Trimalleolar Ankle Fracture Dislocation Care

[@tomlee261]

I suffered a trimalleolar fracture in March this year. And the most painful experience I ever had in my life was having the foot reset... Twice. The first time it was set wrong and I was in agony for over an hour until the orthopedic consultant showed up. I would not wish it on anyone! I spent six days in hospital and left with two nice scars. Three plates and thirteen screws. Thank you for this video. It's really showed me the care and work that all you guys do

[@marcidorman]

I wish I had seen this video back when I was home from the ER awaiting surgery for my own trimallleolar ankle fracture. For any doctors reading this, I hope you explain to your patients the purpose of the shape. Even just the phrase: “twisted splints make straight bones” would have helped me a lot. I could see and feel that the splint was twisted and felt as though my foot were forced into an unnatural position. An explanation that this was purposeful would have alleviated a lot of anxiety that something had gone wrong-and would have kept me from pushing and pulling at it; I was lucky that I didn’t mess anything up.

[@mariamzhungu6988]

Thank you for a nice presentation, looking forward for many more

[@selinasturman1878]

Fantastic video! Thank you!

[@mdzwank]

Glad you enjoyed. Hope all is well in your corner of EM.

[@robs1714]

Had my trimal surgery 4 months ago, just gotten to the cane stage ☹️mine was a log splitter/ tri. I’m glad they knocked me out, I was almost passing out as is but I did not want to hear any more bones moving around

[@krystennawomack9724]

I agree

[@greendrm4569]

Just had bilateral ankle orif, one is a trimal, two more weeks until cam boots hopefully, at least for the better foot

[@robs1714]

@@greendrm4569 rough go ahead, I’m 14 months out and just newly able to squat deep

[@pagnanaprakash]

IF THE SLAB IS JUST BELOW THE POPLITEAL FOSSA,THEN WHEN THE PATIENT FLEXES THE KNEE-WONT IT DIG THE POSTERIOR THIGH ?

[@deshonab234]

I’m 6 weeks out from 2 ORIF surgeries. A trimalleolar fracture and a linsfranc injury on left foot. My big toe is numb. Is it normal to still have pain? How long before I get feeling back in some of my ankle and foot?

[@marcidorman]

Im also about 6 weeks out from my surgery. When I asked about the nerves I was told it was normal for the nerves to be kind of noisy. As long as your muscles still work and the blood flow is good, then likely you’re fine, and the nerves just need time to return to normal after being jostled around a lot during surgery. Unfortunately, unlike bones, there’s not an exact timeline of how long it takes for the nerves to settle. Definitely discuss it with your surgeon, especially if it gets worse over time instead of better.

[@paulinemanifold436]

Youre very lucky indeed ! Glad to hear .im nearly 4months out i smoke .Im ok i was v fit & agile pre accident.Im walking unaided but not as i was before which is v depressing .I hope that i will in time ,i still have numbness on the top of my foot which is most likely nerve damage .Have you done much physio ? Ive 2plates & 14 screws ! !

[@michaelschnabel5855]

I’m 6 weeks out and am starting to work on mobility exercises, I have 2 plates and 11 screws and was wondering how your doing now?

[@paulinemanifold436]

@@michaelschnabel5855 Hi I'm doing better thanks my ankle getting stronger wk by wk .Saw my consultant just before Christmas he is happy with my progress too .Swelling is very much reducing now ,even after long periods on my feet (I do still wear a compression sock ) Virtually no pain at all ,just more of an ache at the end of the day.

[@raphaelkayodegbadeyan]

I had an accident over three years tibia and fibula r broken, bimalaeollar also affected , can this be perfectly fix through surgery?

[@NancyCapps-w5e]

The popping part was the putting back in place . My ankle was broken in 3 different places

[@Emma-um4cr]

I had trymallioar fracture with dislocation I was sadated after they put I back in I had to wait 8 days before surgery because the said they wouldn’t be able close the wounds due to swelling.that was 14 years ago

[@janelleosumbasvlog4241]

I got into accident and my ankle fractured n my leg dislocated just like, and the doc just the same this that he is doing bt after 2month mine failed.

[@lucylopez9779]

I had surgery and after 6 weeks still haven't been cleared for pt, my foot itself is angled weird, and my 3 smaller toes are still super numb. Is this normal?

[@Coco2020.]

That’s crazy mine feel the same way. And I’m on week 7

[@karenpaul4940]

Perfectly normal. Mine was at the beginning of April, those 3 toes were numb for weeks. 5 months on, only the pinkie has numbness, and that's gradually improving. The foot also seemed a bit misshapen for a while, until I started physio and getting about more. I will say though, bits of my foot, especially where the screws and plates have been put in, are still numb.

[@Sebastianelli81]

I don’t know what all these doctors are talking about !!?? Im 42,a pack a day smoker,i went in after 9 days and it was day 1 cause i tried to walk and fell.The women doctor finally comes in and says you fractured all 3 bones needed to walk,and wont ever walk without surgery or arthritis,she put lidocane in pressed on my heel (oh lanced the fracture blood balls) put thr middle talus she couldn’t move..I took the splint off 36 days later and am walking fine,(no arthritis).Just the splint in the er,i took b12 and drank a glass of milk a day and puffed on marlboro reds probably 2 packs aday.And im back to my construction job.Putting rods and nails in fracture with no protruding bones i think is bs.

[@paulinemanifold436]

Btw that comment was for you @X SebastianelliX

[@michelleongoro5495]

Had surgery in Nov 20th 2022 my ankle joint was completely of the joint

[@karenpaul4940]

Same! Mine happened in April 23. Freaks you out seeing your own foot hanging off. Do you mind me asking, do you still have any numbness in your foot? Mine has certainly improved since the surgery, but there's still a fair bit.

[@michelleongoro5495]

@@karenpaul4940 I don't have any numbness but have the stiffness when on my feet for too long or sitted for long

[@robs1714]

@@karenpaul4940my feeling is about 80% back from 6mo. Ago from my surgery

[@lacheekah1849]

No surgery?

[@raphaelkayodegbadeyan]

Good job

[@Emma-um4cr]

Yep that was my ancle