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by munificent 151 days ago
I was trying to be healthier, so I started biking to work. I was worried about safety, so I only felt comfortable doing this because my commute was 90% on bike paths.

Then I slipped on a puddle and landed really wrong on my left ankle. :(

I don't know if I stuck my foot out and foot planted or the bike landed on it or what, but the end result was a tri-malleolar fracture with dislocation. Basically I tried to twist my foot off and broken the tips off my tibia and fibula in the process. I had a bunch of other complications after that: severe fracture blisters, nerve block rebound pain, infection, problems with wound healing, and then finally the cartilage crapped out and I got post-traumatic osteoarthritis.

> I always had broken bones in my head as this thing that heal after a couple months and you're back to 100% :/ (also broke my ankle)

Me too! This was my first broken bone. I thought I'd just go to the hospital, they'd patch me up, and I'd go on with my life. But then every appointment with the surgeon, the prognosis got worse and worse.

With the replacement, if everything goes well, then I should at least be able to walk, and hike, and dance without pain. But nothing high impact or putting a lot of torque on the ankle. No running, no intense sports. The door to that part of my life has closed.

1 comments

Man, that bull** :'(. I had a Bimal syndesmosis, so not as bad as you (and many fewer complications..) - I was riding an electric unicycle off-road on MTB trails, which sounds a lot dumber than what you were doing XD. Even so, it still bothers me over a year later.

I feel like it's worse with an ankle because if you don't break it they basically don't get arthritis, unlike a knee or hip; so you've lost more when you get ankle PTOA :'(.

I hope your TAR serves you well - they definitely sound like they've been getting better, so hopefully you get a good long while out of it.

Tearing the syndemosis sounds rough!

Coincidentally, right around a same time, a friend of mine wiped out on his OneWheel and had a compound ankle fracture with dislocation. I don't recall how many malleoluses he broke, but it was pretty gnarly. But he's been healing well and it seems like his cartilage might survive OK. I'm happy for him but also envious.

> I feel like it's worse with an ankle because if you don't break it they basically don't get arthritis

It's crazy how well an ankle performs when you think about it. It is so much smaller than your hip or knee, and it takes even more impact force than those joints do when you run, and often while at weird angles. It's a miracle they work at all.

> they definitely sound like they've been getting better,

That's what I hear. If this had happened a decade ago, I'd probably getting a fusion now. Good luck on your recovery too.