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Broken legs and ankles heal better if you walk on them within weeks

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611 points sohkamyung | 3 comments | 19 Feb 25 12:36 UTC | HN request time: 0.001s | source
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ehnto ◴[19 Feb 25 14:04 UTC] No.43102277[source]▶
The pathology for broken collar bones was changing right as I took up mountain biking, and subsequently shattered my collarbone.

It was hotly debated at the hospital, if my specific case should be operated on or not. Each time I had a checkup, one doctor would say "wait and see" while the other was saying "I can't believe we didn't operate on this".

At any rate, the outcome was as good as if they had operated on it, according to the doc anyway. Nice of them to test it out on me!

More related to this though, I have broken both my collarbones, the first time I had little direction and just held my arm still for 2-3 months. It took forever to heal, and my arm atrophied significantly. The second time, similar severity. I was guided through rehab and I was back using my arm within the first month, very little atrophy.

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jamiedumont ◴[19 Feb 25 16:56 UTC] No.43104336[source]▶
I shattered my collarbone - and I do mean shattered, ~8 pieces - in a mountain bike crash September 2023. I went over the bars after the back wheel of my hardtail caught a berm. Landed on my head and shoulder and compressed it laterally inwards by about 2 inches.

Even with this mess, it was hotly debated for around two weeks whether I needed surgery. A good chunk of my collarbone was trying to push through my skin and the other half was fusing to my scapular and was starting to compromise nerve function. Even then, because the non-surgical route is now considered the standard, I was meeting resistance to have an ORIF. It seems that the about turn from surgical intervention has been so strong that getting ANY surgical intervention is a battle.

I eventually came across a surgeon who took one look at me (never mind the imaging) and scheduled me for surgery. ~18 months later I’m now on a waiting list to have the plate removed, and strangely have gone off cycling… Surfing has happily taken its place.

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gnarcoregrizz ◴[19 Feb 25 18:04 UTC] No.43105208[source]▶
Shattered mine mountain biking as well (6 pieces). Ortho took one look at it and scheduled surgery for the next day. It wasn't a 'standard' break since it included my AC joint and coracoclavicular ligaments which needed a special type of plate. Ultimately it took 2 surgeries (ORIF, then plate removal). Total recovery was 9 months. My arm/shoulder is as strong as it was before, and it looks anatomically correct.

My shoulder immediately felt "better" after ORIF. I would suggest it if it's way out of whack... mine was drooping probably 2". I can't imagine how much it would suck if the bones healed that way.

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1. jamiedumont ◴[19 Feb 25 18:19 UTC] No.43105402[source]▶
Mine felt immediately worse after the ORIF. After two weeks getting comfortable in their new positions, all the ligaments really resented getting wrenched back into place.

Good illustration was that my run of the mill, 45 minute surgery ended up taking 4.5 hours.

It’s good to hear that everything felt good after your plate was removed. At 18 months post-surgery, I’m in a really good place where I can do most anything I want. Only occasionally experience discomfort if my son headbutts the plate or a backpack strap rubs on it. I was in two minds about having it removed as it would be a step backwards to post-surgical, but the likelihood of me doing something stupid again in the future means it’s worth it. Rather have the fuse that a clavicle is rather than fracture my sternum!

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2. gnarcoregrizz ◴[19 Feb 25 20:07 UTC] No.43106886[source]▶
I should restate - mine definitely did not feel better post-surgery, the ORIF pain was worse than the break, but it felt good to have my bones secure with my shoulder in its anatomically correct place, and not have any more crepitus.

My plate was extremely uncomfortable, it was a "hook plate" which held my collar bone to my scapula. I couldn't raise my arm above shoulder height with it installed, it had to be removed after 6mo.

Plate removal was a bit tougher than anticipated (short term). I read accounts of it being a 'relief' but I was in quite bit of pain.

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3. jamiedumont ◴[20 Feb 25 09:19 UTC] No.43112719[source]▶
Ah, thanks for the clarification. That post-ORIF pain being worse than the break was my experience too. Even with the plate I became quite paranoid about shifting the screws because it provided so much immediate stability I was worried I was able to do things that may loosen the screws.

A hook plate sounds horrible! Mine is a simple straight plate, bent into a helix shape to follow the natural rotation of the bone. I've got almost full mobility, although that shoulder does seize up quite readily. Not sure whether that's the plate or just remnants of the reduced mobility post-crash and post-surgery.

I've been told to expect two weeks of surgical healing and a further 4 weeks of babying it and avoiding impacts. I'm hoping your removal being tougher was due to the different plates. Would quite like it gone and to get on with my life now.