#bimalleolar

[emorthoreview-blog]

Bimalleolar fracture

A bimalleolar fracture is an ankle fracture that involves the lateral malleolus of the fibula and medial malleolus of the tibia.  Necessary XR views include an AP, lateral and mortise view. Displaced fractures should be reduced prior to splinting. Place the patient in a short leg posterior splint with stirr-ups. This is an unstable fracture that requires operative fixation so the patient should also be non-weight bearing. 

A "bimalleolar equivalent" fracture means that in addition to one of the malleoli being fractured, the ligaments on the inside (medial) side of the ankle are injured. Usually, this means that the fibula is broken along with injury to the medial ligaments, making the ankle unstable.

[cleogalileo]

I have a fever, I am so nauseous and achy. I feel so week. I can’t seem to have enough sleep. As usual my injury’s still a pain.

It would be nice if my body would just stop feeling like it’s trying to kill me all the damn time.

[cleogalileo]

Been 9 days since I got discharged from the hospital due to my orif bimalleolar ankle surgery. Things are looking good for my foot. 

I have a 12″ incision wound for my titanium metal plate/rod, with 8 screws to my fibula bone, 14 staples. 

3″ incision wound on the other side with 2 implant screws, 8 staples. Embarrassing surgery experience to top all that.

I should be happy that I’m kinda done with it and should be focusing on recovery, but I am just fucking exhausted. It never ends. I’m blogging to keep myself awake so I can worry and worry about everything, be the anxious little shit that I am. 

I always knew this will be a test for my sanity, how long I will be able to battle unhealthy thoughts. I feel like slipping back to that dark side of my head. I want to get drunk, smoke a pack of reds, ruin myself further haha. I want to disappear.

Or maybe just take a nice nap and not feel like crap when I woke up. But no.

[cleogalileo]

I was happily playing futsal last Wednesday, my favorite weeknight. This time I was actually having a good game and was even able to score a goal with my left foot. It was quarter to eleven and the session was about to end. We were winning and I thought I was playing well and running faster than I normally do. I’ve been smoking less.

I’m not sure if it was a pass, a deflection or something I intercepted. All I can recall was pushing myself to try and win the ball, rolling so quickly to the sideline. It almost went out but I still tried to get it. And I did. In a split second, I did a wrong move. I accidentally stepped on the ball whilst dribbling on speed. I skidded onto the floor, towards the benches, landing badly. 

When I tried to get up, I knew then that something was wrong, I felt a weird heat rush inside my leg. I tried to stand up, and that’s when I saw my left foot dislocated, sort of dangling on the side, like it’s fucking Kevin Ware of ankles or those stuff you see on ER shows/horror/gore films. 

It looked horrifying, malformed, grotesque. An image so disturbing that will forever be etched in my mind. (Okay maybe I’m exaggerating, but it’s my foot ffs)

I started to panic. I didn’t know what to do. So many things came to mind but I’m all blank at the same time. I was just gaping. I didn’t even register pain. I was just stunned and scared. Fortunately one of the guys seated on the bench (I fell in front of him) tried to help me, he looked just as shocked as me. He tried to help me re-position my leg and that’s when my stupid dangling ankle popped back into place. Thank goodness I didn’t need a doctor to put it back. And thanks goodness for friends who brought me to the ER to have me checked.

I had hoped it was only a sprain/dislocation, but I fucking fractured my left ankle on fucking both sides, a grade 3 ankle fracture, including the fibula and the base of the tibia. smfh.

I currently have a cast on and I’m waiting to book my surgery. It’s the third day since the accident and things are only beginning to sink in. This is probably the saddest shittiest thing I’ve ever experienced to date. It’s scary how the course of your life can change in 3 seconds.