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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History of compound fracture. Still have pain, swollen ankle, cannot walk for long. How to get back to normal?

In May of 2012 I feel off a 6 ft wall. I had a compound fracture 2-3 inches from my ankle of the tibia . I also broke the filbula. I was rushed into emergency surgery to have a rod and screws in the tibia. I was non- weight barring for 8 weeks. I did exactly like I was told. I had PT three times a week for 4 months. Now, coming up on a year of the accident I am still in alot of pain. I don t take any medicine for the pain. I am a hairstylist so I must stand several hours a day. It is not the standing that kills me. It is when I stop and sit down and then have to get up again. My ankle still swells so bad that the only shoes I can wear is a pair of flip flops. Where the screws are is so painful I will have to hit who ever touches it. I am not able to walk for any amount of time. I walk with a bad limp. On a bad day, I really need the use of my cane. What can I do to get this leg back to normal....Ok, I won t ask for miracles but how about less pain.
Mon, 26 Aug 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

Any persistent pain at the operated site (a year after surgery) is highly suggestive of INFECTION untill proved otherwise. Simple use of Analgesics or Antibiotics are of no help and can regress symptoms only temporarily.

So, I suggest you to undergo a few hematological investigations & xrays of the local part to diagnose infection.

The only way to eradicate an infection after internal fixation of bones is to remove the implants and giving a thorough wash followed by appropriate use of antibiotics for a few weeks depending on the sensitivity of the isolated organism.

Hope this information is helpful. Good day
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