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pain 7 months after a broken leg ?

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hollismj1234

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pain 7 months after a broken leg ?
Posted: 06-14-08 12:01pm

On November 30th 2007 I was run over by a sled at the bobsled track in Park City, Utah. (I used to be a bobsledder) in a freak accident. My right leg snapped into many different pieces and the bones came out the right side of my leg just below my knee. I had surgery the night of the accident, one plate and 9 screws put on my tibia and nothing on my fibula. A few weeks after the surgery a guy on a bike clipped my broken leg as I was going to class and he knocked my fibula out of alignment. After a nonunion on my tibia break the doctors decided to do another surgery.

On March 12th I had two more plates put in, I now have three plates and 21 screws in my leg. It is now June 14th and my doctor cleared me to run about a month ago, the problem is I can barely walk.

The pain is out of control most days, so bad that I have to go back to using crutches. Every step I take causes a extremely sharp pain that shoots down the front of my shin. I also have excruciating pain in my knee just below my patella and that kind of soft spot just to the right of the patellar tendon. It gets really stiff if I am not constantly moving it. My physical therapists are not sure what to do, they cant seem to get the pain to stop.

I can't have the plates taken out until next summer... total bummer

I have tried everything, taping, wearing knee braces, splints, constantly icing... nothing helps.

Does anyone know why my knee hurts so bad? Has anyone ever had this problem before? How do I get it to stop hurting.
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tjone

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Posted: 06-16-08 21:08pm

Did your tibia heal in normal alignment? It can put excessive stresses on your knee joint if your tibia heals out of significantly out of normal alignment and/or if there is a rotational deformity. I might look for a second opinion from another board certified orthopedic surgeon to make sure everything is properly healed. Also did they perform any radiographic exams to rule out any ligamentous injuries to your knee?
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hollismj1234

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Joined: 12 Jun 2008
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Posted: 06-17-08 21:50pm

My tibia is perfectly aligned and the surgeon says there is no rotational deformity. My doctor kept telling me that the pain would go away, so he wouldn't give me a prescription for a MRI... but that was months ago and I haven't seen him sine. I will be moving next week to transfer to a better university and I have made an appointment to speak with the university rowing team doctor so hopefully he will have some answers. The pain has gotten better over the past week because I have been toning my workouts/physical therapy down. But I am very worried because it still hurts very much and I am supposed to row on a scholarship at school in a few months... Thank you very much for replying, I appreciate your input greatly
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tjone

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Posted: 06-17-08 22:31pm

It sounds like your fracture was extra-articular (not into the knee joint). If that is the case and there is no soft tissue damage in the knee your knee pain should be resolved/resolving. An MRI is the best radiographic exam to fully evaluate the structures in your knee and find out what is causing the pain. You should try to locate a board certified and fellowship trained orthopedic surgeon in your area who specializes in orthopedic trauma and possibly sports medicine (you can check www.aaos.org and www.abos.com for a list). Sometimes a second opinion is your best bet. Good luck.
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hollismj1234

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Joined: 12 Jun 2008
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Posted: 06-17-08 23:41pm

Thank you very very much for your help, I will get a second opinion
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