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.
Similar Q&A
Dealing with Pain After a Slip on Wet Stairs: A Guide to Recovery
Hello Doctor! About a month ago, I slipped on a wet staircase at my company while descending from the first floor to the basement. I slid down and struck my lower back and buttocks against the stairs twice, which was extremely painful. I was unable to stand up at that moment, and...
Dr. Chen Yongxue reply Orthopedics
Hello, a fracture of the coccyx can be quite distressing. However, in this anatomical location, there are no spinal nerves passing through, so there is no need to worry about nerve compression issues. Based on your description, it seems that the most difficult period has already ...[Read More] Dealing with Pain After a Slip on Wet Stairs: A Guide to Recovery
Rehabilitation Tips for Climbing Stairs After Femur Fracture Surgery
Currently, it has been five months since my femur fracture surgery. I have had nails inserted and can walk normally, but I struggle with going up and down stairs without support, as my leg feels particularly strained and my balance is unstable. I would like to ask the doctor what...
Dr. Shi Guozheng reply Orthopedics
1. Practicing thigh lifts can increase muscle strength to improve function. 2. The presence of metal screws may affect the range of motion in the wide joint. 3. Occasional tingling sensations are normal and may be related to muscle tightness.[Read More] Rehabilitation Tips for Climbing Stairs After Femur Fracture Surgery
Can You Climb Stairs After a Year of Lumbar Spine Fracture?
Hello Dr. Shen, I sustained a burst fracture of the third lumbar vertebra due to a car accident, with a compression of 0.4 cm at the third lumbar vertebra. I have been undergoing conservative treatment for nearly a year. I returned to work three months after the fracture, and my ...
Dr. Shen Boquan reply Orthopedics
Hello, netizen. You have a fracture of the third lumbar vertebra that has healed for a year without pain. Climbing stairs can put a significant strain on your knees. If you do not experience noticeable knee pain or back pain, it should not have a major impact. However, if you exp...[Read More] Can You Climb Stairs After a Year of Lumbar Spine Fracture?
Post-Patellar Fracture Surgery: Can I Climb Stairs Safely?
Dear Dr. Zhan, I sustained a patellar fracture from a fall and it has been nearly 50 days since my surgery. I would like to ask if it is safe for me to occasionally go up and down about two flights of stairs, as my knee can currently bend to 90 degrees. Will this activity cause ...
Dr. Zhan Xian reply Orthopedics
Hello Ms. Wang, whether you can climb stairs depends on the judgment of your surgeon. It is important to consider the stability of the fracture fixation and the quality of your bone. Please ask your doctor during your follow-up appointment. Wishing you a safe recovery![Read More] Post-Patellar Fracture Surgery: Can I Climb Stairs Safely?
Related FAQ
(Orthopedics)
Leg Fracture(Orthopedics)
Tibia And Fibula Fracture(Orthopedics)
Post-Tibial Fracture Surgery(Orthopedics)
Coccygeal Fracture(Orthopedics)
Talus Fracture(Orthopedics)
Dislocation(Orthopedics)
Fall(Orthopedics)
Metatarsal Fracture(Orthopedics)
Post-Clavicle Fracture Surgery(Orthopedics)