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Can you tell what it is yet?
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Pretty sticthing
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A fracture blister, apparently quite rare, and unfortunately this has burst leaving goo all over the place
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Clean with iodine and de-roof the burst blister
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Cleaned up, stitches removed and a few steristrips where the wound didn't quite seal then you are on your way!
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Unfortunately they are worried about infection so it is another back slab instead of a proper cast and another visit in a couple of days to re-assess.
Sorry if this thread is of no interest to most of you lot but it is the easiest way of sharing the news with those who are as I cannot use Facebook.
as I cannot use Facebook.
Why?
Hmm think I'll have ham hock for dinner.
I found this very hard to masturbate over.
Cannot use Facebook - Monitored by work with some strangely draconian measures taken if they deem your posting to have the potential to damage the company, their image or the prospect of placing you with clients. Basically not worth the hassle of explaining any post they choose to pick on.
DezB - But as a true professional I am sure you stuck with it to the end 😉
That actually looks pretty good and now you're in a backslab it's amazing how quickly it'll heal.
Awesome! People in the office gave this about an 8.5 out of 10 for gruesomeness.
What's the score with it now? Is it fused, or does it have some movement in it? Have they said how long it will take to heal up properly yet, or is that purely dependent on how quickly the post-op infection takes to clear up?
Get well soon by the way.
'kin 'ell - the best I can say is at least that looks like a foot unlike the earlier photos 😥
As always best wishes WCA
In order "bond" with you I'll dig out some photos Vietnam's approach to road safety public info warnings, ie some gruesome photos posted on a large notice board outside the hospital in Ha Noi
Can you give us a recap on how you did it for those that missed that episode.
Mostly Balanced - Member
Can you give us a recap on how you did it for those that missed that episode.
It was some serious rock and roll, live fast die young shit 😉
I found this very hard to masturbate over.
It is a bit early, maybe try again later?
frankenstein!
Truely Gross.
Keep it to yourself..
(joke)
If you put a sock on it you'd never know it was there.
BOL and GWS.
[i]Cannot use Facebook - Monitored by work with some strangely draconian measures taken if they deem your posting to have the potential to damage the company, their image or the prospect of placing you with clients. Basically not worth the hassle of explaining any post they choose to pick on.
[/i]
Is this becasue you are using a company mobile or do they actually monitor your personal online usage from any device?
Need to wait 12 weeks for then to decide whether to fuse, amputate or leave along.
How did I do it? Saving small children from a wild eagle attack while balanced on a ladder for charity*
*some if this sentence is true
Previously - leg bone pushing out to the left forming white circle. Foot completely dislocated and moving up the shin. Heel totally dislocated and moving forward with the tib and fib resting hard against it. Talus bone which should be on the end of the leg bones is hiding out of shot to the right of the leg bones
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100% your fault or some equipment failure?
tbh I hate ladders, and use them quite often at home - but scaffold can also be hairy, when its cheap/home stuff.
It could have been 100% my fault, ladder not tied on etc, but I am definitely blaming the wild eagle attack and am going after Bill Oddie and the RSPB for compensation 😉
Second most horrific picture on STW today. Good work.
I remember my temp back slab being taken off the day after I had mine pinned and plated (not quite as impressive as yours mind..). As the cut down the middle and pulled the two sides apart it opened up the wounds on both sides and blood pished out.. I fainted- prob due to the amount of blood lost quickly.. Ahem.
[i]Second most horrific picture on STW today. Good work.[/i]
Most horrific?
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You win!
Pass the mind bleach
DezB - MemberI found this very hard to masturbate over.
😆 arf
Get well soon WCA, that's pretty gruesome
Good luck with it all, sounds like they are looking after you.
Have seen plenty of patients with injuries that were horrendous do way better than they logically should have done, will keep fingers crossed!
Good effort there!
The goo, bit wiffy was it? Pretty nurse passing out from the stench or just an oozing of non smelly gunk?
Has Mrs WCA banned you from ever doing anymore ladder climbing?
I was just eating an egg sandwich when I looked at these pictures and your blister gunk looks like my egg yolk.
Not a nice thought. 😕
Green egg yolk? You may need to return that or are you this bloke?
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Ooo, that looks nasty.
I don't think that my suggestion of an Ilizarov would necessarily have done the trick, it looks pretty complicated down there.
I had a fracture blister on my leg just above the ankle but I was lucky as it didn't pop, it simply dried up and withered away after a couple of months. It's weird as it seemed to me at the time that the thing the doctors knew least about was the cause of fracture blisters.
I know you know this but keep everything as clean as you can, I used chlorhexidine twice a day to clean the places where the wires entered my leg etc. Bone infection is something that you really do not want!
Best of luck, get well soon.
Was this:
WorldClassAccident - Member
Need to wait 12 weeks for then to decide whether to fuse, amputate or leave alone
In answer to this:
DezB - Member
I found this very hard to masturbate over.
[i]the thing the doctors knew least about was the cause of fracture blisters.[/i]
I had an interesting conversation with on the the Drs/Nurses about this.
Me) I have Googled this and seems they are quite rare and no-one has a firm policy on how to deal with fracture blisters, what is this hospitals policy?
Them ) It is under review
Me) What was it?
Them ) It was out of date and we can't discuss it
Me ) What is the current practise?
Them ) It is under review
Me ) So what are you going to do? Google suggests leaving the ones that don't burst alone and de-roofing the ones that have burst to remove the risk of infection from dead skin
Them ) Sounds reasonable, we will do that then
Me ) Would I get a different treatment if I used Bing instead og Google?
Them ) Don't be stupid, no-one uses Bing. Pass the iodine...
Oh my goodness that sounds horrific and yes - infection is your worst enemy. Good luck with the healing and get straight back at the first sign of any infection!
You might just as well have done Red Bull Rampage after all - less dangerous - only bruised heels to be had there 😀
[i]I had an interesting conversation with on the the Drs/Nurses about this.[/i]
Must be reassuring to be in the hands of professionals.
That was pretty broken, is there any hope they are just giving you the worst outlook, but you might well heal up pretty well from this?
I should heal up but there is 0% chance of the blood supply to the ankle joint surviving. This means that rather than the bone growing back and healing it will remain highly fragmented.
They have a couple of screws holding the bottom of the tibeia on and a couple of screws holding the two biggest bits of the talus together but a lot of the rest is just rubble.
They need to decide if they should leave me walking on the remains of the ankle and hope it holds or try and fuse the joint. From what I have read, fusing the joint basically means encouraging the bones to grow together by removing their protective layer. Not sure how this works if the bones are not growing. If those two options aren't viable I shall be getting a direct implant SPD grafted on where the foot used to be.
Oh god that is the grossest thing I've ever seen I actually did a little sick up
DezB you are a sicko 🙂
If those two options aren't viable I shall be getting a direct implant SPD grafted on where the foot used to be.
God forbid, if you end up going that route, make sure you hook up with a fellow cyclist unidexter* missing their left foot, then you can share shoes and save 50% on cycling footware!
*thanks to Peter Cook for that word!
it seems a shame that we can't* put your 'good' leg in an MRI scanner, produce some 3d STL images of your bones, and make some mirrored copies in a 3D printer** - and pop these in to replace your shattered bones...
(*whenever i've mentioned this idea to a doctor, they've looked at me like i've got 2 heads)
(**we've got an Arcam and an EOS jobby here at work, we've made all sorts of mad things from stainless steel and titanium)
[i]If those two options aren't viable I shall be getting a direct implant SPD grafted on where the foot used to be.
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A bit like when Barry Sheene broke his wrist, and brought his handlebars in so he knew the angle he needed the cast to be set it at...
[i]**we've got an Arcam and an EOS jobby here at work, we've made all sorts of mad things from stainless steel and titanium)[/i]
You may be getting a call in about 12 weeks.
I have been thinking of ways to stabalise the tib and fib and fit some kind of universal bracket so I can add external attachments - foot, skate board, food blender....
The medical professionals seem to lack the imagination to turn misfortune into opportunity. They see a missing foot, I see a bionic connection bracket.
Slather it in flamazine cream*, I believeWhat is the current practise?
*No Dez - it's not a euphemism
Just found a cheerful website
http://www.mdmercy.com/footandankle/conditions/trauma/fractures_talus.html
The make a lot of mention about how avascular necrosis (AVN) is a bad thing and talk about worse case scenarios with greatly reduce blood flow etc.
Just re-read my operation notes "Serious nature, limb threatening nature and risk of AVM(100%) explained"
Does anyone have a positive spin on "risk of SVN(100%)" meaning anything other than I will definitely have AVN?
I guess it then comes down to how it manifests itself. Oh well, here's hopping
I'm guessing it means what % of the bone will be involved
seen [url= http://www.wheelessonline.com/ortho/anv_and_salvage_of_talus_fractures ]this ?[/url]
Thanks for the link, I seem to be reading a lot of this sort of stuff at the moment. It is sometime difficult on the internet to work out when you are reading facts opinions or adverts giving information(advertation/)
On the link I posted there is a picture of various x-rays and mine looked like the one above this text " n this fracture the entire body of the talus has dislocated out of the back of the ankle, and AVN develops in 100% of these fractures."
Human body is capable of remarkable regeneration.If there's no necrosis in 12 months,and blood vessels regenerate you may well not need the SPD implant.I wouldn't be rushing them to decide about amputation unless increasing necrosis is present.I'd also ask if you can have an opinion from a vascular surgeon,to see if he feels he can improve the blood supply by grafting.