The surgeon will attach metal rods, screws, plates, or pins to the bone to hold it together. Orth surgeon knew I wanted to play hockey/bike again and used the smaller plate with less screws as he felt I'd heal up fine and said I'd be happier with a smaller incision. It broke just perfectly between the fibula and tibia. On removal, this weight is suddenly loaded onto your normal healed bone. While I've broken other bones before, primarily the collarbone (clavicle) and had other injuries/accidents. I'm not neccesarily bothered by the plate or the screws on a regular basis, but I don't like the idea of having foreign objects in my body for the rest of my life. Was off work for 1 week and back I went; drove me nuts doing nothing. Non-operative management has a poor outcome so operative management is preferred. During this procedure, bone fragments are re-positioned to their normal alignment and are then held together with special screws and metal plates that attach to the outer surface of the bone. Both of them had hardware (a plate and screws) drilled into their fibula. Broken Ankle with metal plate? But I am just curious how long the recovery will be? Simply put, surgically repaired broken ankles take months to recover. Waking up on the 8th of September, I was optimistic but nervous. The patient is positioned so that the the ankle is clearly visible to the surgeon. Repairing these bones often involves the installation of plates, screws and pins. Many plates allow either locking head or standard screws, to be used at the surgeon’s discretion. Why do we use plates and screws, though? These are made of stainless steel or titanium. Like a jigsaw puzzle, the pieces of the broken bones are placed back together (open reduction). I had a major repair and recovery from a broken fibula; 8 screws, a plate and a syndesmotic screw at the top of the repair. Recovering From A Broken Fibula I had a plate and screws to hold the bone together and plaster cast for 7 weeks and had to be non-load bearing. My goal is to have a fantastic hiking and backpacking season and then to have the removal surgery right around the holidays in either November or December. Eventually, with the use of both crutches i started "walking" then just over a month, i was scheduled for the hardware removal surgery. Then I put weight on the ankle, but in the boot, for another six weeks. Accessing the Ankle . The surgeon (Dr. Jones in Grand Rapids MI) fixed this with a plate and screws, but it has been bothering me for a year now with pain. X-Ray, broken fibula, July 2001. Its loud and annoying. The surgeon must use caution while inserting the lag screw. The procedure involves attachment of a fixation plate made of stainless steel or titanium to the fibula and use of screws or fixation plate on the tibia to stabilize the bones and allow healing. The area is cleaned and sterilized. Broken Fibula Rehab & Recovery | Running Back Josh Schultheis | Revolution Physical Therapy - … I had a four hour surgery whereupon he put in two plates and 12 screws on each side of my leg. They can occur in people of any age. Two fractures to my fibula at the ankle and ligament damage is the outcome that will have me in surgery next week receiving a plate and screws. Learn about the different types of fibula fracture or breaks that impact the calf bone at the back of the lower leg. My surgeon doesn't want to remove the hardware because of my history of a DVT after the initial surgery and because I am very overweight, so the risk of my fibula snapping without the plate to reinforce it is rather high. If one allows the drill bit, or the screw, to protrude too far medially, one can damage the neurovascular bundle or FHL tendon. Whether or not there is surgery, strengthening and stretching exercises are prescribed to help you regain full range of motion. On the medial side is the neurovascular bundle which ends up frequently at the tip of the subchondral lag screw. Using plates, pins, nails and screws to fix broken bones in the arm, as well as in other parts of the body, is referred to as bone fracture repair. This internal fixation provides stability so movement can begin shortly after surgery … The broken bones were held in the correct position with a metal plate and screws. Does anyone have any knowledge about this or could tell me what i should be doing and/or if i will ever get all the feeling and movement back? I still don't have feeling in the top of my foot and little movement in it. In this Ask Dr. Geier column, I discuss that question from a reader … $445K Settlement for Motorcycle Rider’s Leg (Tibial Plateau) Fracture After Truck Hits Him. Broken ankles occur in about 184 out of every 100,000 people in the United States every year. The fibula can break in several places and different ways. Osteoporotic fractures of the distal fibula in elderly patients is a challenge to manage. I underwent open reduction and internal fixation with a T-plate and screws on the same evening, and was discharged walking with crutches 5 days later. Implants may include metal plates and screws, pins, and intramedullary rods inserted into the cavity of a bone. As Oakland Raider Derek Carr gets surgery for his broken fibula, we look at how this bone can break, how it can be fixed and how long that might take. When the cast was removed I was given a support boot and was able to put about 50 percent weight on the foot whilst using crutches. Anyways, my achilles started to heal after 8 months and my ankle started clicking. This surgery normally involves adding screws or plates to the area around the break to hold it in place while it heals. The type of hardware used depends on the location and type of fracture. I was non-weight-bearing in a boot for six weeks. A broken ankle may be stabilized with a screw or a plate and screws. The plate illustrated has screw holes in both its transverse and vertical limbs. Hi, i had a bad ankle break like 5 months ago, had the surgery and screws, plates etc inserted, non weight bearing for 3.5 months. A fibula fracture may require surgery, particularly if the bone pieces have moved far out of alignment or if the bone has broken into multiple pieces. Implanted metal can help broken bones heal in proper alignment. The arm has three bones. I am also a mother of two children 8 and 9. I broke my fibula just above the ankle after a fall on ice. The long bone in the upper arm is the humerus and the two bones in the forearm are the radius and ulna. I read both articles today and they are spot on. Plates are load sharing implants. If the fracture is serious and involves several bones, you might need surgery to implant screws and plates in the bones to be sure that they heal properly. These metal items become a part of your fibula and are not removed. Internal fixation refers to a surgical procedure used to realign and mechanically stabilize a severely broken bone. I headed to get my weight bearing X-ray, the whole previous week I had been icing and elevating my leg hoping it would make some difference and that I would not need surgery. Putting a broken bone back in place and holding it with a plate and screws is one of the most common types of surgery we do as orthopedic surgeons. So any sudden stress will cause re fracture. This bone break of my left fibula would have to be characterized as the most serious to date (even winning out on my 20 cm open wound from crashing through a tempered class door in college). I’ve been a crying mess the past few days as I surrender every shred of independence I’ve ever had. Plate and screws to fix fibula. Actually I had 3 surgeries, screws /plates for fibula and tibia bones( both were broken) – fixing the ankle – ligament reconstruction. Preparation. Only had the boot thankfully and not a cast. The broken bones are then held together (internal fixation) in this correct position with metal plates and/or screws. I am learning the later screw did it's job before breaking right before I went in for my exit from pt back to no restrictions. Hi! Plate rotation should be checked, and adjusted if needed, after the first distal screw is inserted. I broke my ankle in august and had surgery now i have a metal plate and 9 screws. Guy Slowik FRCS, Orthopaedic Surgeon. He said there was no way he could put it back together, but the plate and the screws would hold it. It is common now for broken bones (fractures) to be fixed with metal plates and screws or a long nail, especially if the fracture is unstable or the joint surface has been damaged, and for this hardware to be left in the body. Note that she had a fracture in her fibula that did not require surgery (just a plaster cast), but a full 3 and a half months passed before she was comfortable driving a car.

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