Broken tib/fib recovery

clay677
Posts
6
Joined
2/5/2022
Location
Dayton, OH US
Edited Date/Time 2/23/2022 8:32pm
I’ll start by saying I hope this is the right place to post this topic but I was wondering what you guys have gone through with recovery on a tib fib break. I was in a motorcycle accident (not at fault) and my both my bones and already existing plate were blown through the front of my leg. Had to have an artery and flap taken from my left arm to cover up and provide blood flow to my leg so hopefully no extra arm pump when I get back riding. Anyways lots of other broken body parts also but my leg seems to give me the most issues. I’m 7 months post accident and am planning on getting back to moto this summer if my body allows me to. My leg still swells any time I’m upright but my main issue is my shin hurts when my muscles are flexing as I’m trying to walk since I have a plate there. I was curious if any of you guys have had issues with recovery with any similar injuries I would love to hear any stories or any advice since paying doctors at this point doesn’t really get me anywhere.
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prozach
Posts
1251
Joined
7/1/2008
Location
Eureka, CA US
2/22/2022 9:47am Edited Date/Time 2/22/2022 9:49am
I had a very similar situation. My leg is permanently messed up. I get drop foot some, My fascia was cut, so the muscle by my shin pumps up big when stressed. But in all honesty, I've learned to live with it and don't really notice it much anymore. It took a couple of years for it to feel mostly normal. Still hurts me from time to time and will get sore occasionally for no real reason. I also can barely jump off it still after 20 years. But for moto, I was riding after 7-8 months or so.

I broke it previously also, and it was a breeze recovery. The second time I described above was nasty and the reason I still have issues. They plated it, I still have to be careful of pressure points on the plate with certain types of boots and activities.
2
user760a
Posts
1202
Joined
9/15/2008
Location
Shelby, NC US
2/22/2022 9:56am Edited Date/Time 2/22/2022 9:56am
Your situation is worse than a clean tib/fib break, like the one I had. It still seemed to take forever for mine to heal, and I was in my 20's at the time. Broke it in March and did not get back on a dirtbike until August.

In hindsight, I think I did it wrong: I waited for it to much less painful to bear weight before I started doing much. I see where guys are bearing weight on repaired limbs very very quickly, and I suspect that speeds the healing process. At the time, my thought process was that the pain simply indicated that it was not ready. Probably would have been a quicker process if I pushed it
1
2/22/2022 10:25am
clay677 wrote:
I’ll start by saying I hope this is the right place to post this topic but I was wondering what you guys have gone through with...
I’ll start by saying I hope this is the right place to post this topic but I was wondering what you guys have gone through with recovery on a tib fib break. I was in a motorcycle accident (not at fault) and my both my bones and already existing plate were blown through the front of my leg. Had to have an artery and flap taken from my left arm to cover up and provide blood flow to my leg so hopefully no extra arm pump when I get back riding. Anyways lots of other broken body parts also but my leg seems to give me the most issues. I’m 7 months post accident and am planning on getting back to moto this summer if my body allows me to. My leg still swells any time I’m upright but my main issue is my shin hurts when my muscles are flexing as I’m trying to walk since I have a plate there. I was curious if any of you guys have had issues with recovery with any similar injuries I would love to hear any stories or any advice since paying doctors at this point doesn’t really get me anywhere.
It will be hard for anyone to compare with you as your break is pretty unique. I broke my tib/fib and dislocated my ankle and it was Two weeks no weight, after surgery, and ten additional weeks after that.
1
cartel
Posts
28
Joined
11/26/2018
Location
Mill Valley, CA US
Fantasy
2/22/2022 10:33am Edited Date/Time 2/22/2022 10:36am
I had a somewhat similar accident back in October of 2019. While I'm nowhere near 100% recovered, I'm far past what my surgeon expected given how egregious the injury.

My takeaways:

• Physical Therapy is an absolute must. Don't go to whomever your insurance suggests, seek out a PT who works specifically with athletes and understands your goals and ambitions.

• Take care of yourself, holistically. Diet and exercise are paramount. Cut all processed foods from your diet and EAT CLEAN; crap food creates a tremendous amount of edema and inflammation in your body. Your leg is already at a disadvantage with circulation—don't make it unnecessarily harder. This also goes for alcohol / smoking. Cut that shit out. What's more important, riding moto well or tossing back a beer?

• Lose weight. Not sure what your current BMI is, but the lighter you are, the easier it'll be. That doesn't mean you can't be strong, but aiming for goals like a body fat percentage in the single-digits really helped take the load off, literally. I would strongly recommend getting a Dexa-scan to give you a baseline and help set goals.

• SET GOALS. Milestones, whatever. More mobility, more strength, more cardio, whatever. Set them, and vehemently adhere to achieving them.

• Ride a bicycle. A lot. There are so many benefits from riding that it'd be hard to list them all, but being a low-impact, high cardio sport will have tremendous value.

• Explore the removal of hardware. Most surgeons will advise against it simply based on the propensity to infection or surgical issues, plus most 'normal' (read: sedentary) individuals probably won't notice it throughout their lives. But, as an athlete, there could be benefits to this.

• Don't give up. Sounds cheesy, but even now, years on, I still can't ride very well for very long with how much damage was done to my ankle. I've found plenty of solitude in cycling, but my goal is to get back on the moto, eventually.

Good luck dude. DM if you have any specific questions.
2

The Shop

clay677
Posts
6
Joined
2/5/2022
Location
Dayton, OH US
2/22/2022 10:56am
prozach wrote:
I had a very similar situation. My leg is permanently messed up. I get drop foot some, My fascia was cut, so the muscle by my...
I had a very similar situation. My leg is permanently messed up. I get drop foot some, My fascia was cut, so the muscle by my shin pumps up big when stressed. But in all honesty, I've learned to live with it and don't really notice it much anymore. It took a couple of years for it to feel mostly normal. Still hurts me from time to time and will get sore occasionally for no real reason. I also can barely jump off it still after 20 years. But for moto, I was riding after 7-8 months or so.

I broke it previously also, and it was a breeze recovery. The second time I described above was nasty and the reason I still have issues. They plated it, I still have to be careful of pressure points on the plate with certain types of boots and activities.
I actually broke my leg in the winter of 2020 they plated it and it was a quick recovery and I am dealing with my leg pumping up also. This definitely isn’t my first rodeo with broken bones but it’s for sure the most complicated and frustrating with all the nerve damage and how different every step I take can feel. I’m making progress and I know it’s early in a long healing process of getting back to “normal” but sometimes it’s nice to know I’m not the only one.
clay677
Posts
6
Joined
2/5/2022
Location
Dayton, OH US
2/22/2022 11:07am
cartel wrote:
I had a somewhat similar accident back in October of 2019. While I'm nowhere near 100% recovered, I'm far past what my surgeon expected given how...
I had a somewhat similar accident back in October of 2019. While I'm nowhere near 100% recovered, I'm far past what my surgeon expected given how egregious the injury.

My takeaways:

• Physical Therapy is an absolute must. Don't go to whomever your insurance suggests, seek out a PT who works specifically with athletes and understands your goals and ambitions.

• Take care of yourself, holistically. Diet and exercise are paramount. Cut all processed foods from your diet and EAT CLEAN; crap food creates a tremendous amount of edema and inflammation in your body. Your leg is already at a disadvantage with circulation—don't make it unnecessarily harder. This also goes for alcohol / smoking. Cut that shit out. What's more important, riding moto well or tossing back a beer?

• Lose weight. Not sure what your current BMI is, but the lighter you are, the easier it'll be. That doesn't mean you can't be strong, but aiming for goals like a body fat percentage in the single-digits really helped take the load off, literally. I would strongly recommend getting a Dexa-scan to give you a baseline and help set goals.

• SET GOALS. Milestones, whatever. More mobility, more strength, more cardio, whatever. Set them, and vehemently adhere to achieving them.

• Ride a bicycle. A lot. There are so many benefits from riding that it'd be hard to list them all, but being a low-impact, high cardio sport will have tremendous value.

• Explore the removal of hardware. Most surgeons will advise against it simply based on the propensity to infection or surgical issues, plus most 'normal' (read: sedentary) individuals probably won't notice it throughout their lives. But, as an athlete, there could be benefits to this.

• Don't give up. Sounds cheesy, but even now, years on, I still can't ride very well for very long with how much damage was done to my ankle. I've found plenty of solitude in cycling, but my goal is to get back on the moto, eventually.

Good luck dude. DM if you have any specific questions.
I actually have plans to buy a spin bike to try to strengthen my leg as a whole and also get the last 10 to 20% of mobility out of my ankle. I was hoping also that it would maybe help my muscles and nerves get used to the plate in my shin and not be so sensitive to walking. I will admit I have put on some pounds sitting at home being at rock bottom due to other life issues right before the accident and staring out of my picture window for 6 months on the couch in pain didn’t help. Last year I had lost 50 lbs and got back to riding more and being aware of what I’m eating
And I’m in the beginning stages of getting back to my old self now. Aside from that I have to ask, did you have any hardware removed? I would entertain that idea if I’m still dealing with related issues maybe next winter. I mean what’s getting cut open again after all? My leg isn’t going to get any prettier lol
Robbirob25
Posts
404
Joined
11/19/2007
Location
Fort Wayne, IN US
2/22/2022 11:09am
Broke mine in 2008. Two surgeries later. 12 weeks no weight. Rehab with a sports PT, and a bone stimulator every day.
I was just over 8 months to 100%. Plated with 7 Screws. The injury area will occasionally get sore during a day of riding, but not to the point it is intolerable. I am essentially 100%.

Robbi
1
JMR1976
Posts
1125
Joined
5/15/2015
Location
Aptos, CA US
2/22/2022 9:10pm
Broke mine 16 months ago. 5 surgeries 1 infection and a fusion later and it’s still trash.


1
Freeduro
Posts
1
Joined
2/22/2022
Location
Fairfax, CA US
2/22/2022 10:41pm Edited Date/Time 2/22/2022 10:42pm
I broke my tib fib in september and got a rod in my tib from my knee to my ankle, they did nothing to the fib. From the sound of it, yours is a bit gnarlier/different. I started riding a stationary bike in December which really helped to rebuild some strength and mobility. Additional to the stationary bike, I did some basic PT as boring as it is, it helps a lot. At about 10 weeks out I started riding a mtb. I spent a few weeks cruising fireroads and eventually was back to single-track but riding with caution. I feel like applying as much impact as manageable (past 8 weeks) helps to promote bone growth and rebuild muscle quicker. I trail rode a moto for the first time post injury 5 months out and it felt relatively safe. For me, pedaling a bike, PT and stretching has helped a lot. I hope your recovery goes well and you get back to ripping.
1
POWLEY256
Posts
107
Joined
3/11/2018
Location
GB
2/23/2022 12:40am
I broke tib and fib into 7 pieces in april. External fixation for 3 weeks followed by another op for 2 plates and 16 screws.
Fmx is my full time job so i did everything i could to get healed asap.
Low level laser therapy, pulse magnetic field therapy and oxygen therapy in a hyperbaric chamber. I was back riding in 3 months.
Doctors were shocked at my healing and said i was originally looking at minimum 6 months before i could ride again.
My ankles still far from working normal and i still get swelling everyday and some pain if im on my feet all day but it is still improving everyday.
Get your self a wobble board and make sure your doing ankle exercises everyday and you will see a big improvements
1
Mr. Afterbar
Posts
2410
Joined
5/13/2019
Location
Green Bay, WI US
2/23/2022 4:46am
Broke my tib fib in 8 or so places about 19 years ago. Broke the growth plate as well. My foot was pointing out 90⁰. Don't have any issues with that break. About 9 years ago I broke my fib and had to get it plated. It took quite a while before it wasn't tender. I could hit the plate hard and it wouldn't hurt, but light touches would cause pain. It was like that for at least 5 years. Don't notice it anymore and I hardly ever have pain in that leg. Your situation is more serious than either of mine were. Best wishes for a full recovery.
1
2/23/2022 10:27am
I broke my tib/fib/ankle and need surgery (14 screws and 2 plates). My vision of recovery after numerous major injuries is get back in active mode as fast as possible but listen to your body. The human body is a incredible machine and adaptation. 5 months after that injuries I was in alpine skiing (didn't go too well because of the plates). I had the plates removed a year later exactly. I had to complain of major incomfort to have it done. I was on crunches for 2 days after the second surgery and walking normaly after. In a nutshell
1- Go see a physiotherapist focused on sports. You're not the normal person spending is weekend in front of the TV or on the side of the pool.
2- Healthy food
3- Follow what the physioterapist say and do your exercises
4- Get in active mode (cycling, short walk, rowing).
5- Follow what the physioterapist say and do your exercises
6- Ice/warm therapy really help on recovery (ice reduce pain and swelling while hot help the repair process).
7- Follow what the physioterapist say and do your exercises
8- Get the hardware removed if you can
9- Follow what the physioterapist say and do your exercises
10- Enjoy life
2
GateDropGoGo
Posts
120
Joined
1/27/2022
Location
Redlands, CA US
2/23/2022 12:57pm
Well, here's been my experience...

External Fixator for 4 weeks, 2nd surgery 11/11....non weight bearing until almost 3 weeks ago when I got a walking boot. Hobbling around since then (first few days with a cane), but getting better (big gains) every single day. Foot is still swollen a bit, but I now can get around house without walking boot. While I have sensation everywhere, some parts of the area feel kinda "asleep." The most recent picture (3rd one?) is almost exactly 4 months from the date of me eating shit.







..


1
Grovesy98
Posts
246
Joined
10/14/2019
Location
GB
2/23/2022 1:07pm
Broke my tib/fib, dislocated my foot and broke up the joint back in 2007. Had plate and screws, and they cleaned the joint up. I struggled with serious pain for about 2 months, then after PT and light exercise I was back riding after 8 months. Since then it hurts every day, swells after standing all day, and has arthritis in the joint. I've just learned to deal with it now. I strap it up tight with a brace when I ride and I don't have any problems on the bike. Hurts like hell for a day or so after though
1
clay677
Posts
6
Joined
2/5/2022
Location
Dayton, OH US
2/23/2022 4:43pm Edited Date/Time 2/23/2022 4:54pm

Might as well post these pictures. This is within a span of 3 months







2/23/2022 7:23pm
I had a pretty clean break of my tib/fib with the bones coming out of the skin. They put in a rod (nail) from my knee to almost my ankle with 5 screws holding it in place. It happened almost 8 years ago. The right side of my leg has nerve damage and is mostly numb. My leg swelled up quite often anytime I was on it or used it and still does to this day if I’m on it a lot. My bones are sore the day after I ride right where the break was still. Also any cardio running makes it sore. I choose to spin bike or MTB for my main cardio. My ortho was old school and didn’t believe in PT he gave me exercises to do on my own for recovery. Yours sounds a bit worse then mine but I’m sure you’ll be okay. Your leg will never be the same and you will find your new normal soon enough. Cheers
1
2/23/2022 7:31pm
MXRACER428 wrote:
I had a pretty clean break of my tib/fib with the bones coming out of the skin. They put in a rod (nail) from my knee...
I had a pretty clean break of my tib/fib with the bones coming out of the skin. They put in a rod (nail) from my knee to almost my ankle with 5 screws holding it in place. It happened almost 8 years ago. The right side of my leg has nerve damage and is mostly numb. My leg swelled up quite often anytime I was on it or used it and still does to this day if I’m on it a lot. My bones are sore the day after I ride right where the break was still. Also any cardio running makes it sore. I choose to spin bike or MTB for my main cardio. My ortho was old school and didn’t believe in PT he gave me exercises to do on my own for recovery. Yours sounds a bit worse then mine but I’m sure you’ll be okay. Your leg will never be the same and you will find your new normal soon enough. Cheers
Mine gets sore where my break was as well. Thought it was just with the weather changing.
slowoldman
Posts
84
Joined
12/21/2015
Location
Wendell, NC US
2/23/2022 8:13pm
cartel wrote:
I had a somewhat similar accident back in October of 2019. While I'm nowhere near 100% recovered, I'm far past what my surgeon expected given how...
I had a somewhat similar accident back in October of 2019. While I'm nowhere near 100% recovered, I'm far past what my surgeon expected given how egregious the injury.

My takeaways:

• Physical Therapy is an absolute must. Don't go to whomever your insurance suggests, seek out a PT who works specifically with athletes and understands your goals and ambitions.

• Take care of yourself, holistically. Diet and exercise are paramount. Cut all processed foods from your diet and EAT CLEAN; crap food creates a tremendous amount of edema and inflammation in your body. Your leg is already at a disadvantage with circulation—don't make it unnecessarily harder. This also goes for alcohol / smoking. Cut that shit out. What's more important, riding moto well or tossing back a beer?

• Lose weight. Not sure what your current BMI is, but the lighter you are, the easier it'll be. That doesn't mean you can't be strong, but aiming for goals like a body fat percentage in the single-digits really helped take the load off, literally. I would strongly recommend getting a Dexa-scan to give you a baseline and help set goals.

• SET GOALS. Milestones, whatever. More mobility, more strength, more cardio, whatever. Set them, and vehemently adhere to achieving them.

• Ride a bicycle. A lot. There are so many benefits from riding that it'd be hard to list them all, but being a low-impact, high cardio sport will have tremendous value.

• Explore the removal of hardware. Most surgeons will advise against it simply based on the propensity to infection or surgical issues, plus most 'normal' (read: sedentary) individuals probably won't notice it throughout their lives. But, as an athlete, there could be benefits to this.

• Don't give up. Sounds cheesy, but even now, years on, I still can't ride very well for very long with how much damage was done to my ankle. I've found plenty of solitude in cycling, but my goal is to get back on the moto, eventually.

Good luck dude. DM if you have any specific questions.
This is sound advice! 👍
TrailMaker
Posts
104
Joined
1/9/2022
Location
Fresno, CA US
2/23/2022 8:31pm Edited Date/Time 2/23/2022 8:32pm
Respect to all of you who persevered through such brutal injuries. I have broken plenty of bones, but nothing like the meat grinders you all went through. Damn.
1
MX252
Posts
79
Joined
12/12/2020
Location
WA US
2/23/2022 9:15pm
Those pictures sure bring back my memories (or nightmares!!) I had a devastating Pilon fracture tib/fib and crushed ankle, NWB for 9 months 4 plates two are from just below my knee to the bottom of my tib , external fixator for first 2 months and 32 screws, three surgeries the first year and finally out of many casts and walking with a limp at 14 months, had way too much Oxy and Morphine no wonder people crave drugs that stuff makes you forget all your troubles, you just never know how it’s going to turn out I thought they were going to take my foot off that night in the ER, now years later 2 more surgeries I have a titanium ankle replacement and I can enjoy many things once again especially less pain and just a slight limp when I have been on my feet all day, got a sweet little 450 CRF to do a little rippin on our back yard track life is good!!
2

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