Non-union 10 years post accident

Jun 15, 2022 6:42 PM

pawesomeopossum

Views

113743

Likes

1091

Dislikes

32

This is the most recent CT scan. All the hardware is loose. Surgery next Thursday in hopes of making it all one piece again. Non-union fractures are ones that never heal together. Three surgeries so far.

The car, notice the blood on the seat where his femur broke through.

The other guy. Totaled this as well.

Best wishes friend. That looks like a mighty pain in the ass. Hope all goes well.

3 years ago | Likes 3 Dislikes 0

Ow.

3 years ago | Likes 3 Dislikes 0

good luck brother. youre a tough dude

3 years ago | Likes 2 Dislikes 0

I'm an x-ray tech and seeing that all I could think is why isn't that a single rod style fixator? A single plate can't hold that together.

3 years ago | Likes 2 Dislikes 0

A miracle he walked away at all, honestly.

3 years ago | Likes 2 Dislikes 0

How’s your bench press coming along?

3 years ago | Likes 3 Dislikes 0

GOTTTTTDAMN BRO glad you’re alive

3 years ago | Likes 3 Dislikes 0

Op does it hurt? I hope you heal

3 years ago | Likes 2 Dislikes 0

I'm not a doctor but I don't think that is suppose to do that.

3 years ago | Likes 3 Dislikes 0

How do you fix stuff like that? O.o that can't be comfy

3 years ago | Likes 6 Dislikes 0

Holy shit they have done a BAD job of trying to put your arm back together...

3 years ago | Likes 3 Dislikes 0

The bone has just never healed.

3 years ago | Likes 2 Dislikes 0

What a shitty osteosynthesis. Should have taken an intramedullary ‚Nail‘ fixed proximal and distal. Would sue the surgeon who did that shit.

3 years ago | Likes 3 Dislikes 0

We tried, all original surgeries have had to be repeated at least once. The different lawyers we contacted basically said he was too intact.

3 years ago | Likes 1 Dislikes 0

Holy moly! That used to be a car? Very best of luck with the surgery! Lucky to be alive, I'd say.

3 years ago | Likes 3 Dislikes 0

What's does it feel like? I've broken a fair few bones and can't imagine this

3 years ago | Likes 5 Dislikes 0

That is a bad Tinea versicolor breakout.

3 years ago | Likes 57 Dislikes 0

Dandruff shampoos may be the easiest to find at hand treatment. But yeah, ask a doctor for antifungals.

3 years ago | Likes 16 Dislikes 0

Thank you. I have this and previously had no idea what it was.

3 years ago | Likes 3 Dislikes 0

Diflucan 300mg q d x 3 d

3 years ago | Likes 8 Dislikes 0

That's an ongoing battle.

3 years ago | Likes 18 Dislikes 0

Non-union is a massive understatement in this case. How much use of the arm does he have?

3 years ago | Likes 4 Dislikes 0

Sorry, you asked use. Right now he can't lift his arm at all really. Before the hardware failed it was painful but about 60%.

3 years ago | Likes 1 Dislikes 0

It's about 1/2" shorter right now. The doc plans on a spacer and some donor bone to get it to almost normal.

3 years ago | Likes 3 Dislikes 0

Holy shit. Front page needs to see this.

3 years ago | Likes 117 Dislikes 8

Whyyyyyyy

3 years ago | Likes 11 Dislikes 0

I was enjoying my morning coffee…

3 years ago | Likes 1 Dislikes 0

As an orthopedic trauma rep, it looks like your doc didn’t use appropriately balanced fixation with the plate and it led to implant failure

3 years ago | Likes 28 Dislikes 0

Any input on if the patient would be liable for the full cost of the 1st round of everything and the 2nd when it's an apparent failure?

3 years ago | Likes 3 Dislikes 0

The first plate failed within about six weeks, the second at about 6 months, the implant and all was try 3, and it finally failed.

3 years ago | Likes 13 Dislikes 0

It’s always a race between bone healing and implant failure. Your implant lost the race.

3 years ago | Likes 17 Dislikes 0

Oh please elucidate, I feel like you have more info you could share.

3 years ago | Likes 9 Dislikes 0

In addition, the plate should have gone down to the end of the distal humerus in order to have enough fixation on both sides of the fracture

3 years ago | Likes 4 Dislikes 0

The hardware is only there to let the bone heal. If the bone doesn’t heal, the hardware is placed under too much stress and can fatigue.

3 years ago | Likes 2 Dislikes 0

Is that why the bones pieces separated? I’ve seen some nasty breaks and I don’t understand why a doctor would just give up and not repair it

3 years ago | Likes 1 Dislikes 0

Clearly the doc tried to fix it, but something didn’t work, possibly@due to some biological issue like infection, smoking etc.

3 years ago | Likes 2 Dislikes 0

Did you go through workers comp? This is why I encouraged my patients not to take the higher settlement amount insurance offer, instead take

3 years ago | Likes 8 Dislikes 1

Not a workplace injury, he said non union in terms of the bone not uniting for healing. Medical not workplace term. Covered by car ins tho

3 years ago | Likes 2 Dislikes 0

Oh jeez. I feel a little dumb. Thank you though :)

3 years ago | Likes 1 Dislikes 0

>the lower offer, with continues medical coverage. Poor you, I'm so sorry. Looks painful.

3 years ago | Likes 8 Dislikes 1

Depends if they're American or not I'd say

3 years ago | Likes 2 Dislikes 1

Sorry for the typos

3 years ago | Likes 4 Dislikes 0

Oh man

3 years ago | Likes 4 Dislikes 0

My actual face at the x-ray:

3 years ago | Likes 2 Dislikes 0

I've lived with him for 8 years. I had the same reaction, and I know how bad it is.

3 years ago | Likes 2 Dislikes 0

Jesus fuck lucky that’s all that happened from the looks of the car

3 years ago | Likes 4 Dislikes 0

Well, lots of broken bones. It's been a process to get to here.

3 years ago | Likes 4 Dislikes 0

Sorry to hear that, I have only minor issues right with my body right now. Couldn’t imagine the suffering you’ve gone through. Good luck bro

3 years ago | Likes 2 Dislikes 0

That’s one of the worst X-rays I’ve ever seen and I’ve done ortho for 20+ yrs. You have a good doc now? Major suckage.

3 years ago | Likes 19 Dislikes 0

An orthopedic trauma doc who specializes in non-unions at a teaching hospital. The doc is hopeful.

3 years ago | Likes 9 Dislikes 0

Next Thurs he's getting an antibiotic spacer, removing old hardware, plating and culturing it. We'll know next plans after that.

3 years ago | Likes 6 Dislikes 0

So they suspect or know he has infection? Osteomyelitis is no joke, compliance to whatever the doc says. Sending good mojo.

3 years ago | Likes 3 Dislikes 0

Suspect, not MRSA (which he had in his femur) but I can't recall. Said it was common in the upper arm?

3 years ago | Likes 3 Dislikes 0

Osteo is general infection in bone, can be caused by strep, staph, entero,etc. cultures will tell which. The spacer and oral meds will help

3 years ago | Likes 4 Dislikes 0

He already had to do a PICC line and rifampin with the MRSA infection in his femur. Hopefully that isn't needed again.

3 years ago | Likes 2 Dislikes 0

Sounds like there’s some suspected biological reason for the nonunion. Are you a smoker? Diabetic? Some other clotting issue?

3 years ago | Likes 3 Dislikes 0

He was a smoker, quitting was necessary for doc to schedule another surgery

3 years ago | Likes 2 Dislikes 0

He was not diabetic when the previous surgeries were done

3 years ago | Likes 2 Dislikes 0

Just to clarify, since the implication is this is you. Is this you, or just some found photos?

3 years ago | Likes 4 Dislikes 1

i'd say the implication is that it's NOT @OP - they (OP) explicitly say "look at the blood where HIS femur broke through", not "my femur".

3 years ago | Likes 6 Dislikes 0

Thanks, I see that now. SO many of such posts lately are snagged from google images for points, not real stories from the OP.

3 years ago | Likes 3 Dislikes 0

yeah, definitely. hate to upvote those. OP replied above and said it's their partner though so it seems like a legit story!

3 years ago | Likes 3 Dislikes 0

It's my partner.

3 years ago | Likes 6 Dislikes 0

thanks for confirming! happy to upvote personal anecdotes. hope it works out for him!

3 years ago | Likes 2 Dislikes 0

This is my partner. He was in an accident in December 2012 that broke his left femur and radius/ulna and his right humerus and calcaneous.

3 years ago | Likes 7 Dislikes 0

What car was he driving? It's incredible that he survived at all

3 years ago | Likes 2 Dislikes 0

Some Oldsmobile he bought for little of nothing. I don't remember the model right off.

3 years ago | Likes 2 Dislikes 0

Thanks. Insane injuries, thank goodness that modern cars can make something like that survivable.

3 years ago | Likes 2 Dislikes 0

Gay partner?

3 years ago | Likes 1 Dislikes 2

Does it matter?

3 years ago | Likes 2 Dislikes 1

Does anything else?

3 years ago | Likes 1 Dislikes 1

Do you want to watch?

3 years ago | Likes 1 Dislikes 1

How tf is that dude still alive

3 years ago | Likes 2 Dislikes 0

Too hard-headed to die.

3 years ago | Likes 1 Dislikes 0

How much was the medical bills? Did the company help pay for it?

3 years ago | Likes 29 Dislikes 1

I don't even know. Ins paid a lot, but there was time in a nursing home, 10 surgeries, etc. At least $15k so far, another $5k+ this round.

3 years ago | Likes 1 Dislikes 0

We're having to raise money to afford all the associated costs. The hospital is about 200 miles away and we'll be there just about weekly.

3 years ago | Likes 11 Dislikes 0

Depends if they're American or not I'd say

3 years ago | Likes 9 Dislikes 3

Actually in America car is insurance is required so the medical bills associated with the accident should be covered.

3 years ago | Likes 3 Dislikes 1

He was the driver of the car, in the first pic of mangled wreckage.

3 years ago | Likes 30 Dislikes 0

That's a no. Damn crazy.

3 years ago | Likes 11 Dislikes 1

I'm sure the doctors did their best but damn

3 years ago | Likes 4 Dislikes 0

There is another surgery next Thursday. One of the top orthopedic trauma specialists in the country. There's hope it might stick.

3 years ago | Likes 8 Dislikes 0

Good luck. May the collagen be with you.

3 years ago | Likes 4 Dislikes 0

Yeah, go with someone new who specializes in trauma. I hope you don’t smoke and if you have diabetes it’s well controlled.

3 years ago | Likes 3 Dislikes 0

Not smoking was a condition of surgery, and he's been nicotine free for over a month now. He is also diabetic, but it's well controlled.

3 years ago | Likes 3 Dislikes 0

Bruh. I have an impact gun and screws. Bring beer.

3 years ago | Likes 244 Dislikes 1

You are going to need some flex seal too.

3 years ago | Likes 1 Dislikes 0

Add in some duct tape and we're good.

3 years ago | Likes 58 Dislikes 0

They should have used Loctite the first time.

3 years ago | Likes 10 Dislikes 0

The red stuff

3 years ago | Likes 5 Dislikes 0

This here is a person who uses locktite

3 years ago | Likes 3 Dislikes 0

My professional opinion is the screws came loose from vibration (pushes glasses back up face)

3 years ago | Likes 2 Dislikes 0

What do you think the surgeon used to put those plates in there? Only half joking.

3 years ago | Likes 1 Dislikes 0

Not red loctite

3 years ago | Likes 2 Dislikes 0

Terrible plan. I’m going to suggest something stronger, like vodka, or cocaine.

3 years ago | Likes 65 Dislikes 0

Maybe molly, I'm not good at drugs, we need downers for sleepy guy. Also found some deck screws

3 years ago | Likes 16 Dislikes 0

But it's his arm.

3 years ago | Likes 3 Dislikes 0

Wood screws woodwork

3 years ago | Likes 12 Dislikes 0

All decks on arm, gotcha.

3 years ago | Likes 3 Dislikes 0

I’m the worst when it comes to drugs, I just made something up. But you right, downers are better

3 years ago | Likes 3 Dislikes 0

Break out the benzos. They don't kill pain, but they'll make you not care about the pain

3 years ago | Likes 2 Dislikes 0

Unless the beer was for you, you shouldn’t be doing hard drinking if you are in charge of the drill…

3 years ago | Likes 4 Dislikes 0

I'm doing to need at least one

3 years ago | Likes 4 Dislikes 0

I thought "non-union" was about employment/healthcare, but this is about a bone not healing properly: https://en.wikipedia.org/wiki/Nonunion

3 years ago | Likes 818 Dislikes 1

Exactly what *I* thought.

3 years ago | Likes 3 Dislikes 0

I was quite confuses

3 years ago | Likes 8 Dislikes 0

Thanks. I hate it.

3 years ago | Likes 7 Dislikes 0

I am adding this here. The total out of pocket for this is gonna be unreal: https://www.gofundme.com/manage/john-lewis-medical-expenses

3 years ago | Likes 4 Dislikes 0

Yeah so did I. I thought because Op wasn't in a union they didn't help them.

3 years ago | Likes 16 Dislikes 1

That's what I thought

3 years ago | Likes 3 Dislikes 0

Yes, thank you. Non-union fracture. Three surgeries so far, another next Thursday w/ a top ortho trauma surgeon who specializes in non-union

3 years ago | Likes 132 Dislikes 0

So you're going to the Theatre, break a leg.?

3 years ago | Likes 10 Dislikes 0

I barely avoided a nonunionof my Scaphoid after I fractured it and didn't notice for 5 months. It's a miracle the bone graft worked

3 years ago | Likes 2 Dislikes 0

Also it's very easy to assume a broken wrist is a sprain for a couple months lol

3 years ago | Likes 2 Dislikes 0

Keep us posted and good luck!!

3 years ago | Likes 5 Dislikes 0

@op who is the surgeon? I work in ortho and always live to hear about great ortho surgeons! Good luck to you!

3 years ago | Likes 8 Dislikes 0

Dr. Johnson at UAB

3 years ago | Likes 6 Dislikes 0

Nice! I've had an athlete get sx from him, he does great work.

3 years ago | Likes 8 Dislikes 0

That's great to hear. He has some specialization in non-union fractures so we're hopeful. He seems pretty confident.

3 years ago | Likes 6 Dislikes 0