Overcoming Severe Leg Injuries After a Car Accident: My Journey - Orthopedics

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I was in a car accident before?


I was in a car accident where the other driver was going the wrong way, and I was thrown from the impact.
I suffered compound fractures of both femurs and tibias, with bone protruding through the skin, and I had dislocated knees along with comminuted fractures in both lower legs.
The pain was excruciating, and I cried out in agony.
Fortunately, a kind passerby helped carry me to the roadside.
During this time, my friends were incredibly supportive, cooking for me whenever they had the chance.
After treatment, I started experiencing swelling and severe bleeding; my thighs swelled to three times their normal size, and the bleeding was quite serious.
It has been two years, and I am completely unable to walk.
Any contact with the ground causes excruciating pain, and I have to use a wheelchair.
Even a gentle touch to my knees results in intense pain, and I cannot bend them.

A-Dai, 30~39 year old female. Ask Date: 2021/06/17

Dr. You Dianqi reply Orthopedics


Hello, from your article, I can sense that you indeed suffered a very serious injury, yet you still optimistically describe the beauty of the world.
You are very brave, keep it up! Given that you had an open fracture and a dislocated knee, which indicates potential ligament issues, your recovery will certainly involve many challenges.
Regarding the phenomena you mentioned, I would like to provide you with some honest answers and advice.
It is necessary to evaluate a series of imaging studies and perform some physical examinations, which may require a face-to-face consultation in the clinic to provide you with more comprehensive medical care.
If there is any way I can assist you, please feel free to visit the clinic; I would be happy to help you.
Thank you.

Reply Date: 2021/06/17

More Info


I'm truly sorry to hear about the severe injuries you've sustained from your car accident. It sounds like you've been through an incredibly challenging time, and it's commendable that you are seeking to understand your situation better.
From your description, it appears that you have experienced multiple traumatic injuries, including open fractures of the femur and tibia, dislocations of the knees, and severe soft tissue damage. Such injuries can lead to a range of complications, including chronic pain, swelling, and limited mobility, which you are currently experiencing.


Understanding Your Injuries
1. Open Fractures: These types of fractures occur when the bone breaks through the skin, which can lead to a higher risk of infection. The presence of metal rods (often referred to as intramedullary nails) indicates that surgical intervention was necessary to stabilize your bones.
2. Knee Dislocations and Fractures: Dislocating the knee can damage not only the bones but also the ligaments and cartilage. This can lead to instability and pain, particularly when trying to bend or bear weight on the knee.

3. Chronic Pain and Swelling: After such significant trauma, it is common to experience chronic pain and swelling. This can be due to a variety of factors, including nerve damage, scar tissue formation, and ongoing inflammation.


Recovery and Rehabilitation
1. Physical Therapy: Engaging in a structured rehabilitation program is crucial. A physical therapist can help you regain strength and mobility in your legs. They will tailor exercises to your specific needs, focusing on gradually increasing your range of motion and strength.

2. Pain Management: Managing your pain effectively is essential for your recovery. This may involve medications, physical therapy modalities (like ultrasound or electrical stimulation), and possibly injections if recommended by your healthcare provider.

3. Surgical Considerations: If you continue to experience severe pain and functional limitations, it may be worth discussing with your orthopedic surgeon the possibility of further interventions. This could include surgeries to remove hardware, repair ligaments, or address any complications from your initial injuries.

4. Psychological Support: The emotional toll of such injuries can be significant. Consider seeking support from a mental health professional who can help you cope with the psychological aspects of your recovery journey.


Long-Term Outlook
While the road to recovery can be long and fraught with challenges, many individuals who experience severe leg injuries can regain significant function over time. It's important to set realistic goals and celebrate small victories along the way.
Your situation is complex, and ongoing communication with your healthcare team is vital. They can provide you with the best advice tailored to your specific circumstances. If you feel that your current treatment plan is not addressing your needs, don't hesitate to seek a second opinion or consult with a specialist in rehabilitation medicine.


Conclusion
Your resilience and the support of your friends and family are invaluable as you navigate this difficult journey. Remember, recovery is a process, and it's okay to ask for help along the way. Stay hopeful and proactive about your health, and continue to advocate for yourself in your recovery journey.

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