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Old 06-18-2008, 06:23 AM   #1
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janeeng HB User
Thigh Hematoma

My husband had a work accident when a seat broke on a 4 tonne road roller, flung him off and the road roller run him over and stopped on his left thigh, vibrating until some workmates got it off. He has a thigh hematome, his other leg measures 24 inches, but the left one is now 32 inches, it was 31 inches a week ago so is still growing after 5 weeks.
What happens with this, will the leg go back to normal and what are the complications of it and of course how long will it last.

 
Old 06-19-2008, 11:12 AM   #2
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nchantng HB User
Re: Thigh Hematoma

Hi Jane

sorry to hear about your husbands accident, it sounds terribly painful! I had an experience with a thigh hematoma several years ago, I thought perhaps this might help you.

I was blanketing one of my horses, and was reaching under her to do up the girth strap. What I didn't see was her turning her head around, opening her mouth quite wide, and biting my upper thigh. It was a white hot pain, oh my goodness I'm so glad I was wearing thick jeans! The bite still broke the skin, hurt like &*$@# and the leg began to swell almost immediately. I always bruise pretty extensively but this was the most amazing thing I ever saw, my leg was black/purple from the knee all the way to my hip. The swelling increased overnight and by the following morning (my birthday ha ha) my leg was around ten inches bigger when measured around the thigh.

My Dr. immediately put a compression bandage on the leg to try and stop the swelling but it wasn't easy to keep on (thighs don't bandage well) I think the leg reached its maximum swelling about a week after the accident. It was an astonishingly painful injury. About two weeks after the accident as the bruise went through its rainbow of colors a hard lump, around the size of a tennis ball was left. This was the deep tissue hematoma that had formed as a result of the injury. My Dr was worried about it, and suggested that it should be drained. He warned me about possible infection, and that I could lose the leg. I took a week course of Levaquin (antibiotic) and then he numbed the leg up with marcaine and cut about four inches into the thigh muscle and drained the hematoma. SO that the cavity did not refill with blood, he packed the wound with long strips of material that had to be pulled out every two days and repacked. That was absolutely the worst and most painful aspect of the whole deal. About three days after the surgery, an infection set in and the Dr jumped on it with very strong antibiotics. I was also allergic to the stupid tape that the taped the dressings on with and that caused my leg to swell (even more) and itch like crazy.

It took two weeks for the wound to become shallower and fully healed until I had the last packing change. The incision itself healed quite fast and I have a smile shape scar on my upper left thigh. The leg still looks a little different, and I think that its permanant - bottom line, I did not lose my leg to infection.

I would recommend asking the Dr about draining the hematoma. These pesky things can take months, even a year to finally go down. Not that the draining procedure is fun, but it allowed me to regain use of my leg within about six weeks. I had to work to strenghten it again because I lost a lot of muscle but I think it was the right thing to do.

Hope that long rambling story helps! if you have any other questions, please ask!

cheers,

Heather

 
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Old 06-29-2008, 04:41 AM   #3
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janeeng HB User
Re: Thigh Hematoma

Hi thanks for that. Saw the specialist friday and they were shocked to see it had grown alot more so he goes into hospital this week coming to have it cut open. He will have a large scar but they are of the opinion that this will not go down at all as it is nearly 7 weeks since the accident and still growing. We are hopeful that this will be the start of the healing process. If it fills again he will just have to have it operated on again. Everything got ripped off the bone so is a huge gap there, thats why its filling. Thanks Janeen

 
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