Removal of plate and screws from tibia fracture

Posted by tc125 @tc125, Oct 30, 2018

Hello, I broke my tibia in April 2018 and had surgery to insert a plate and 9 screws. I have pain walking every day all day. The surgeon has recommended having the plate/screws removed. I am reluctant to do it because the surgeon said he can't guarantee the pain will be gone. I'm not sure if it would be worth it to have incisions, remove screws, slide the plate out, have anesthesia and get stitched back up. I was wondering if anyone has experienced this type of surgery and if so, was it worth it.

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@jenniferhunter

@lilypaws Thanks. The days do pass slowly when efforts are great. I have come a long way, but have a long way yet to go. After I walked down the stairs this morning, my ankle ached for an hour an a half. Maybe this will signal depositing more bone and in time that will stop it from hurting from pressure. Today my feet look about the same size, so that is progress.

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I think I've figured out some of the problem on why I have so much pain after a little bit of weight bearing in the boot. The weight of the Aircast cam boot is resting on my injury and hanging on my foot with every step. I have my surgery incisions on both sides of the ankle, and the tibia on the front of the ankle was in pieces, more than I had realized. The boot has 3 points where velcro straps secure it; on the top of the foot, just above the ankle, and at the top of the boot. The weight of the boot is resting on my ankle because that is where the ankle flares out and the angle changes from my leg. It has an air pump that snugs it up by putting some air at the back behind the ankle, and the air puts pressure there and pushes the ankle forward against the boot where it is very sensitive to touch especially where the plates are. I feel best with no boot and my foot elevated on the couch. I tested to see if I had the same pain after standing up without the boot using just my orthotics for support, and that wasn't bad. I had some discomfort, but not the same degree of pain. I also have a sprain that has been healing along with the fracture, and moving does make the ligaments hurt, so that has been part of the pain too. I did also try on my athletic shoe with the orthotics and got my foot into it. It is still a bit tight, but I was able to stand and transfer weight from foot to foot and not cause a lot of pain doing that. The shoe doesn't contact most of the sensitive places. It is still too tight to wear. I'll discuss the boot with my doctor.

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@jenniferhunter

I think I've figured out some of the problem on why I have so much pain after a little bit of weight bearing in the boot. The weight of the Aircast cam boot is resting on my injury and hanging on my foot with every step. I have my surgery incisions on both sides of the ankle, and the tibia on the front of the ankle was in pieces, more than I had realized. The boot has 3 points where velcro straps secure it; on the top of the foot, just above the ankle, and at the top of the boot. The weight of the boot is resting on my ankle because that is where the ankle flares out and the angle changes from my leg. It has an air pump that snugs it up by putting some air at the back behind the ankle, and the air puts pressure there and pushes the ankle forward against the boot where it is very sensitive to touch especially where the plates are. I feel best with no boot and my foot elevated on the couch. I tested to see if I had the same pain after standing up without the boot using just my orthotics for support, and that wasn't bad. I had some discomfort, but not the same degree of pain. I also have a sprain that has been healing along with the fracture, and moving does make the ligaments hurt, so that has been part of the pain too. I did also try on my athletic shoe with the orthotics and got my foot into it. It is still a bit tight, but I was able to stand and transfer weight from foot to foot and not cause a lot of pain doing that. The shoe doesn't contact most of the sensitive places. It is still too tight to wear. I'll discuss the boot with my doctor.

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Jennifer, when can you stop wearing the boot altogether?

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@jenniferhunter

I think I've figured out some of the problem on why I have so much pain after a little bit of weight bearing in the boot. The weight of the Aircast cam boot is resting on my injury and hanging on my foot with every step. I have my surgery incisions on both sides of the ankle, and the tibia on the front of the ankle was in pieces, more than I had realized. The boot has 3 points where velcro straps secure it; on the top of the foot, just above the ankle, and at the top of the boot. The weight of the boot is resting on my ankle because that is where the ankle flares out and the angle changes from my leg. It has an air pump that snugs it up by putting some air at the back behind the ankle, and the air puts pressure there and pushes the ankle forward against the boot where it is very sensitive to touch especially where the plates are. I feel best with no boot and my foot elevated on the couch. I tested to see if I had the same pain after standing up without the boot using just my orthotics for support, and that wasn't bad. I had some discomfort, but not the same degree of pain. I also have a sprain that has been healing along with the fracture, and moving does make the ligaments hurt, so that has been part of the pain too. I did also try on my athletic shoe with the orthotics and got my foot into it. It is still a bit tight, but I was able to stand and transfer weight from foot to foot and not cause a lot of pain doing that. The shoe doesn't contact most of the sensitive places. It is still too tight to wear. I'll discuss the boot with my doctor.

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@jenniferhunter I've been following post and sounds like your healing I have a suggestion if you go back to boot put a soft cloth on both sides of your ankle that may help ,

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@red3

Jennifer, when can you stop wearing the boot altogether?

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@red3 I was supposed to be in the boot until September. I don't walk much and mostly just park on the couch. I think the orthotics do the most for me in supporting my foot properly and I had them inside the boot. If I was to twist my ankle, it would probably be bad and the boot would prevent that. I am walking so slow and carefully and looking at where I am stepping that I don't think I will do that. I'm not walking normally, really just like there is still a cast on my ankle. Being able to put the injured foot on the floor sure helps with balance too. My surgeon wants me to be able to walk without crutches when I come back in Sept and increase the weight on my foot each week. I should be at 50 % now. Without the boot, I think I can do that, but with it, it hurts too much. There is a delay of a few minutes before the pain starts, but then it won't stop.

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@lioness

@jenniferhunter I've been following post and sounds like your healing I have a suggestion if you go back to boot put a soft cloth on both sides of your ankle that may help ,

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@lioness The boot does have soft padding inside. It also has a hard shield on the front that bends at the ankle, so I tried it without that and it didn't help. I thought it was hitting me at the fracture point and it was held on by velcro. I could try a washcloth or something like that and see if it helps. I think it is the weight pulling on and rubbing the most sensitive places that hurts. My leg is pretty weak too and no muscle tone in my calf so the boot seems heavy to me. I couldn't see my calf move at all when I flexed it until just the other day. It has just a slight movement now probably from the weight bearing I have been doing. Recovery is slow.

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@jenniferhunter What ever you can do to help ,that's all I can suggest if it's in the front might help a soft padding of some kind just does take a long time

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@jenniferhunter

@red3 I was supposed to be in the boot until September. I don't walk much and mostly just park on the couch. I think the orthotics do the most for me in supporting my foot properly and I had them inside the boot. If I was to twist my ankle, it would probably be bad and the boot would prevent that. I am walking so slow and carefully and looking at where I am stepping that I don't think I will do that. I'm not walking normally, really just like there is still a cast on my ankle. Being able to put the injured foot on the floor sure helps with balance too. My surgeon wants me to be able to walk without crutches when I come back in Sept and increase the weight on my foot each week. I should be at 50 % now. Without the boot, I think I can do that, but with it, it hurts too much. There is a delay of a few minutes before the pain starts, but then it won't stop.

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I see, very long recovery. I’ve discovered a game on my smartphone called Wordscapes…it’s a lot of fun. After I had my surgery I downloaded the public library app on my phone so I could listen to audiobooks. I really enjoy this. These are suggestions to pass the time if you don’t already do them.

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@lioness

@jenniferhunter What ever you can do to help ,that's all I can suggest if it's in the front might help a soft padding of some kind just does take a long time

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@lioness Oh, I'm so sorry. I haven't been reading my messages very well because there are so many of them that I get. Bless Your heart. It must be miserable
You got a fracture and you are just about like me. It takes time to heal and I don't have patients. My husband catches me bending, or twisting a little bit and he tells me about it. He is now doing everything, Cooking, washing, tying my shoes when I go for a walk. He wants me to work on not bending and twisting, because I have soft bones and could break a rod or pull out a screw. I go back to Mayo in October. My They x-ray to make sure all is ok and then I see the surgeon. I still have some pain, but off of all pain pills and take tylenol that does nothing.
I feel so bad for you and I do remember that you fell I just didn't know it was so bad. Take care my dear and I will think and pray for you.

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@lilypaws You have me mixedup with Jenniferhunter I think My fractures where years ago . I was responding to jenniferhunter Patience is the word for you

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@red3

I see, very long recovery. I’ve discovered a game on my smartphone called Wordscapes…it’s a lot of fun. After I had my surgery I downloaded the public library app on my phone so I could listen to audiobooks. I really enjoy this. These are suggestions to pass the time if you don’t already do them.

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I played that for awhile too but then I started to get frustrated as it got hard…..but it was fun while it lasted…hehe

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@migizii

I played that for awhile too but then I started to get frustrated as it got hard…..but it was fun while it lasted…hehe

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@migzizii…I play with my 11 yr. old every night and he’s better at it then I am..😂

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@red3

@migzizii…I play with my 11 yr. old every night and he’s better at it then I am..😂

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Wow! Makes me feel rather inept…..but awesome for your grandson! Maybe I should try it again now that I am retired and will be more focused without the stresses of work….hehe

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