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[QUOTE=JaggyGT;4104199]I dislocated / tore the lisfranc ligament in my left foot on 10/3, and have been in a walking boot since 10/15 (it took that long to move from the university health center to a orthopedic specialist ... I was on just crutches for time between). I found this forum since I was curious if I was really supposed to sleep in the boot ... it seems kind of gross to put a boot you've been walking all over the place in into your sheets .... What I've been doing is just wearing the soft liner, but not the hard shell at night.

However, to help answer Starshi, when I got the boot, the doctor asked if I had a preference for cast vs boot. When I asked what the difference was, he said he would recommend casts for younger people whom he didn't trust to wear the boot all the time, but otherwise they're the same. I'm sure the type of injury matters too, but for my foot that was it.

I almost regret getting the walking boot instead of the cast though, because since it is a [B]walking[/B] boot, I tend to hobble around my apartment and put weight on it, when I'm not supposed to at all. I still use crutches at work and pretty much everywhere else, but not at home.[/QUOTE]
JaggyGT, do NOT put any weight on your walking boot. This is very very important with a lisfranc injury. Usually you will be non weight bearing for at least 6 weeks, 8 weeks if you haven't had surgery, and then your doctor should re-xray to decide if you can begin walking. If you put weight on your foot you risk causing more separation in the lisfranc joint. The lisfranc ligament needs time to heal so it can hold your foot together! It looks like you didn't have surgery so what have you been told regarding your non weight bearing time line?
As for sleeping in the boot, you should be fine to remove it at night but I would get the all clear from your own doctor. It is good to move your ankle about when the boot is off at night to keep your ROM.(Range of movement)
I hope this helps. Have you been seen by a foot and ankle specialist? This injury is very complex and requires a foot and ankle ortho. Believe me, I know. My daughter has had a very trying journey of recovery from it. She is doing really well now after a lisfranc fusion. Good luck and STAY OFF YOUR FOOT! NO CHEATING! Otherwise go back and ask for a cast!!!
Thanks JaggyGT. The back-slab I was casted in was very badly done and at some point the jagged edge (no pun intended!) was cutting into my leg and foot. My foot was just swelling so terribly that I had to get a second opinion from a more experienced orthopaedic specialist last week.

I had a CT scan of my foot and it appeared that a chip of bone was plucked out by the ligament following a fracture of the top navicular bone, and 3 weeks after my fall, there was still no union of the bone. If my ligament had snapped, my bone could have been saved. I did not have much pain by then, so the ortho specialist removed my ill-fitting back-slab cast, put a tubigrip stocking over my foot and calf and I have been wearing the aircast walker since. While wearing the aircast and holding a crutch on the good side, I have been able to walk without putting much weight on the broken foot. The walking must have done some good for my broken foot as the oedema has reduced significantly and I need not put my entire weight on my left leg. I was told to use the old back-slab cast while sleeping just to prevent twisting my broken foot but my heel hurts so much that I resort to sleeping with the aircast on. Not that it is comfortable, but better than the ill-fitting hard cast.

When and if you should use the aircast really depends on the types of fracture and severity. I know how frustrating it is to be immobilised but really, keep the weight off your broken foot if you have to. It just doesn't pay to delay your healing. I will re-xray my foot in 2 weeks' time, but I am keeping the aircast on most of the time. At times, I take off the aircast and prop up my foot while sitting down and move my ankle within a limited range.

Hope to get some good news about your recovery. Meanwhile, stay positive.
[QUOTE=nzgymnut;4104530]JaggyGT, do NOT put any weight on your walking boot. This is very very important with a lisfranc injury. Usually you will be non weight bearing for at least 6 weeks, 8 weeks if you haven't had surgery, and then your doctor should re-xray to decide if you can begin walking. If you put weight on your foot you risk causing more separation in the lisfranc joint. The lisfranc ligament needs time to heal so it can hold your foot together! It looks like you didn't have surgery so what have you been told regarding your non weight bearing time line?
As for sleeping in the boot, you should be fine to remove it at night but I would get the all clear from your own doctor. It is good to move your ankle about when the boot is off at night to keep your ROM.(Range of movement)
I hope this helps. Have you been seen by a foot and ankle specialist? This injury is very complex and requires a foot and ankle ortho. Believe me, I know. My daughter has had a very trying journey of recovery from it. She is doing really well now after a lisfranc fusion. Good luck and STAY OFF YOUR FOOT! NO CHEATING! Otherwise go back and ask for a cast!!![/QUOTE]

Thanks nzgymnut for being so emphatic - I guess I was getting complacent because in the boot it doesn't hurt at all. I did see a specialist (it was a big hassle getting the out-of-network insurance stuff figured out since I'm out-of-state from my insurance) and he opted not to do surgery. He did say that I may still need it at the end of the 6 weeks if it hasn't healed properly - apparently 25% of this injury type need surgery regardless, but you can't tell until you try just letting it heal.

I've just never been off my feet from injury before and its extremely frustrating. I injured it playing rugby, and its still the middle of the season, so I just want to get out there and play again - the worst previous injury I've had is sprained ankles which you generally just rest a few days, wrap up and keep going, so this is a frustrating and long process for me.

thanks again for the reminder :)
Hi everyone. Great thread!

I am new to the whole broken bone thing and am full of questions.

I broke my right fibula in three places while blocking a guys spike attempt at the net in volleyball on Monday July 12th. He landed on my ankle on his way down.

I didn't go to a doctor till the next day when I had posted pictures of my nasty zombie ankle on facebook and about five people told me to get to a doctor within a half hour of posting the pics haha.

I was put in a half cast for three days and had it elevated and iced it frequently during that time. I was put in an fp air boot cast on Friday July 16th. It's been three days now and I'm starting to be able to use the boot to support part (maybe 30%) of my weight. Only to get up do I do that tho. Otherwise I'm using two crutches still.

So my questions are that I was supposed to go to B.C. for a softball tourney August long weekend, (which I realize is not an option now) but my season is entering playoffs in about three weeks. Is that a legitimate option for me to even consider being able for it?

Also how much is okay to take it off? I take it off for baths and usually once a day for air, but my girlfriend freaks and tells me to put it back on asap as she thinks i'm hurting my recovery by having it off for even a few minutes. Does that effect me that much?

Thanks in advance for any replies.
The aircast boot should be snug, NOT LOOSE! You want to wear a sock if you feel any looseness in the boot. If the boot is too big, there won't be the proper compression and things could go wrong. There is a sock that is supposed to come with The Walker Air Cast, at least my second proper fitting boot came with one. Wearing a different shoe type may offer some short term relief but could add more problems later. You want to keep any bone fragments from moving within the boot. If the boot is snug, but not overly tight, the outcome is usually good. My problem was I was walking on an aircast boot when I had an untreated Talus injury, which should not have been walked on at all. The injury was missed and it is why my ankle did not heal and is still giving me problems today. If I was lucky and the Talus fracture fragment stayed in the wound location, wearing the boot may have helped. But my injury was misdiagnosed and the fragment was 3mm displaced from the fracture location and walking with this oversized boot I was given, it allowed the fragment not to heal. I had too much movement in my boot, so make sure the boot is the correct one for you. There are several sizes available. Also, if your injury doesn't heal properly in the time the Ortho has given you, you should suspect either a longer recovery period, or there could possibly be associated injuries causing the delay in healing. Hope this helps!





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