Looks scary doesn't it? Well that's the way tib/fib fractures
go. I used to see at least one of these a day when I was with the
Orthopedics depts and A&E depts.
Most injuries of this sort arise from Road Traffic accidents. Same
problem. Going fast, rider flies, leg hits the ground....BAM!
I think the reason why Cisse breaks his legs is because he tries to
stop his fall by using his legs as a braking force. Bad choice.
Better to roll with the fall. That's all there is to it.
An open fracture in medical terms simply refers to a fracture with
an open wound (this includes wounds of any size as long as the skin
has been broken. Of course there are different classifications of
open fractures depending on the size of the wound, degree of
neurovascular involvement, soft tissue injury, and
contamination)
Treatment options vary from case to case depending on the
comminution of the fracture fragments, the angulation of the
fracture segments, etc. Cisse previous fracture was treated with an
intramedullary(IM) nail. Basically the fractured bone is aligned
into an ideal position under radiographic guidance and then a steel
nail is hammered through the centre of the bone (which is largely
hollow or filled with marrow). Relatively technical having to size
the nail, reduce the fracture and prevent blow out fractures from
the nailing process.
Nailing seems to give better results as it allows the patient to
bear weight earlier and thus encourage callus formation and reduce
the total recovery time.
3 months would be the minimum for full recovery. Hence the November
target is not unrealistic.
