on the injured foot. My first visit to the doctor’s is not until the next tuesday, so hopefully, everything is going well with the healing.

  55. Julia Dignan Says:

    Ramya sweetheart. I am so sorry this has happened to you too during pregnancy (bad enough at any time!!)

    I will not pretend things were easy for me- there were a lot of tears I can tell you!! I couldn’t imagine how I was going to get through it all. But here I am 6 months after the event dealing with every day life exactly the way I did before my fracture. I even managed to run about with my 4yo son for the first time yesterday.

    I am not quite at the look back and laugh stage, but it’s definitely behind me now. And one day Ramya, it will be behind you too. Be kind to yourself on the way xx

  56. Linda, Thank you for your support and encouragement! I did well with the cast and walker and now graduated to a CAM boot and crutches (again, but more stable this time!). I find I only need them though after I’ve been sitting. When I walk a little, and my foot loosens up, I can ditch the crutches all together until I get tired in the evenings. Wonderful to walk unassisted even if I am limping! …and only 7 weeks post-op today! A lot of the comments I read about this injury made me scared because they sounded horrible – like it would be a year before I would walk again. I know I still have a ways to go, but it is definitely going well for me now. In the beginning, I def. cried a lot, but it gets better when you can regain a little independence… and stay positive! Julia, I’m jealous! Can’t wait to run around with my kids again! 6 months means October for me, so that will be my goal! 🙂

  57. LInda Says:

    One thing I found that helped me is that my ortho doc started me on doing range of motion exercises 3 weeks after my injury. I would sit with my foot propped up on a stool or in our recliner with my foot up and put my ankle thru the various motions several times a day (even did it in my office while sitting at my desk). I now have normal range of motion in all directions except dorsiflexion and am lacking only a few degrees there. I was limping the first couple of weeks after getting the CAM boot off but am now pretty much back to my original gait (now almost 5 weeks post-boot); several of my co-workers have commented in the past week that I am walking like my old self. I only have a little stiffness when I first get up in the morning and some pain in my foot after being on my feet for a long time and have not had to take any Aleve (or any other pain med) for 2 weeks. I haven’t started running yet (except to answer the phone!) but am bike riding & hope to start a little light jogging in a few weeks. So things do get better. It takes some work but it can be done!

  58. Ramya Says:

    @Julia – Glad to know you are back to running around with your son. He must be relieved to have his mom back.
    @Linda – Congrats!!
    I have 7 days more to go before my cast comes off and then I get the joy of the wearable boot. Baby is not due for 5 weeks and I am hoping she does not hurry. Despite having all tests come out normal, I can’ t keep from worrying about how my baby is doing. Guess it shows that it is my first pregnancy. LOL

  59. Ramya Says:

    Its been 6 weeks and I got my first post-surgery x-ray taken today. 2 of the breaks have healed cleanly, but the bone right above the heel has shifted and formed a malunion. The doc is not sure about it yet coz of the pieces of hardware in there, so he plans to get a CAT scan done after I have the baby.. I am soo hoping everything is going to be fine…. I am off the cast though, and use a boot and a walker to get around now.

  60. LInda Says:

    Just a note to tell everyone that I hope that my fellow “breakees” are all doing well. I realize every day how blessed that I am that I have healed so well from this fracture. I have some stiffness on first getting up after sitting for a while, and a sharp stab of pain in the area of the hardware when I step wrong onto an uneven surface, but am otherwise doing well. i have not tried wearing any heels yet (sticking with sandals, sneakers, & flats), so I don’t know how that will feel. I remember how devastated I felt when this first happened and how scared I was that I was going to have a long, difficult recovery. I followed my surgeon’s instructions faithfully and did my exercises regularly. Just keep the faith & work hard. In the long run, it is just a bump in this long road we call life. Now if I can just get my adult son to stop calling me “Frankenfoot”!

  61. July 19th 2010 I fell down the stairs just before work and thought I had just dislocated my left ankle. The “crack” I heard should have told me otherwise. Thank goodness my 20yr old son was still home and I yelled to him that I thought I hurt my ankle!! He wanted to bring me to the hospital until we both looked at it and agreed, call 911. The Ambulance and fire dept arrived and were great. Hooked me up with morphine for the ride to the hospital and kept trying to get my mind off the pain. Nice try. After getting there, they did the basics, gave me more stuff for the pain and then came in to tell me I had a tri-fracture and a dislocation. The ortho doc came in and said I needed surgery and went in within 2 hours. I have a plate and six screws and spent the night in the hospital. I went to the ortho every two weeks and was not told too much nor did they seem to have the answers to my questions. I have read others tell similar stories of not being told what to expect with this type of break and the recovery time and I’m still not sure if I should be returning to work yet. Neither is the doctor. When I asked about pt he said, we usually don’t schedule pt for a broken ankle. The cast came off Sept 1st, and then they did the x-ray only to see the inside ankle bone was still cracked. I’m still on the crutches, can’t wear a shoe or even a sock without the foot swelling (more than it is all the time) above were the sock or shoe ends. I don’t even have a lace in the shoe. My three little toes have a shooting pain going up to my ankle unless I’m taking Hydrocodone which I’m still on. I’m due to return to work on Sept 20th and am seriously considering an extension if they will do that. I have been trying to do my own exercises, carefully, and have gotten some flexibility but I am terrified to do to much because of the pain.
    I’m 52 and am going into my 9th week. I guess I just wanted to be able to talk with people who know what I am going through. Very depressed and frustrated that doctors in the area are all in the same office and agree with each other with their diagnosis. I wish this would mend quickly.

  62. Kelly Says:

    Val,
    I think the doctors don’t give answers because recovery is so different for everyone. My doc said it would be easy 12 weeks before I even walked and I totally beat that. Not sure why they would tell you no PT though. I think it was absolutely needed. I started going 9 weeks after 3 times a week and I’m convinced the more you work at it the faster and better your recovery. It’s been 3 1/2 months for me and I’d say I’m back 90%. My goal was October to run again and I beat that by running around with my kids in the yard a week ago and just the other day ran 10 minutes straight on the treadmill. I am already planning on a 5K in January to start the year off right… even if I have to walk part of it. All that said, I still have swelling and get some pain in the evening – not sure that will ever go away. But have faith and maybe get another opinion from other doctors about the PT as part of your recovery.

  63. LInda Says:

    Val,
    Everyone responds differently to this type of injury. However, that is no reason for your ortho not to at least answer your questions. I had no problem getting straight answers from my ortho docs (I had 2). However, I have to admit that my husband & I are both medical professionals (I am a physician assistant & my husband is an RN), and my husband made sure that both my docs (plus their nurses, the EMTs, & everyone else involved in my care) knew this. A lot of surgeons are not good “people” persons and have trouble dealing with patients outside of the OR (Lord knows I have met my share of those types in my work). If you are not getting adequate answers from your doc, get a second opinion – I certainly would. I did not go to PT during my rehab but made my doc give me an exercise program that I could do myself to rehab my ankle. So far I am doing great. I have been out of the boot for 3 months now and am at least 90% of normal. I have an occasional shooting pain in the area of the hardware that only lasts a second or 2. I also have some stiffness when I first wake up in the AM, but I just lie there and flex my ankle back & forth for a few minutes before I get up (I have much less pain from this than when I had plantar fasciitis in my foot a few years ago.) As far as going back to work, a lot of it is dependent on what kind of work you do. I was lucky in that my workplace allowed me to adjust my job duties to accomodate my injury; I was able to return to work 3 weeks after my injury. I also rented a great little device called a knee walker. It is a little scooter-like thing that you kneel on with your bad leg & propel yourself with your good leg. I scooted all over the hospital (and we are a large facility) and performed examinations, etc, with that thing.; it was my saviour. Just Google “knee walkers”; that is how I found mine. BTW, I am 55 yrs old (broke my ankle on my 55th birthday!), so don’t let anyone tell you that your age is the problem with your recovery.

  64. Hi everyone
    Am reading all of these posts with great interest. I did my trimall Oct. 3/10 and have just been given permission to put full weight on and start PT next Wednesday. I am looking forward to starting the real healing process although I know the time I have spent resting has been very good. The scars from surgery (plates, screws, etc.) are still healing. I am glad to hear that the removal of the ligament screw which my surgeon is taking out at three months helps with range of motion. I am pleased with walking around with only one crutch since I took my boot cast off although, lots of pain and swelling still but I know that will improve. I am planning on doing as much pool work as I can as well. I am 62 and was diagnosed osteoporosis three years ago when I fell and broke my wrist. Not a broken bone ever until the last three years! Yuch! Anyway, I need to be a bit more cautious I guess. I was mountain biking with my husband when I fell, way out in the bush. Took a bit to get me out but fortunately we had our cell phone with us. Thank you firemen and laughing gas and morphine. I had emergency surgery – the ortho surgeon, best in our area was in the hospital finishing up hip surgery – so I was in by 7 pm and discharged and sent home by 11 pm. I know I am only beginning the journey but I am positive I can come back strong. I love to walk my dog and miss that a lot. I am going to be the best physio patient ever. I have been pushing myself a little but using lots of ice. Take care everyone and God bless you on your healing journey.

  65. Hi Alice, sorry to hear about your fracture. I never used to really understand when people talked about something like this being a journey, but now I know exactly what they mean! Good luck with the physiotherapy. I must confess to having been a bit slack with mine and I seem to have recovered ok. At our hospital, people are not referred for physio after this type of injury. The consultants said there wasn’t a whole lot of difference between those people who had physio, and those who hadn’t, but I find that hard to believe, and think it might just be an NHS cost cutting exercise to be honest.

    I feel my journey is at an end now. I had the metalwork removed a couple of weeks ago and it’s all healed up well. Three of the screws were protruding a lot and I couldn’t lie on that side in bed without a pillow under my leg, or sit cross legged on the floor to play with the kids. The screws rubbed on my shoes and I couldn’t wear boots. I can now do all these things, so it was worth the couple of days of pain and 10 days of nipping from the staples!!

    I am looking forward to saying goodbye to 2010 which was without doubt, one of the most eventful years of my life, both good (birth of son) and horrible (ankle).

  66. LInda Says:

    Alice, I am also sorry to hear about your injury. We are becoming quite a society. Welcome to the club! You seem to have a great attitude; I think that you will do well in your recovery. I have been a physican assistant for 18 years now and am a true witness as to how important a positive attitude is in the recovery process. Like Julia, I have been somewhat slack on my home exercises over the past month. By the time I get home from work, cook dinner, clean the kitchen, and do my cardio on my bike, I usually forget about the ankle exercises (I guess I can’t remember to do them since my ankle is doing so well – at least that is what I will tell myself). I was just thinking today as I making rounds all over the hospital how wonderful it is to be able to walk around normally & pain free; it is somethinig I will never tske for granted again.
    Julia, I know what you mean about saying goodbye to 2010. It was eventful for me in ways that I do not care to repeat (besides the ankle, we had to lay out a bundle of money for a new roof). I hope that I never have another birthday like I did on 2010 (except that I will not mind spending more birthdays in Hawaii – just minus the hospital visit). I will be in New Orleans for my birthday in 2011; I hope I do not get the opportunity to experience their medical facilities during my trip!

  67. I also broke my ankle (trimalleolar fracture) in September 2010 and operated two days after admition to hospital. Doctor who operated me didn’t recomend PT on time and I had to ask for second opinion at another hospital and then I was sent for PT immediately. They diagnosed I stage of RSD (reflex simpathetic dystrophy) algodistrophy or also known as Sudeck syndrome. Did anyone have such problems also? My foot still has really dark color, limited movement, skin is dark and shiny with swelling when put in down position. I’m still using crutches for walking and don’t expect to leave them soon. I’m sorry about my English, hope you understand my question

  68. Hello all so relieved to read everyone’s comments and not to feel alone! I fell on an icy path on 05/12/10 and sustained a trimalleolar fracture. I had my ankle manipulated under general anaesthetic after 10 days followed by ORIF 2 days after that. My ankle was so swollen I couldn’t be operated on before. I can only describe the pain as horrendous! I’m 35 and have 2 children but childbirth was nothing compared! I felt like my foot was detatched from my leg. It’s 3 weeks since my surgery, had my stitches removed last week and i’ll be in a hard cast for 6 weeks. It’s only starting to hit me now that this is such a long process and i’m trying to remain upbeat. I’m fairly good on my crutches. I work as a midwife and am worried I won’t be able to do my job for a longtime. Such an awful injury but I am determined to get back on my feet asap. Hope everyone else is healing well.

  69. Mario Says:

    Hi UR!
    I’m sorry that you joined this club, but don’t worry you’ll get well. I was a bit desperate in December because of the swelling and the ugly colour of skin on my feet and ancle but I made a very good decision to go to the rehabilitation clinic and result after just one week of intensive physical therapy, electro and magnetic therapy, hidrotherapy is amazing.

    Even with your leg in a hard cast you can do a lot for your rehabilitation. Your leg muscles will loose strength very fast and it is very important to keep them working every day. Make some exercise lying on the floor or bed. You can’t imagine how damaging can be a 6 week period of inactivity to you muscles.
    And don’t make any plans of fast recovery because You may get dissappointed, it is so individual. For some people it took 3 months, some people needed 6 months or even 1 year. It is 4 months today after my surgery and I’m able to walk using one crutch and without crutches within my house – short distances. For going upstairs or downstairs I still need both crutches. But I’m finally able to drive myself (3 months after surgery). That’s a relief. Freedom again. And my dear friends who drove me around when I needed also reliefed. Good luck and have patience.

  70. Joanne Says:

    I am so pleased to find this site! Actual people with the same problem! I feel encouraged by the responses, especially the over 50 ladies. I fell on Dec 21 and had surgery that day. I have two plates and 10 screws. Tibia and fbula broke, tibia dislocated and many pieces in the ankle were broke! I am wearing an air boot night and day and non weight bearing for 8 weeks. I need to keep it elevated as it feels numb and throbs when hanging. Maybe I need to toughen up!

    I am not sure how long I will be off work or what the final outcome will be. I am willing to do whatever it takes to get well. I want to participate with my grandchildren and not be just a spectator. Keeping a good attitude is obviously important! So enjoyed reading comments!

  71. Following up to my previous posts, I’m now pretty much recovered. However, now thinking of the next step… being a runner, I still have some discomfort as far as the screws go. Is there anyone who has had the hardware removed that could comment on the result? I’ve heard some people say that once they had it removed they were much better off, but I’m obviously still traumatized by the the whole thing and the pain, etc. and don’t want to instigate things further by going in and messing around with the hardware, but might consider it if, in fact, I could be 100% instead of like 90%. Would love to hear comments one way or the other! Thanks!

  72. Amelia Fleckner Says:

    Please can someone give me some advise. I have suffered the above fracture 17 weeks ago and at that time I was 10 weeks pregnant so pin/plates were not an option along with no painkillers. As the UK NHS is terrible I am yet to receive any and still can not put any weight on the foot. With the new baby due in April I am very worried that this will not improve and I can see no positive improvement.

    Can anyone give me some words of advice or home routines to speed recovery.

  73. Julia Says:

    @Kelly – I had my hardware taken out on 4th Nov, almost 11 months after it was put in. It was sticking out and rubbing on my shoes, I couldn’t wear boots, or sleep on my side without a pillow underneath. It is much, much better since I got it out. The op itself was very simple. They were going to give me a GA, but I chose to have it done under spinal. It was fairly sore for a couple of days with some discomfort until the staples came out 10 days later, but nowhere near the pain that I had after the original surgery. My experience has been a good one, so obviously, I would recommend you go ahead with it.

    @Amelia – sorry you are having such a crap time. I too was pregnant when I broke mine last year, but was much further on at 32 weeks. I was allowed paracetemol and sparing use of dihydrocodeine, but they also gave me a couple of shots of morphine in the hospital after the surgery to help with the pain. Because I was pg, the surgery was done under local anaesthetic with no sedation, which is not the most fun I have ever had, but it was manageable. Can you get a second opinion on it? If you had surgery now, there is still time for recovery before the baby is due. I had a normal delivery whilst still in a moonboot and using crutches, and really the broken ankle didn’t come into it at all in terms of the delivery. It really is the luck of the draw with the NHS. I have no complaints about the way they dealt with me. Good luck and I hope you get it fixed soon!

  74. Debra Says:

    I too sustained a trimalleolar fracture last March 29 while in Tennessee on vacation. I am 56 and this was my very first fracture and as my surgeon said “you did it up right!” My recovery was very much like most everyone else and the most frustrating part for me was the constant pain and limited dorsi flex because of the hardware. I kept telling my surgeon that I thought the hardware was not placed properly and it limited my physical activity and was causing me more issues than the original fracture. After much insistance on my part, I finally wore him down and the hardware was removed on 12/28/10. There are no words to describe how much better my ankle feels now that the hardware has been removed. I still have limited dorsi flex, but I am now able to walk down stairs, my gait is more normal with less limping and my pace has almost returned to normal. I am coming up on a year since my injury and although not 100%, it improves more each day. There are some recent post about hardware removal – based on my experience I would whole heartedly recommend removal.

  75. Karen Agnew Says:

    Hi everyone
    I too broke the dreaded three in March 2011- caught the heel of my stilleto on the hem of a long evening dress while walking downstairs and rolled onto the ankle dislocating it . I still cringe when thinking about it but mostly due to the fact that it was a company event and I did it in front of everyone!!!! . I am reliably informed that throughout the episode of realigning my foot and putting on the inital backslab, under the influence of morphine and entonox I was very complimentory to the A&E staff in Blackpool hospital with regard to their infection control standards. ( I am a nurse!!!!!). It is now a year after the event and I can say that things are improving slowy but surely. My anke still swells in the evening and the scars ( one either side of my anke) are fading. I still walk with a limp but can limp quickly when I need to. However the one thing I found was that the comfortable shoes and trainers I owned pre injury no longer felt comfortable after the injury due to changes in my gait. I invested in a pair of sketchers MBT trainers and they were a god send . As long as I wore these 3/4 days a week I found my gait was improving and I could manage in other flat shoes . I have still not given up hope of walking without the limp and make a conscious effort not to walk with the injured ankle outwardly rotated. Has anyone out there with this type of injury managed to get back to high heels.

  76. Karen, almost a year for me… a higher squared heel yes, but can’t do heavy walking without discomfort… sorry to say, but not sure stillettos will ever be an option again for me!! Unless I wear them for, like, five minutes!

  77. Jan Schroeder Says:

    I fell sunday night (3-27) trimalleolar fracture…after reading all this stuff, all I can say is aughhhhhhh. I don’t see the Orthopedic Dr till Monday, am off my foot till then, sprained both knees, so that is coming along slowly, hope to have 1/2 a good knee in a few days, I have always been dangerous on crutches, so don’t know what I will do…..right now Husband (bless his soul) is helping me scoot onto the office chair, he’s dragging me down the hall (carpeted) I can get myself on the toilet, and back on the chair with him holding the wheels still..then he drags me back to my “nest chair”…all within reach, phone, tv, computer, books, thank God I’m a messy person, and don’t mind living this way…since I can NOT get up and do anything myself….aughhhhh again…..

  78. Melissa Says:

    I can’t wear heels…its awful 😦

  79. I am now recovering from the same injury. They also had to pop my foot amdvankle back in place in the er but they used propofol sp it didn’t hurt. Then I waited 12 days for surgery. M surgeon said it’s the worst he has seen. It was so panful after surgery but is improving. Thanks for sharing your story!

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  84. What a godsend this blog is. I have just read every entry and feel far less alone. The lack of information from the medicos on this injury is truly appalling! Like many of you, I feel totally overwhelmed, shocked, traumatised, depressed and daunted by the gravity of my newly acquired trimalleolar break. I fell off the front ledge at my front door three weeks ago today. I was carrying my son’s birthday cake at the time. The cake survived in tact – I was not so lucky.

    Im in Australia and I have to say that I cannot imagine how awful it must have been for those of you in other lands, that did not provide sedation for the realignment of the ankle. AIIIIIII! My team were very clear I did not want to be awake for that process. I am eternally grateful.

    I had excellent care, but in a vacuum of any real idea of how long this process would be or what it requires for the best long term results. This week I had my original cast off and the stitches out. The stitches KILLED. I sobbed the entire time. The surgeon complimented himself on the great surgery job he had done. And I was sent home with the ubiquitous moon boot. The first night was terrribly painful as the boot was rubbing on the aggravated wounds. I felt quite despairing. But since then, the pain of the wounds has decreased a lot and I rarely take pain medication – mostly just to sleep as I have to sleep with this darned boot on.

    The most devastating part of my injury has been that I was meant to be getting married next weekend. I am still totally in shock and feeling very despairing, that all my efforts for my big day, the beautiful dress, and SHOES cannot be used at all. We have had to cancel the entire thing as we have no idea when I will be able to walk again, let alone with grace and a long dress. I am still in the throes of deep sadness and loss about it all. It feels terribly unfair.

    Only through blogs like this have I slowly been able to understand the gravity of this particular break. I feel the surgeon was not clear with me as to how long the recovery is and how permanent some of the condition may be. I realise that the recovery is variable, but surely they are obliged to let you know your life is going to be serioulsy affected for many months at least.

    Reading all your stories I have laughed and cried and just had so much sense of amazement of each of you and your fighting spirits. You have all endured much agony and shock and disability. I cannot believe that some of you have gone through all this whilst pregnant, giving birth, caring for multiple kids (I have one small one) and often, overcoming huge obstacles with work, home, complications.

    I take my hat off to each of you and am so glad to have found this virtual community – your stories have all made a difference to me. I am looking forward with a sense of fear and dread and at times, overwhelming distress, but your strength and optimism has truly helped.

    Ill post again when I have more to share.

    thank you

  85. Kelly Says:

    Elle,

    So sorry to hear you had to cancel your wedding! That’s terrible! Your post was very kind and brought me back 1 1/2 years ago when I did mine. I felt all of the same things you are feeling and I, too, found comfort in finding a forum in this blog. When I was at my worst, a little old lady – a complete stranger – reminded me that my foot was still attached to my leg and, therefore, I had no reason to despair. That was a major wake up call. Other people have to endure much more than me, so instead of feeling sorry for myself, I knew I needed to just suck it up and get through it. Recovery is a long road and I think doctors don’t say because it’s a little different for everyone. I still don’t wear high heels and maybe never will, but I am now training for a half marathon in February! Yeah, my ankle still swells on my long runs and I can feel the weather change, but I’m back as good as I can be. Just know it WILL get better!!! And I hope you can start planning your wedding again soon!

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  88. Darla Conley Says:

    Another Trimalleor fracture with dislocation occured Oct 14, 2011. One hour in the back of a HHR ride down country roads to the ER. sArrival 5 pm left in corridor for an hour a prison guard offers me a pillow to place my foot upon. Morphine didn’t touch the pain..x-rays excruciating a little propopol for the reduction and splint. Thank you, shift change ran into a nurse on speed or crack for shift change. Told I was being sent home by hospital coordiinator. Last minute change after primary called to say admit this patient. 12 AM in a room have to pee…….they call those things a bed pan…call it the direct spigot to your sheets. Horrendous pain with hospital having no apparent idea how to elevate a foot. No food until I see the surgeon. 5 PM Sat. Surgeon shows up and has scheduled the surgery for 8AM Sunday especially for me…Whoopee but I can have some supper. A day and night of never keeping ahead of the pain and nurses holding back pain meds. Sunday surgery goes well and still another day of bedrest I now smell like the old folks home. Not enough staff it’s the weekend. Monday morning surgeon says if I can get through physical therapy I can go home. First time out of the bed this old 59 year lady with RA still doesn’t know how I did it but I got on and off the john, rode my knee walker through the halls and got my self up a step and through the door. Release to peace and getting meds every 4 hours like prescribed…Nurse Ratchett arrives and says not so quickly we have IV antibiotics ordered that you can’t have until 8 PM. 10 PM home sweet home with a visiting nurse and physical therapist. Two Weeks in the first castit had become too loose and went in for a new one. Three weeks total in fiberglass, x-ray check looks good, sent home with a weight bearing boot with a promise to the doctor to not try and walk without it. Three weeks later today November 29, 11 no boot and outpatient physical therapy to begin 3 times a week. So long story short anyone ever heard of walking unaided at 6 weeks with a tri-malleor ankle fracture just one plate and 10 screws that’s all folks! Phew

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  90. Linda Says:

    I have never heard of anyone walking unaided at 6 weeks after a tri-mal fracture. At 6 weeks I was allowed to put only 25% of my body weight onto the injured ankle. meaning I still had to use crutches and a Cam boot. The amount of weight I was allowed to put on my ankle was slowly increased; I was 12 weeks out from my original injury before I was allowed to toss the crutches (but not the Cam boot) and bear full weight on my ankle.

    As a medical professional, I can say that recovery is different for everyone. I consider myself extremely lucky in theat the only lingering affect I seem to have had so far (almost 2 years out from injury) is that I can’t wear really high heels (4-5 inches); I can wear 3 inch heels with no problems (although my husband has fits if I want to wear anything but flats – even though I remind him I was wearing sneakers at the time of my injury!). I am otherwise back to my usual activities without any problems (including refereeing basketball). I still find myself though marveling (as I am hurrying thru the hospital) at the freedom of being able to walk unencumbered. I will never take it for granted again.
    Elle, I am surprised that your surgeon did not have you keep a dressing on the incision site for a week or so to prevent the boot from rubbing on it. i developed a cast blister on my ankle, and I had my husband (who is a nurse) apply a clean gauze dressing to it every day before I got dressed to protect the area; it worked like a charm. So sorry to hear that you had to postpone your wedding. That is only temporary though. This will make your relationship stronger (my husband of 30 years said that he admires me even more than ever for going thru this the way I did & coming out of it as well as I did).

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  94. Melissa Says:

    I’m so glad everyone is doing well and that my blog entry has provided a place for people to gain hope and information. It’s been 4 years since my injury and things are back to normal, for the most part! I will never wear high heels again, but I’d rather walk instead! Best wishes to all!-Melissa (Blog Poster)

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  96. Ayirdna Says:

    Hi everyone!

    I had a freak accident – I slipped on an icy road – the day after I got back home from a trip to Vegas (Feb. 20th 2012). All alone outside at night, I screamed in pain for 5 minutes before anyone came outside to see what all the racket was about. A nurse from across the street was the first to arrive. She took one look and confirmed my fear – although from the direction of my foot I had guessed already – my ankle was broken.
    I was taken to the hospital via ambulance (bumpy ride) and was sent in for X-rays. I was diagnosed with a Trimalleor fracture and dislocation. I was sedated (with ketamine, I believe) and my foot was reset. Thankfully I was sedated because I don’t remember any of the horrors of relocation. When I came around I was already in a partial cast and tensor. I was told I might be able to get into surgery the next day, but not 10 minutes later I was told that they made an schedule error and I will have to wait. I was sent home and spent 10 days on the couch waiting for my surgery.
    March 1st I was finally operated on and had screws and a plate put in. The surgeon took off before I awoke so I don’t know any details – the nurses didn’t know any deets. 3 hours after surgery I was sent home with the same partial cast and a bunch of Percocet. I have a follow up on the 20th (2 weeks away) when I hope to get some information from my doc. All I was told was to keep weight off my ankle for 6 weeks, keep my ankle elevated and do leg lifts and move my toes.
    I’ve been sleeping on the living room couch for 3 weeks now, hobbling to the bathroom on crutches, although I am getting more adept at using them.
    It is now 7 days after surgery and the pain is subsiding but my foot and ankle swell quickly if it’s down, and I get intense pain in my ankle when I wan upright (using my crutches).
    I am trying to remain optimistic and have have friends over every few days for a few hours. It helps me feel normal and breaks up the long stretches of TV, Internet and sleep. I can’t wait until I will be able to leave the house.
    I would also like to mention that my mother was been amazing throughout all of this. She helps me with everything and is very patient! It has reminded me of how lucky I am to have such a wonderful mom! I am so grateful! Thank you!
    Speedy Recovery everyone!

  97. Cathy Gubersky Says:

    Hi Everyone, I am so thankful I found this blog! 6 days ago I slipped on my second floor stairs and came down a few steps later onto the landing and heard a pop, fell the rest of the way down the steps holding my leg and yelling. I saw the bones almost pushing through the skin and the foot was twisted in a weird position. My husband was in the bathroom and came to see what I was yelling about, took one look at my foot, and called 911. The wonderful paramedic team started an IV, gave me morphine, and then splinted my foot. I also had a reduction under anesthesia in the ED, and had surgery yesterday, with what looks like 12 screws and two plates. The surgeon told my husband I had a really bad tri-mal fracture. I really had no idea this would be such a long recovery process until I read all the great posts on this blog with such good information. I do have to say that this morning, around 4:00am when the nerve block wore off, I sobbed like a baby for a couple hours until I could get in front of the pain with percocet and oxycodone. I have my first post-op visit next Wednesday and hope this initial pain will have lessened up by then. The medical care I received so far has been stellar, and I have been an RN since 1974 so I know good care when I experience it! Bummer that I can’t go in to work for another couple of weeks, but as a director I don’t have to do direct patient care and can sit with my foot up and use the knee walker to get around the hospital. I too am using a desk chair in my home to get around, since the wheelchairs won’t navigate the little hallways in my house. While on pain meds I don’t feel too steady using the crutches and don’t want to risk falling again! I want to thank Melissa for starting the blog and all those fellow tri-mallers who posted. I will be following on Facebook, and post my progress so others who have the same unfortunate issue can be as informed as we all are now! Actually the best site I have found on the personal life modifications needed while recovering. Well, time for another percocet and to try and get some sleep!

    Cathy G 🙂

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  101. mario Says:

    Screws and plates removed on 23. March finally, almost one and a half year after first surgery. Expecting at least 4 weeks of intensive physical therapy. I’m still in hospital while posting this, waiting to get released on Friday. Good luck everyone.

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  103. Cathy G Says:

    Hi All, Just an update. I am on day 20 since surgery, and learning to use knee scooter around the house. Doing passive ROM (range of motion) with my ankle as suggested by ortho surgeon. My back has started giving me spasms which actually does not help mobility! I will be going back to work 4/9 so I need to be proficient in getting to car, in car, out of car, and crutching to work by then. I have ordered a 2nd rental scooter to keep at work. Life goes on, healing occurs. I am so grateful nothing else was broken! Thanks, Cathy G

  104. Cathy G Says:

    Figured out the back spasms caused by knee pan on knee scooter being adjusted too high, threw my back out by misaligning my hips while I rested on injured leg knee, and scooted with non-injured leg! Anyone using one of these scooters should definately have it adjusted professionally! 🙂 Cathy

  105. Ayirdna Says:

    Update

    Since breaking my ankle on Feb 20th I’ve had some ups and downs. March 1st I had 5 pins and a metal plate put in to secure the tibia and fibula (3 breaks total). I am completely off the pain meds now and am feeling a heck of a lot more optimistic about my situation. I had a follow up with the surgeon on the 20th. X-rays looked good and had staples removed and was fitted in a walking boot. However was told not to put ANY weight on my ankle for another month. The boot has been helpful, as I can remove it to shower (seated of course) and to apply cream and to scratch my itches! I exercise my ankle a few times a day by moving my foot up and down. I Can now move it about 2 inches.. Progress! My next appointment is on the 17th. I am not sure when I will be able to return to work ( I work retail on my feet) the tentative date is mid may. It feels like so long from now. Now I’m just left dealing with angry bill collectors… Joy.

  106. Cathy G Says:

    HI All,
    I am out of boot, in good Carter’s orthopedic-type support shoes and actually walking with the aid of a cane-type crutch! Foot and ankle still swell at end of long day at work, but I put it up when I get home for an hour and do emails and the swelling goes down by next morning. No longer on narcotic pain pills which has helped how I feel tremendously. Occasional ibuprofen helps achey pain. We are moving to a one-level home in a couple weeks so no more stairs to navigate (of fall down!) – goal is to be off the cane by mid-June and on my own two feet. I see some posts of those who had hardware removed – my hardware seems to be rubbing on the upper edge of my shoe on inner ankle so I guess I will be considering hardware removal in future as well. Thanks everyone for sharing!
    Cathy

  107. Izzy k Says:

    Thank you so much for sharing. This blog has been soooo helpful. And somewhat comforting. I hope everyone has a speedy recovery. I have also injured my ankle with a tri malleolar fracture.

    It happened aug 3rd. I was being a good wife and decided to go bouldering at an indoor gym with my husband. This was only my second time. I was super fatigued and decided to jump. Apparently I am a horrible faller. I landed on a crappy crash pad and took the weight on my right ankle. I landed, heard a pop and felt intense pressure. It was dislocated, the sensation was really strange. Almost like a leg cramp that you could not escape.

    EMT whisked me away to the ER where they relocated it. It was wrapped in a splint and I was given crutches. I had to wait a week for swelling to go down and to find the best orthopedic surgeon in town. On a scale of 1-10 and 10 being I wanted to die.. I was consistently hovering in and out of a 5-8. Everything was going well until I fell again. Having tripped with my crutches going up a step. I managed to dislocate it a second time within the splint. The pain was now at a solid 12. And now I have stair anxiety…

    I finally had met with my surgeon he put 12 screws and a metal plate in. They gave me a nerve block which I highly recommend! My leg was numb for a solid 18hr after surgery. The pain after surgery was only really bad for 24hr. I was off painpills so fast. I thought something was wrong with me. But the pain was zero to manageable without meds. They put me on a splint for 2 weeks while my incisions heal. I have an appt this Friday. To get the stitches removed and an official cast. The pain is now just random throbbing, itching where my stitches are (which is a good thing i hear!) a few shooting pains that last no longer than 10 seconds. I’m not sure if thats good or bad.

    I’m supposed to be in the cast for 6wks then a boot for 2wks. I’ve never felt so bored, frustrated, depressed, lonely in my life. I have a new found respect for those with injuries and the elderly. I have dreams of walking and going back to my normal routine. Time goes by so slow that all I find myself wanting to do is to sleep it away. I can’t stand when people tell me it’ll be over before I know it..or 8 weeks is not that long.

    This happened to my right ankle so I can’t drive. I am trying to look on the bright side. I appreciate strangers random acts of kindness towards me. I’m thankful that I can work from home. I only leave the house 1x a week, usually on Sunday’s. It’s funny how quickly you take for granted things like taking stairs, driving, wearing pants or playing with my pup. I used to be constantly on the move but now I have way too much time with my thoughts.

    I know everyone heals differently..I am hopeful or wishful is more like it..that my doc will tell me I don’t need the cast for 6wks, that I have somehow become superwoman and healed with all the sleep, milk, and jello I have been consuming. I fear about the stories I hear about physical therapy and swelling…

    Only time and persistence will tell..thanks for reading..

  108. Norma L Says:

    So glad I found this!!! I had my “accident” February 4, 2013. My first trip to Colorado to snowboard. After an awesome day with lessons, on the last run of my first day on the slopes, I had the most freakish fall in snowboard history. Ankle fractures are super rare because the boot is so tight, but yeah, I managed. After hearing the “crack”, I laid there thinking “Really? On my first day?? Are you serious?!?!!” Yes, it hurt but I didn’t cry. Maybe because I was in so much disbelief….maybe shock. Who knows? After getting help, ski patrol took me to first aid where they applied the most archaic splint known to mankind. After a 30 minute drive to the nearest hospital, I had xrays where it was determined I had a trimalleolar fracture. What to do? It was soooo swollen, the dr said it would be a week before a surgeon would touch me. So I stayed on “vacation” for another 6 days until I got home (Texas). Meanwhile I contacted my dr back home & he got the ball rolling on finding me a OS. On February 19th I had my surgery. Stayed overnight in hospital. You have to understand…I’m a 41 yr old baby. I’ve never had a baby, never had surgery, swear I’ve had contractions (even though I’ve never been pregnant……you get the picture). My entire family expected me to be the worst patient EVER!! But I wasnt. I was only on pain meds for 3 days. So this hasnt been too bad yet. Had a splint for 9 days then got staples/stitches out. Dr was very impressed with how well my ankle looked, very little swelling. Told me “whatever you’re doing, keep doing it.” Now I’m in a NWB cast, will be on for 3 weeks. Then I should get a walking boot. I had a list of questions for my dr, when will I be able to work? Can I go on vacation in may? Can I dance at my nephews wedding in April? Etc etc etc. he said “your body will decide. Listen to your body.” Not exactly what I wanted to hear. Right now I’m in the cast, have zero pain, but because my swelling & muscle is less, my cast is fairly loose so the weight of it causes my toes to swell. So I’m on my back with my foot propped up. I’m hopeful my recovery is good. I consider myself very healthy, very active (have done 3 half marathons), and at a good weight (5’5″, 135 lbs). So now I’m waiting….gotta say some posts have been discouraging to hear the healing time is sooooo long. Will keep y’all posted as to how my healing process goes.

  109. Ayirdna Says:

    It has now been just over a year since my break and first surgery!

    To recap, I broke my left ankle on Feb. 20 2012. Surgery was March 1 2012. 10 weeks non weight-bearing. Physio from mid-May through till August, then I had 3 screws removed. Physio again from September until end of November.

    March 1st of this year (2013) I had my final surgery to remove the plate and screws from my fibula.

    I am nearly two weeks post-op.

    I am feeling fantastic! I am glad this is finally behind me.

    I hope you all are doing well and I wish everyone a speedy recovery.

    Some advice: it may seem hopeless at times, just keep looking forward and know that you will be up and walking again soon!

  110. Ayirdna Says:

    p.s.

    I was able to wear high heels down the aisle as a maid of honor at my best friends wedding in January! With a little help from the best man I did not trip or fall or hurt myself – my ankle did swell after though… Totally worth it!

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  112. geoff Says:

    Tri back 2nd may. Frac extend into joint, higher risk of arthritis. Bad because I’m 33, like to run. Hope it repairs so I can run and cycle soon, but might be optimistic looking on net. Happened when van drove into my stationary motorcycle’s side, crushed my ankle, suppose I’m lucky…

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  115. Butch Says:

    Informative reading, it is good to find a like group group of people with the same story and information on recovery. On July 9th, 2013I lost my footing and fell back on my leg and ankle with all my weight resulting in a trimalleolar fracture. I had a lot of swelling, as a result two surgeries were necessary to get all the fractures repaired. After the first surgery I wound up with three life threatening pulmonary embolisms and as a result I’m now on a blood thinner, warfarin for three months.The pain from the broken leg/ankle was bad enough but throw in three PEs and you’re in for it.

    I’m now six weeks in and feeling fairly good. I have the very best orthopedic surgeon going and feel very confident in the out come. Additionally, I am very fortunate that my wife is a RN. My six week check up shows everything still lined up and healing. The doctor estimates that at six weeks The bones are about 80% healed. On the rare occasion I’ll need to take a lttle pain medicine and wiil probably not need it at all soon. I was fortunate that I’m a desk jockey and was able to get by with a walking boot did stead of a cast. At six weeks I can now take off the boot at night to sleep. I will start therapy in about two weeks. I have been doing a few ankle exercises with my foot out of the boot for about a week now, not much other than gently moving it around. I apply a vitamin E oil to the skin on my foot and ankle and it seems to help with the healing. In a couple of weeks will start putting weight on my leg in therapy and theoretically start walking in the boot at some point shortly thereafter. I have not as yet realized much pain from the screws and metal plate left behind. There was a lot of pain after both surgeries and whenever my leg was not elevated for a short length of time very intense pain. I have one long screw that will be removed at the three month mark that goes through the fibula into the tibia. The thing that helps me the most mentally is to think about how bad it was and how far I’ve come in the few weeks since the accident. I’ll add a little more after I start therapy.

  116. Butch Says:

    Started therapy today and was very encouraged. The strength and movement in my ankle is good. There is some soreness in the ankle and my toes are very stiff. I’m putting weight on my foot in the boot and will be walking with the boot on soon. I need to put a lift in my left shoe so my legs are the same length when I start walking with the boot on. I had some pain after therapy. There’s still a lot of swelling and I need to ice and elevate to heal faster. I’m driving using my left foot for braking and the booted foot for the throttle, it works fine. I take a pain pill every once in a while, maybe twice a week. I took a pain pill after therapy today and will take one about 30 minutes before the next session. I’m 62 years old and very pleased with the progress, I expected much worse. This is week eight after my surgeries and the progress is rapid now. More later…

  117. Reblogged this on Accident At Work Compensation Claim Solicitors and commented:
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  120. Applying ice to swollen areas and taking anti-inflammatory medications may relieve some of the pain. If the injury is not severe, the recovery should be fast.
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  121. thankyou for sharing your story.The most conscious altering idea,for me,was when you said to be grateful for all the days and time I had full usevof my ankle.I was a gymnast for 8 yearsvand a dancer for 23, so I really took for grantedvthevease of which physical coordination came to me.( ut,lots of ptactice,as well,of course.)I suffered same injury one month ago.I feel cooped up, can’t drive,am in pain, grouchy,and yes sometimes FRUSTRATED.I don’t see how I can go from how I am. ow to even walking again, ut adter reading your writing,I will get off the pity pot,and back to positivity and REALITY.blog, I wreshift back to positivity.Thanks.Brenda HinesBrenda

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  123. Daria DiMauro Says:

    In April of 2017, I also suffered a trimalleolar fracture of my left ankle after falling down the last four steps in my condo. All I remember is things turning into slow motion and the sound of popcorn in the distance. That of course was the sound of all the bones breaking. All three had several fractures. My left foot was also severely dislocated. Let’s just say no one should ever have to see their foot at that angle. LOL Other than that, compared to the stories I’ve read, I had an extremely accurate and pain free treatment from beginning to end of my convalescence stay prior to surgery, the nurse angels that I met and the wonderful people who were assigned to come and assist me with showering and such, once I returned home. If it wasn’t for my gold star insurance, I never would’ve been able to achieve 100% full range of motion with that injury. Even my doctor told me I was going to have a limp. My reaction was sudden and sharp. To this day I don’t know how, but something in me cried “absolutely not“. I had only one question for the doctor. Have you put any metal in my leg that would make it absolutely impossible according to the laws of physics, for me to achieve full range of motion? He had the most uncomfortable look on his face. Then he said “No, but“. I then put my hand right in his face and said “Stop right there. I’ve got it from now on.” I didn’t like his bedside manner but he did have a reputation for being among the best orthopedic surgeons in Connecticut. (Harvard trained, of course.) I just lucked out on that one. Then I went on a search until I found the right physical therapist who agreed to make the goal 100%. He did make me agree to accept when it was clear that we were no longer making progress, then that’s as far as I could go. I agreed. I had to interview a few different physical therapists before I could find one with the right attitude and didn’t say something like well we’ll shoot for 80/85, but I can’t promise anything beyond that. So I kept looking. It took nine months of therapy, three times per week, with each session being two hours long. As others have mentioned a good physical therapist, he had his PhD in PT, by the way, never pushes you to pain. The goal is to make you so sore you’re right on the verge of pain, but it stops there. Nothing gave me more pleasure than seeing my doctor again and telling him the news. He didn’t congratulate me, he just asked which PT Center I had attended. Fair enough, apparently he didn’t like me either. Just for the record, I had two plates and 12 screws placed into my ankle. I feel constant pressure, but no pain. Don’t ever let people tell you it’s impossible to regain full range of motion. Unfortunately, I can clearly see now that it comes down to insurance coverage. I’ll post the contact info. I hope they let it post. God bless all of you for your courage and warmth. In a time like now, it restores my faith in humanity. Best of luck, my friends.

    Dr. Mike Aranow, Orthopedic Association of Hartford, Connecticut.
    Physical Therapy and Sports Medicine centers or http://www.ptsmc.com

  124. sat essay prompts

    I’m sorry Miss Walsh, you have a Trimalleolar Fracture… | Tales of a Delectable Redhead

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    I’m sorry Miss Walsh, you have a Trimalleolar Fracture… | Tales of a Delectable Redhead

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