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Foot & Ankle Problems Message Board


Foot & Ankle Problems Board Index


Hi im new here.

So i was skiing and tried this new jump they put in the park :cool: . I carried too much speed and hit an upward slope passed the landing. X rays and ct confirmed both calcaneous are broken (ct makes a really cool 3d model). The left foot has a few fractures but the bone wasn't displaced enough for surgery. On the right foot, the talus bone got driven downwards and split the calcaneus in alot of pieces. Xrays after surgery revealed about 15 screws. Im about two months in the boot now and I can finaly see ankles poking out of the swelling.
The doc told me to move it abit to prevent stiffness but it feels tight like there is pressure in the foot when I move it. I have a feeling this is not going to recover like I want it to.

Given your past experience with this type of injury, is a full recovery of function and mobility possible?
Will I walk, run or even ski the same, ever? Even if it is in 2-3 years?

Tonyb
[QUOTE=tonyb24;5405984]Given your past experience with this type of injury, is a full recovery of function and mobility possible?
Will I walk, run or even ski the same, ever? Even if it is in 2-3 years? [/QUOTE]

It's possible but honestly unlikely. With the force of the talus being driven in the calcaneus you are guaranteed to experience a significant amount of cartilage damage. You are very likely to develop arthritis in the subtalar joint. Probably pretty soon after you start walking in the right foot but even the left is likely to be affected after a number of years. This will make walking painful at first but nearly impossible as time goes on. At that point you can have a subtalar fusion which makes the joint immobile and takes away the pain at the expense of foot motion. You will then be comfortable for a while and might even be able to return to all those activities. However, the motion that was present in your subtalar joint will be transferred to your ankle joint which is not made for that. Over many years (~20) you will get arthritis in the ankle as well and at some point it will have to be fused (leaving you essentially with a peg leg) or replaced (basically only allowing you to walk).

Sorry to be a downer but with an injury as you describe this is more likely than not what will happen. The less strain you put on your feet though the longer you can delay the process of arthritis. Hopefully you get lucky though and are part of the small number of people who recover splendidly! Good luck!
I broke both my heels close to 30 years ago. Fell off a brick dividing wall and landed on concrete. Laid there for 30 minutes. Started to get up with my right foot, but couldn't. Thought OMG broke my foot; oh well still have my left one. Wrong. Crawled my way to a nearby dumpster & was able to pull myself up to sit on it and wait for Anybody. It was 2:00 am.
A cop took me to hospital and X-rays showed both heels toasted. Plaster cast, wheelchair and lots of tv watching.
I had the best if the best orthopedic surgeon. He told me that I would never be able to run again, and periodically have pain. He was correct on both counts.
Took a while to walk normally again, however, I don't even attempt running.
Bear in mind that my injury was not as traumatic as yours though. Good Luck!
[QUOTE=tonyb24;5405984]Hi im new here.

So i was skiing and tried this new jump they put in the park :cool: . I carried too much speed and hit an upward slope passed the landing. X rays and ct confirmed both calcaneous are broken (ct makes a really cool 3d model). The left foot has a few fractures but the bone wasn't displaced enough for surgery. On the right foot, the talus bone got driven downwards and split the calcaneus in alot of pieces. Xrays after surgery revealed about 15 screws. Im about two months in the boot now and I can finaly see ankles poking out of the swelling.
The doc told me to move it abit to prevent stiffness but it feels tight like there is pressure in the foot when I move it. I have a feeling this is not going to recover like I want it to.

Given your past experience with this type of injury, is a full recovery of function and mobility possible?
Will I walk, run or even ski the same, ever? Even if it is in 2-3 years?

Tonyb[/QUOTE]

Hi Tonyb

If you don't mind me asking how old are you? I had the similar break as you whereby the talus shattered my right calcaneus, 13 screws and a plate. I had my op on the 4th of Jan this year and I'm currently using crutches, no boot, I am able to drive and put a little weight on my foot. I am also able to use one crutch and the boot from time to time. I do take an anti inflammatory daily (1 tablet) which helps with the pain and hoping to be off it soon. Next week Monday will be 9 weeks post op and I think things are improving (slowly). I do PT 2/3 times per week. They removed my boot 6 weeks after the op and started with ROM and a little weight bearing which was kind of a surprise and that is why I am able to drive now i guess. Yes it will be a long tough ride but we need to stay positive.
This is a life changing injury. Recovery varies from person to person and injury.

Most people are off there feet 12 weeks, some start partial weight at 9 weeks, but I doubt you will cause you don't have a good foot. Takes 12-18 months to get as good as it gets. But around 4 months you will be doing lots, but lots of pain.

You may or may not have surgery. I shattered my calcaneous and talus 7 years ago. They couldn't do surgery because I was to swollen. Still haven't. May some day.

My pain goes up with use. I get out and do all I want to do, but with moderation, and sometimes paying for it at the end of the day. Downhill skiing with the angle may not go well. When the time comes, try it and find out. You may be able to do it, just not as often or as many times that day. Snow doesn't bother my foot cause it is soft. But changing foot angles rapidly can. I snowshoe. I also spend a lot of time in the woods walking.

I was never athletic, but running for me now is really tough. My form is awful. I have been thinking about a bike though. Some people say swimming is good.

Once my foot got strong enough I started wearing 8" lace up boots. This is what I wear whenever I am out of the house. Either work boots or sports tactical. Most hiking boots are to low, but I do have one pair I like a lot that is 7" You are probably going to try lots of shoes and boots until you find one you like. I still look for the perfect pair.

Keeping weight down is going to be important.

Keep your foot elevated 23 hours a day right now, and do not put weight on it until the doc says they can. It surprises me the amount of people who think they know more then a doctor.

Good boots and thick socks help a lot. Physical therapy is probably the most important thing you can do. I started with some simple ROM exercises around 6 weeks.

Two good things about being young, your body will probably heal faster, and you probably are not committed to a career. I would stay away from jobs with lots of standing on concrete. Standing and concrete are the worse. I do well on earth. Some do not if it is to uneven.





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