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Old 08-20-2007, 07:36 AM   #1
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climbingvic HB User
open ankle dislocation

11 weeks ago I was unlucky enough to have a climbing accident where I suffered an open dislocation of my ankle with some degloving of fib/tib. I sustained no breaks or fractures. My ankle was reduced in theatre and I was sewn back together then placed in a back slab. I am now out of the slab and am nearly at a point where my wound has heald. So far I haven't put any weight through my foot, my ankle is still swollen, and I have lost sensation to the top part of my foot and cannot bend my big toe. I was wandering if anyone has suffered anything similar and whether they'd able to tell me what I might expect in terms of physio I'm likely to receive next and stability of the joint in years to come? I'm 35 Male and normally fit, healthy and active.
Thanks for any help/advice. Cheers Vic

p.s. I have also been getting strange sensations in my head which I believe is my body dealing with pain/infection. The only way to describe this pain is by saying it is like the immediate shock you receive before pain kicks in after being hit/injured etc. Or the feeling you get when someone scrapes their nails down a blackboard. Has anyone else ever suffered from this?

 
Old 08-20-2007, 08:50 AM   #2
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happyfoot7 HB User
Re: open ankle dislocation

What is degloving?? I broke my tib & fib but not open. Ankles are tricky to predict the recovery. My advice is just take it easy and see how it goes, and do lots of physio!! sometimes it works out like nothing ever happened.

For the sensation on the top of your foot and toe, does it feel kind of pins and needles when you touch it with your hand? If it does the sensation should improve over the next 9 months, may be normal again.

My advice on the pain, is don't be tough, take the meds when you are supposed to. much harder to get it under control if you let it get too much. Maybe tell your doc and try a different kind of pain killer.

 
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Old 08-20-2007, 09:26 AM   #3
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climbingvic HB User
Re: open ankle dislocation

Thankyou.
Degloving is where the flesh is stipped from your bone. In my case my fib/tib.

I suppose at first on the top of my it did feel very tingly but now that have subsided I don't really feel anything. At least it's only the upper part of my foot.
You maybe right about taking medication I do seem to have slacked off on pain killers but I don't feel in much pain, just a shocked feeling. Well I was thinking of heading off to the hospital this evening because I feel shocking but I'll give the painkillers chance now. The only trouble is am I masking something that shoud be dealt with?

 
Old 08-20-2007, 03:47 PM   #4
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heidi35 HB User
Re: open ankle dislocation

I always say your feelings tell you the most about your body, if you feel like something isn't right then call the Dr.
Let us know how you are doing!
Heidi

 
Old 08-21-2007, 10:11 AM   #5
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climbingvic HB User
Re: open ankle dislocation

Thanks for your interest Heidi. Well went to the doctor and he couldn't see anything by inspection. I've been given some Amitriptyline tablets to take for the strange sensations but he was however at a loss to describe what's going off. Unfortunately that doesn't help. Being in this situation is so frustrating.

 
Old 08-21-2007, 10:34 AM   #6
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happyfoot7 HB User
Re: open ankle dislocation

Is your doc a general OS or an ankle specialist? It may be a good point to seek a second opinion. I had some really bad advice after my 3rd op, which meant I stuffed my ankle more... Didn't try cartilage replacement early enough for it to have a good chance of working, and consequently had to have a TAR much earlier than it could possibly have been. (I'm 26). So make sure you are getting good advice, and if they say don't run or something, DON'T, You really don't want to end up here. (but for all of that my replacement is wonderful)

11 weeks does seem a long time to need painkillers.

A bit confused, when you touch the top of your foot with your hand do you feel anything at all??

 
Old 08-22-2007, 03:03 AM   #7
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climbingvic HB User
Re: open ankle dislocation

I've seen both my GP and my OP consultant. My OP consultant doesn't seem to want to communicate with me, so I'm trying to get a transfer over to a hospital which has more ankle specialists, however this takes time.
I don't have feeling in the top part of my foot because I damaged the nerves that are located around my ankle (outer ankle). As you can imagine, I basically ripped everything around my ankle to pieces in a very uncontrolled way. I suspect that this feeling will never return unless there is some surgical procedure to correct this, this is why I need to get to see a more communicative consultant.
Cheers Vic

 
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