Severe Right Leg Injury: Fractures, Dislocation, and Tumor Concerns

What happened to your right foot?

I fell down the stairs at work and have a bruise on my left thigh.
My right leg has a fracture of the tibia and fibula, with a suspected open fracture.
I also have a dislocated knee and a comminuted fracture.
Additionally, I have a pre-existing tumor in my leg that is bleeding profusely.
What should I do?

Aqi, 0~9 year old female. Ask Date: 2021/06/17

Dr. Chen Yongxue reply Orthopedics

As mentioned in the letter, the simultaneous occurrence of a knee joint dislocation and an open fracture of the tibia and fibula (where the bone protrudes through the skin) is very rare.
Such injuries typically require significant external force.
It is crucial to seek medical attention promptly for debridement, stabilization, and reduction.
Thank you.

Reply Date: 2021/06/17

More Info

I'm sorry to hear about your severe injury. It sounds like you have experienced a significant trauma to your right leg, which includes fractures of the tibia and fibula, a dislocated knee, and concerns regarding a tumor. Given the complexity of your injuries, it is crucial to seek immediate medical attention.

First and foremost, if you suspect that your bone has pierced through the skin, this is classified as an open fracture, which is a medical emergency. Open fractures can lead to serious complications, including infections, and require prompt surgical intervention to clean the wound and stabilize the fracture. You should go to the nearest emergency room (ER) as soon as possible.
In the ER, the medical team will likely perform a thorough examination, including imaging studies such as X-rays or CT scans, to assess the extent of your fractures and dislocation. They will also evaluate the tumor you mentioned, as it may require a different approach depending on its nature (benign or malignant) and its location.

Once your immediate injuries are stabilized, the treatment plan may involve several steps:
1. Surgical Intervention: Given the severity of your injuries, surgery may be necessary to realign the bones and fixate them using plates, screws, or rods. This is especially important for the tibia and fibula fractures and the dislocated knee.

2. Wound Care: If there is an open fracture, proper wound care is essential to prevent infection. This may involve cleaning the wound, administering antibiotics, and possibly performing a debridement procedure to remove any dead tissue.

3. Tumor Evaluation: The tumor in your leg will need to be evaluated by an orthopedic oncologist or a specialist in musculoskeletal tumors. They may perform a biopsy to determine the nature of the tumor and decide on the best course of action, which could include monitoring, surgical removal, or other treatments.

4. Rehabilitation: After surgical stabilization, physical therapy will be crucial for your recovery. A rehabilitation program will help you regain strength, flexibility, and function in your leg. The timeline for rehabilitation can vary significantly based on the severity of your injuries and the type of surgery performed.

5. Follow-Up Care: Regular follow-up appointments with your orthopedic surgeon will be necessary to monitor your healing process and adjust your treatment plan as needed.

6. Pain Management: Managing pain effectively during your recovery is important. Your healthcare provider will discuss appropriate pain management strategies, which may include medications and other modalities.

Given the complexity of your situation, it is essential to act quickly and seek medical care. Do not delay in going to the ER, as timely intervention can significantly impact your recovery and long-term outcomes. Your health and safety should be your top priority.

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