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Tibia bone fracture and its treatment - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hello
Doctor :   hi, how can i help you
Doctor :   did you get the X ray done
Doctor :   did you get the report?
User :   yes i did
User :   right now there is a lot of swelling from the fall, but they are suspecting a fracture at the base of my tibia in the ankle near the maleolus
Doctor :   Can you read the report for me
Doctor :   k
Doctor :   are you there?
Doctor :   I have to close this window since there is no response from your side, we are available 24/7 please get back to us if you need further medical advice.
User :   hi i am here
Doctor :   hi
User :   what do you want me to read
User :   i dont know what to read you
Doctor :   are you back
User :   yes sorry
Doctor :   X ray report given by doctor
User :   i have it i just dont know what to read on here
User :   i read what i saw on there
Doctor :   they would have written there check out or else scan it and send it to our website mail
User :   what does the check out say
Doctor :   we will get back to you on mail with treatment options
User :   can you tell me what you think at this time
Doctor :   if it is fracture then going for slab or cast is the best option and rest
User :   right now they said treat it as a fracture
Doctor :   k then go for slab
User :   whats a slab?
Doctor :   i have told you before
User :   is it the half cast?
Doctor :   that it is a plaster of paris white hard material for fracture immobilisation
User :   sorry im not thinking clearly im in pain
Doctor :   k no problem
User :   is it common for swelling to interfere with the xray
Doctor :   it will nor interfere
User :   why are they telling me this
Doctor :   what they are telling
User :   fracture at base of tibia and fractured maleolus
User :   and suspected fx to 2nd and 3rd metatarsal
Doctor :   k then it needs rest for minimum 1 month and slab
User :   doc said 6 weeks in cast and possible surgery
User :   i dont know if i want surgery
Doctor :   if they are dislodged from the normal place then it needs surgery for correction
User :   they said non displaced fractures
Doctor :   thats y i asked you to read or send the X ray report through email
User :   Weber C fracture or a PER stage 4 is the other wording that i see
User :   stable Weber A or SA stage 1 fracture. Patient will be treated conservatively.
Doctor :   k then it needs cast or slab for 1 month and take pain killers and an antibiotic course for controlling infection for an week
User :   is this a bad fracture?
User :   what do all of these terms mean
Doctor :   not that bad
User :   can you explain what is going on
Doctor :   it is the name of the person who termed that fracture
User :   what is the type of fracture...i want to understand whats going on
Doctor :   conservative treatment is treating with pain killers and other medication which i have told you
User :   what exactly did i fracture
Doctor :   there is a fracture of the lower leg bone called tibia, at the base of it there will be five bones called matatarsal bones leading to five toes .. amongst these there is fracture of 2 and 3 metatarsal bones
Doctor :   got it
User :   yes...i dont have a slab do i get one
Doctor :   that doctor have to put
Doctor :   you can't put it
User :   i dont know what hes going to put
User :   he splinted me right now with a half cast from my toes to my hip
User :   this doesnt seem normal
Doctor :   it is for temporary slab
User :   but why all the way to my hip
User :   toes to hip seems ridiculous
Doctor :   bacause any movement of the leg can cause pain and interpret in healing process
User :   so i will be in a cast this big for 6 weeks
Doctor :   from hip to toe movement
Doctor :   ya
User :   you said only to knee though
User :   should i ask for that
Doctor :   usually they put it till knee since your weight is more, any movement and extra weight can damage further so it is done till hip .. it is good for you only
Doctor :   let it be
User :   this ruins my summer
Doctor :   can't help
User :   doctor just said i will be getting fiberglass cast from toes to upper thigh for 8 weeks
Doctor :   k
User :   what is this that what you were talking about before
Doctor :   even it is a slab made of fibre glass instead of plaster of paris
User :   is this good...should i get 2nd opinion
Doctor :   no not needed
User :   they are worried about nerve damage as well caused by the fracture and potential drop foot. is this common
User :   i dont understand all of this
Doctor :   there will be a nerve called tibial nerve supplying the food and leg. when damaged at ankle it causes the loss of sensation to the part below it that is foot
Doctor :   so the sensation makes the foot to stay flat
Doctor :   and if the sensation is gone then foot drops
User :   what can i do to prevent is it treated
User :   because doctor is worried about this
Doctor :   so it is called foot drop
Doctor :   immobilisation of the leg and foot with slab can prevent this
User :   my toes are already curling down
Doctor :   it is treated with exercises and nerve stimulation procedures
User :   this really turned bad...this morning i was fine
Doctor :   that is because of cast
User :   doctor just said that crutches will be used but that he wants me in a wheelchair for the first 2 weeks
User :   this seems crazy
Doctor :   or you can use leg table crutches that are held in hand and help for walking
User :   im not happy with this diagnosis
User :   what are leg table crutchse
Doctor :   which diagnosis
Doctor :   you are not happy with?
User :   my xrays and treatment here
User :   not with you
User :   you are great
User :   i want you to help more
User :   what are table leg crutches
Doctor :   you can use 4 leg table crutches that are held in hand and help for walking
User :   they are ssaying no weight bearing
User :   can i come to your clinic?
Doctor :   it is like a table but only with 3 sides and 1 side for you to stand with four legs
Doctor :   i am in India
User :   oh no!
User :   you would give me good service
User :   would you recommend surgery?
Doctor :   No not required
User :   would you put me in a full leg slab?
Doctor :   it is not displaced fracture
User :   would you use a full leg cast/splint
Doctor :   half slab till knee will be sufficient but till hip will help you heal better and erlier
User :   would you use full leg
Doctor :   half slab till knee will be sufficient but till hip will help you heal better and erlier
User :   i dont understand this table you have a website that has this so i can look at it
User :   i understand but what would be your choice
Doctor :   no
User :   no what
User :   am i bothering you
Doctor :   no in our website its not there
Doctor :   you can check out different ones in pharmacy
User :   can you tell me who makes it so i can look at it
User :   i search online and dont find
Doctor :   you can find in shop
User :   im scared my nerves will not be ok in leg
User :   my toes are turning blue
Doctor :   you better get hospitalised for a day or 2
User :   why
Doctor :   keep moving your fingers or else it will affect your toes
User :   my fingers or my toes
Doctor :   if you are worrying too much then go for hospitalisation to get psychological satisfaction
Doctor :   sorry toes
User :   ok i cannot move this normal
Doctor :   move in the sense just make it up and down
User :   i cant do that
Doctor :   k
User :   k what
Doctor :   thats k no problem
User :   its ok that i cant move my toes
Doctor :   ya
User :   ok
Doctor :   is there anything else tat i can help you with
User :   no not for now
Doctor :   k bye
User :   im back ... is someone there?
User :   ??
User :   i have a few more questions

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