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Old 03-17-2012, 12:15 AM   #1
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Comminuted calcaneal fracture intra-articular? What Now?

Hoping I might find some answers or support here.

I fell from a loading dock March 9/2012, went immediately to the to the E.R. At the time the Dr. thought it was just a sprain, but sent me for CT on March 13/2012. finding that I have a comminuted calcaneal fracture, intra-articular. They gave me a disk with my CT and sent me to my family doctor who I saw within the hour. She referred me to the St.Pauls Foot and Ankle Clinic in Vancouver. Saying I need to be seen by the end of this week, but never heard from anyone and have called several times to follow up.

I have no clue what to do next. I don't even know if the splint I am in is still appropriate it's a half cast held on with tensor bandage.

All the info I get is from the internet, Long recovery time, possible surgery, arthritis, It's all pretty intimidating, should I be demanding better medical service or is waiting fine?

I guess the hard part is I am very active I love Scuba, cycling, walking hiking and running, I'm always on my feet. I don't want to lose these...

Sorry not trying to have a pity party, I'm positive, Honest but it's hard not knowing the reality of my injury.

Hoping to find some answers...

Thanks for listening!

Last edited by BCDiver; 03-17-2012 at 12:37 AM.

 
Old 03-17-2012, 12:30 AM   #2
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Re: Comminuted calcaneal fracture intra-articular? What Now?

I have not had your injury, but several people on here have. Zerk has a TON of knowledge and info. I do know that you need to be demanding better healthcare and getting in to see a foot/ankle specialist to get on a treatment plan. Hopefully someone on here will offer you more insight. Welcome to the boards though because you will find both answers and support on here!

 
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Old 03-17-2012, 08:49 AM   #3
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Re: Comminuted calcaneal fracture intra-articular? What Now?

Keep it elevated, 23 hours a day. That is about all you can do until you get this figured out, and for the 3 months to follow.

Keep calling. Some people have surgery, some don't. But if they said you should I would keep calling.

As far as you the things you love to do, I am doing everything I want to do. Some moderation. I haven't done any long hikes, but have done some hunting and running around in the woods.

What may happen, is you will have to spend some pain currency to do the activities you enjoy. You may spend the rest of the day with your foot up. Though activities like basketball or running, may not happen.


I suspect, you will be able to cycle, in fact I have thought about getting one for the exercise. You may be able to run, but there is debate about whether it just wears the joints out quicker, and hastens the arthritis. I am not a doctor, but I suspect it might.

Hiking you might do, I have gone out in the woods. Probably not real long walks, or big inclines. You may have to take breaks.

Good socks and shoes or boots will be a big help. Be strict about doing the PT, not just at the office but at home. PT is very important.


But for now, keep it elevated. Really elevated, toes above the nose. I slept with it on two pillows, and two pillows in my recliner, tilted back. A wheel chair is easier for getting around the house, and long distance outside.


One good thing, is you should be good enough shape by winter.
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Old 03-17-2012, 09:53 AM   #4
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Re: Comminuted calcaneal fracture intra-articular? What Now?

Hi
I had the same injury when I fell off a ladder just before Christmas. I was put in a backcast and told to rest 14 days - foot above heart for 2 weeks to get the swelling down before they would operate - I thought it was just because of the Christmas holidays, but, after further research found this was the correct procedure. So, I kept it elevated, the swelling went down, and they operated 2 weeks after my accident.

So, if your accident happened March 9th, and if you need an operation it should take place around the 23rd - as the others have said, keep ringing the hospital to get a date.

 
Old 03-17-2012, 03:15 PM   #5
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Re: Comminuted calcaneal fracture intra-articular? What Now?

Thanksto all of you for your responses. The input is very helpful!

 
Old 03-18-2012, 09:17 PM   #6
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Re: Comminuted calcaneal fracture intra-articular? What Now?

I'm curious about peoples experiences with returning to work. It's so hard to figure anything out cause I have had no answers from doctors, not even a plan of care. Keep bugging the specialist they promise to call but never do.

I'm a city bus driver, so dependent on my right foot for work.

At what point are people returning to work, and what type of work do you do?

Does anyone think under 6 months would be an option in my case.

Sorry for the silly questions but feeling slightly perplexed about the situation...

 
Old 03-19-2012, 06:45 AM   #7
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Re: Comminuted calcaneal fracture intra-articular? What Now?

Being a bus driver you are kinda lucky due to being able to sit. Here it is illegal to drive with left foot without moving the pedals. I use my bad right for the gas, and left for the brake. I probably don't have to, but got used to it early on.

For the first year, I would put tennis shoes on to drive home, my foot wasn't strong enough for lace up boots when driving. Sicne you bend the foot so much. Now I wear 8" boots and drive all over. My job involves a bit of driving.

I think you may be driving at 6 months. I am not sure if all day will be hard on you or not. May be jsut fine, or you may want to see if you can do 1/2 days. Some bus drivers do broken shifts, morning and nights.


I didn't need to, but I thought about a block for the gas pedal, to stretch the foot less. If buses have cruise you would be really set? If your route isn't good for cruise, maybe a different route or job.

Went through BC when I rode my motorcycle to AK, couple years ago, pretty country.
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Old 03-19-2012, 02:18 PM   #8
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Re: Comminuted calcaneal fracture intra-articular? What Now?

Thanks again for the info Zerk.

Just found out this morning my Dr. refered me to the wrong clinic. Went back to the E.R. and now have an appointment with specialist tommorow!

 
Old 03-19-2012, 03:34 PM   #9
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Re: Comminuted calcaneal fracture intra-articular? What Now?

They wanted to operate on my foot, but I was to swollen. About a month after, I had another appt, that I thought was to set it up for surgery, but still to swollen. Just they decide to wait and see how it was when I started bearing weight.

When I started weight bearing, they said give it 6 months. That was almost 3 years ago. Though I do wonder if there would be less pain, if it was done.

This injury varies alot on the extent of the damage and the person. So I would keep on them, but I wouldn't overly worry that to much time has passed.

The one thing I did think about, is if I am going to have surgery, I wanted it right away, so not to have to recovery periods.
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Old 03-20-2012, 01:38 AM   #10
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Re: Comminuted calcaneal fracture intra-articular? What Now?

Excellent news! This time is crucial, if you have to have an operation, they have to do it before the bones start to knit together naturally, which may be a good thing, if they are in the right place to start with, but not if they need adjustment, plates, screws etc. good luck, let us know what happens.

 
Old 03-20-2012, 02:31 PM   #11
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Re: Comminuted calcaneal fracture intra-articular? What Now?

Hey again,

Thank you for your input!

I have seen the specialist today, yes I do need surgery and they feel I am ready for it. They are working out a spot for me now and should be in as soon as tomorrow or as late as next week.

They put me in an aircast today and adjusted my angle to more of a 90 degree.

Was told pretty much the same thing as people talk about here, it's gonna be a long recovery. I'm young and healthy so hopefully the healing process goes well.

Thank you to all who responded to me I appreciate the knowledge!!!

 
Old 03-20-2012, 03:36 PM   #12
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Re: Comminuted calcaneal fracture intra-articular? What Now?

You will be non weight bearing for 12 weeks, maybe 9. Year or so to get as good as you will get. But you will be doing stuff around 4-6 months, but you will be feeling it. For me it seemed to get better around 10 months, and slight gains for 18 months, which is what they told me.


It varies alot, based on the injury. Some people do really well, and some not as good. You need to strive for all you can, but at some point face facts, if need be.

I was running for a few hours the last couple days, on uneven surfaces, jumping creaks. I feel it today. But I still did it, and will do it again. Just need to take it a little easy today.

Good luck.
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The good thing is, no one asks me to help them move anymore.

 
Old 03-20-2012, 08:30 PM   #13
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Re: Comminuted calcaneal fracture intra-articular? What Now?

The guy who fitted me for my air cast told me i should be wearing a sock. Just doesnt seem right to put a sock on my foot. Did anyone wear an air cast, did you put on a sock? Im under the impression that a little movement is ok, just dont weight bear?

 
Old 03-20-2012, 08:46 PM   #14
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Re: Comminuted calcaneal fracture intra-articular? What Now?

Quote:
Originally Posted by BCDiver View Post
Hoping I might find some answers or support here.

I fell from a loading dock March 9/2012, went immediately to the to the E.R. At the time the Dr. thought it was just a sprain, but sent me for CT on March 13/2012. finding that I have a comminuted calcaneal fracture, intra-articular. They gave me a disk with my CT and sent me to my family doctor who I saw within the hour. She referred me to the St.Pauls Foot and Ankle Clinic in Vancouver. Saying I need to be seen by the end of this week, but never heard from anyone and have called several times to follow up.

I have no clue what to do next. I don't even know if the splint I am in is still appropriate it's a half cast held on with tensor bandage.

All the info I get is from the internet, Long recovery time, possible surgery, arthritis, It's all pretty intimidating, should I be demanding better medical service or is waiting fine?

I guess the hard part is I am very active I love Scuba, cycling, walking hiking and running, I'm always on my feet. I don't want to lose these...

Sorry not trying to have a pity party, I'm positive, Honest but it's hard not knowing the reality of my injury.

Hoping to find some answers...

Thanks for listening!
Either keep phoning or just get yourself to the clinic at St Pauls, and the earlier the better. The Orthopaedist in charge is Dr Alistair Younger who knows all there is to know about your condition. They are the experts in the management of the most complex foot and ankle problems.
So in case you do not know the address is the 3rd floor of St Pauls.
If and when you see Dr Younger ask him if you will be well enough to compete in the future in the Lairig Ghru Race. He will understand!
Good luck.
James

 
Old 03-20-2012, 08:53 PM   #15
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Re: Comminuted calcaneal fracture intra-articular? What Now?

Hey james,

We did end up hearing back from the clinic at st. Pauls... unfortunately they do not deal with urgent care. Currently waiting for surgery at RCH shoulder be any day now. Im supposed to get ready everynight for surgery and call in at 9am everyday...


Thanks again for the info!

 
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