Five years ago l dislocated my ankle and broke both bones in my !eg caused by part of a curb at my job being built up higher than the rest. Help me I'm having surgery soon and not sure if I should all of it taken out. I had ankle surgery March 6, 2019 with 6 screws and a plate. The most common long-term complications are loss of sensation in the mandibular nerve, malocclusion and loss of teeth in the line of fracture. Was wondering how important is the boot. I say do it while your young so recovery is hopefully swift;) Goodluck!! Fractures (breaks in the bone) are generally the result of a direct force or trauma to the jawbone. Since the pain has become so constant, I went to see an orthopedic surgeon yesterday, 3/15/16 (5 years after surgery) to get a follow up XRAY to see if there was any misplacement of hardware or anything he would see immediatly wrong. Of course, discuss with your specialist but where possible around family and work commitments, I wouldn't hesitate!! If the manufacturers sell the hardware products on simplicity because it can stay in, but there is a lack of research then I wonder how much suffering isn’t being researched too? Here I am 10 years later and it's starting to cause me pain on a daily basis. Hello all. Also didn't like feeling it just under the skin. There are a multitude of various plate and screw combinations including compression plates, non-compression plates, lag-screws, mini-plates and biodegradable plates. Notice the new braces and the replaced plates and screws, and my jaw is wired shut. Considerations. Maybe if I did the bike instead of treadmill, it would help a little. I found out today that two more screws have broken. The look of the scar is not what is bothering me. When I was 30 I had a transverse distal fibula fracture. Looking forward to not feeling the metal in it! This results in gagging of the teeth on the fractured side (the teeth meet too soon on the fractured side, and not on the non fractured side, i.e. Will I still have the arthritis anyway. Seek immediate help if you are experiencing a medical emergency. x rays showed calcium growing over the.top of the plate. Now after a year or more she complains all the time of it hurting and swelling. Methods for surgical stabilization of other mandibular fractures include wires placed around the teeth, wires placed in the bone, bone plates and screws, and external fixators (pins holding the bone fragments stable through holes in the skin, like a scaffolding). Ten years after the injury, he decided to get it removed because it was causing him problems. Since the pain has become so constant, I went to see an orthopedic surgeon yesterday, 3/15/16 (5 years after surgery) to get a follow up XRAY to see if there was any misplacement of hardware or anything he would see immediatly wrong. This time it became an open wound. [37] Prior to the routine use of seat belts, airbags and modern safety measures, motor vehicle collisions were a leading cause of facial trauma. Just like that, my pain is gone. Only a small bit but thatcall it took to cause pain. For fractures that occur in the non-tooth bearing area (condyle, ramus, and sometimes the angle) an open bite is an important clinical feature since little else, other than swelling, may be apparent. I am a 28 year old female. There is great variation depending on the severity of injury, health of the wound, and age of the patient. Many people advising me to have it taken out. How do they remove a screw when the top of it is broken off and the remaining part is in the bone. Both he and my Dr. recommended removing the hardware. I feel the doctor should have told me all this but he did not I had to ask after reading stories. I saw a plastic surgeon in 2012 concerned of the location of the scar who told me that the scar was over a bony prominence that will be prone to breakdown in the future. Its been 25 years ago. The surgery was done by an emergency clinic because it happened at night - not my regular vet. Therefore, I will to fear for He is with me.'. So - i am booked in next Thursday to have it removed (took me a year to finally set a date) but I am glad to get it out! [34], Mandible fracture causes vary by the time period and the region studied. A dislocated jaw means the lower part of the jaw has moved out of its normal position at one or both joints where the jaw bone connects to the skull (temporomandibular joints). Having two other children to take care of, and having morning sickness, I didn't feel up to having the pins removed. Sounds like I had the same injury. And to keep my big toe from bending. I called a friend to drop me off at hospital. Except in avulsive type injuries, or those where there might be airway compromise, a several day delay in the treatment of mandible fractures seems to have little impact on the outcome or complication rates. He does not think it will puncture the skin in future but can't say for sure. I have 2 plates and 19 screws in my right leg. Then it healed and started PT in Sept 2017 and half way thru October 2017 My ankle started bleeding. Read on to learn what I found out. Its been 7 days so far, and walking around, in abit of pain but not taking any pain meds. High velocity injuries (e.g. I don't know what to do anymore. Contacts & Jaw Position. Over the last few years there has been swelling on a regular basis within my ankle, especially after working out. I shattered my ankle in 6 places when i was 17 and was told the hardware was staying in for life! I don't know what to do. I'm scheduled to have it removed on July 17th at 10:30 am and he said there would not be any pain after the metal was removed. My primary dr wants it out and the oaun I am having TODAY can only mean bad times in the future if I keeo them in. I had both ankles with hardware, had it all out. I have read that prolonged metalwork in ankle can lead to rhematoid arthritis. I trust him, he's the chief of orthopedics at a respected hospital. The hardware had significantly affected my mobility, and had started causing me a lot of pain recently (the plate and screws were rejecting, barely covered by soft tissue anymore - you could feel the head of the screws and the edge of the plate) so my surgeon agreed to remove the hardware. These only show my jaw prior to and following my second surgery. I don't know what to do. Because the jaw can be highly comminuted, MMF and rigid internal fixation can be difficult. I now have a depressed contracted adherent scar over my left medial malleolus. I broke my ankle 3weeks ago I had a conpound fracture I have a plate on the right side and 16 screws it is very pain full and aches alot I got my stiches out last week,y Dr will not me put any weight on it till end of October. I vote you should. For months I have watched my foot change colors and it is still 2 times the size of my other ankle. I just had the removal surgery on March 1st and it was a breeze! We tried antibiotics and drainage, and as last resort, on June 1, I had an incision and drainage surgery. First, the lack of teeth makes reduction and fixation using MMF difficult. I still have all the hardware. I am in a bad position as I am on Medicaid and cannot to afford to have them removed. Doctor said only 60% weight-bearing until my check in 2 weeks time and then on to full weight. I did not want to have to go through surgery again but I am beyond excited do it as I hope to be back to normal again! I'd honestly say I was walking very weak up to January. I have 2 plates and 15 screws. I am out of the cast in the boot and have been on PT now twice a week for at least a month. When the maxillary (top) and mandibular (bottom) teeth are aligned together, this brings the fracture segments into place. 356. Went back to work after 5 months I work in Health Field very physical work. I highly highly highly recommend the removal regardless of the fact that you do not currently have any issues. Yeee Haa. 15 minutes of operating, 1.5 hours of recovery (I went under anaesthesia because I'm a wimp). So I would (if I may) like to get some input as to what I should do? My new baby was an emergency C-section. I’m almost 50 and lately my ankle has been aching pretty badly. The bottom line seems to be to give yourself sufficient rest periods, not over do it and dont rush your recovery, listen to your body, you know when you need to rest up. The ankle was painful the first night and all the discomfort of my broken ankle experience came rushing back - i.e. After so little hassle I'm wondering whether its worth disturbing it? It is not a true fracture because a bone is not broken, rather a “joint” is dislocated. Hopefully after the surgery I'll be pain free and be able to walk without limping. "Management of traumatic dislocation of the mandibular condyle into the middle cranial fossa", https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-017-1316-1, "Imaging of mandibular trauma: ROC analysis", "Treatment of comminuted mandibular fractures: a critical review", "Effect of early or delayed treatment upon healing of mandibular fractures: A systematic literature review", "Frey Syndrome—An Underreported Complication to Closed Treatment of Mandibular Condyle Fracture? The left leg my bones were all splinter up in my ankle. Crane can lift 1100kg at 1.2 metres and 420kg at 4.0 metres. Case Report and Literature Review", "An Epidemiological Study on Pattern and Incidence of Mandibular Fractures", https://en.wikipedia.org/w/index.php?title=Mandibular_fracture&oldid=997547691, Articles with unsourced statements from October 2020, Articles with unsourced statements from October 2013, Articles with unsourced statements from March 2013, Wikipedia articles in need of updating from June 2016, All Wikipedia articles in need of updating, Wikipedia articles needing factual verification from March 2013, Wikipedia medicine articles ready to translate, Creative Commons Attribution-ShareAlike License, Decreased ability to open the mouth, teeth will, This page was last edited on 1 January 2021, at 02:05. If you would like I can give you an up date as how my surgery went . Both VS and RC feeders have digital meters, typically an option, make setting e xact parameters easier. I broke all three bones in my ankle 13 screws two plates. Higher tech solutions are also available, to help reduce the segments with arch bars using bonding technology. I did not even know until after surgery that people even had hardware removed. It usually occurs with other mandibular fractures or with fracture of the zygomatic complex or arch. I think a lot depends on the severity of the injury, how old you were then it happened and your initial treatment to fix it. Thing is, the pain feels more like soft tissue issue and less to do with the hardware. The contact size corresponds to … Aside from tenderness at the incision sites, this is the first time I have been pain free. I only really needed a crutch in the mornings as my ankle would be stiff when I woke up. The accident only happened about 2 months ago, and he is currently going to physical therapy. [16], Ramus fractures are said to involve a region inferiorly bounded by an oblique line extending from the lower third molar (wisdom tooth) region to the posteroinferior attachment of the masseter muscle, and which could not be better classified as either condylar or coronoid fractures. Burning, swollen skin. Voila, contemporary shaped cloche. I had emergency surgery with plate and screws. Re: Broken Jaw by Kingsuave(m): 7:19pm On Dec 10, 2020; Op you mean say them wire your mouth like high tension? In past 2 years, if standing on it for a long period of time or engaging in a very strenous activiity, I will have sharp shooting pains that only last a few minutes (which I was fine with and dealt with). I started to read research. Some people leave in the hardware, then years later, the metal messes up the bones, causing problems. I know I won't have any regrets having metal wear removed, but I think I would have done, had I not! Black arrow shows the condyle pulled to the medial. However, most sites seem to recommend it. Do not try to work you jaw back and forth against the wires. MY DOCTOR WANTED TO LEAVE THEM ON FOR 4 WEEKS AND I JUST FOUND OUT HE WILL NOT BE BACK TILL AFTER XMAS. I couldn't afford to be off again I have a son bills mortgage and struggling. I added a discussion module below so that hopefully I can get some help from others. And it has 50% witch Hazel in it. [citation needed], Open reduction with direct skeletal fixation allows the bones to be directly mandibulated through an incision so that the fractured ends meet, then they can be secured together either rigidly (with screws or plates and screws) or non-rigidly (with transosseous wires). I had to go for a 2nd operation in November 2108, a wound debridement, where one of the screws was also removed. I heard similar stories of potential problems, issues longer term. Please let me know if anyone has had any issue such as myself and what they think I should do. 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