Severe Staircase Fall: Fractures and Recovery Options - Orthopedics

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Staircase fall resulting in fracture?


I'm sorry to hear about your situation.
Here’s the translation:
I apologize, but recently while going down the stairs, my thigh suddenly cramped.
I sat down to check and found that the muscles in both of my thighs had cramped to the point of being about three centimeters deep.
I thought I would go back upstairs to see what was happening, but I ended up falling from the third floor to the second floor.
As a result, a worker downstairs tripped over me, and a hammer fell directly onto my thigh.
When I went to the hospital, I discovered that I had comminuted fractures in both thighs, knees, and calves, as well as muscle tears in my left thigh and left knee, ruptured blood vessels, and my entire leg was bent into a "M" shape.
Both knees were dislocated, and there were large indentations on my left thigh, right thigh, and right knee, each with a diameter of 8 cm and a depth of 5 cm.
Additionally, my entire leg was bruised, turning black and purple.
(1) What treatment options are available? (2) Will I need an amputation? (3) Is this very serious? (4) What should I do?

Niming, 30~39 year old female. Ask Date: 2022/10/08

Dr. Shi Guozheng reply Orthopedics


1.
Surgical reduction and fixation of fractures.

2.
If the blood vessels are not injured, amputation is usually not necessary.

3.
It is somewhat serious.

4.
Follow the physician's advice and undergo treatment.

Reply Date: 2022/10/08

More Info


I'm sorry to hear about your severe injuries from the staircase fall. It sounds like you have sustained multiple serious fractures and soft tissue injuries, which can be quite overwhelming. Let's address your concerns one by one.

1. Treatment Options: Given the nature of your injuries, which include multiple fractures and soft tissue damage, the primary treatment will likely involve surgical intervention. This may include:
- Fracture Reduction and Fixation: Surgeons will aim to realign the fractured bones and stabilize them using plates, screws, or rods. This is crucial for proper healing and to restore function.

- Soft Tissue Management: Since you have muscle tears and significant bruising, the surgical team may also need to address these injuries. This could involve repairing torn muscles or ensuring that blood flow is restored if any blood vessels are compromised.

- Rehabilitation: Post-surgery, a structured rehabilitation program will be essential. This may include physical therapy to regain strength, flexibility, and mobility in your legs.

2. Amputation Concerns: The need for amputation is generally considered a last resort, primarily if there is irreparable damage to the blood vessels or nerves, or if the limb is non-viable. Given that you have not mentioned any immediate life-threatening complications or severe vascular injuries, it is unlikely that amputation would be necessary. However, this will ultimately depend on the assessment of your surgical team.

3. Severity of Injuries: Your injuries are indeed serious, as they involve multiple fractures and soft tissue damage. The presence of open wounds and significant bruising indicates that there is a risk of complications, such as infection or delayed healing. It is crucial to follow your medical team's advice closely and attend all follow-up appointments to monitor your recovery.

4. Next Steps: Here’s what you should do moving forward:
- Follow Medical Advice: Adhere strictly to the treatment plan provided by your orthopedic surgeon and healthcare team. This includes attending all scheduled surgeries and follow-up appointments.

- Pain Management: Ensure that you are managing your pain effectively, as this will be important for your recovery and participation in rehabilitation.

- Physical Therapy: Once cleared by your doctor, engage in physical therapy as prescribed. This will help you regain strength and mobility in your legs.

- Monitor for Complications: Keep an eye on your wounds for any signs of infection (increased redness, swelling, warmth, or discharge) and report any concerning symptoms to your healthcare provider immediately.

In conclusion, while your injuries are indeed severe, with appropriate medical intervention and rehabilitation, many individuals can achieve significant recovery and regain functionality. Stay positive and committed to your recovery process, and don't hesitate to reach out to your healthcare team with any questions or concerns you may have along the way.

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