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Andi : Daughters fractured talus
Diary entry posted Mon 1:09pm 23 August 2004

My 14 year old daughter has a left process fracture of her talus. She did this on June 8 while practicing a dance for her recital. She was hard casted for 6 weeks (3 weeks NWB and then he put a slipper on the hard cast for another 3 weeks) At her July 21 OS appointment they took off the hard cast and put on a ski boot type cast for another 3 weeks. The hope in all this conservative treatment was that since it was a non displaced fracture and she is so young, it would heal on its own.

When her next appointment came (Aug 11), he still saw no definitive healing and seeing she is an athlete decided to order a CT scan to see exactly what is going on in there. If the CT scan showed any sign of healing, then he would give her a bone stimulator and send her home to wait it out. If no healing occurred she would need surgery to put a pin in it. Of course, he found no significant sign of healing (possibly just filling in with cartilage) so we decided to go with the pin.

She is having the surgery tomorrow at noon. We have been told that the recovery is 3 weeks hard casted NWB and then 2 to 3 weeks in a ski boot with some PT at the same time to get her range of motion back. After that she should be back 100%. She is a high level gymnast and a soccer player (although soccer season is done before it starts for her) and I was wondering how realistic this time frame is with what others have experienced.

From what I have read, this type of fracture is also known as a "snowboarders" fracture. Has anyone else out there had any experience with this type of fracture and what the outcome was? Although she (and we) are relieved that after the 5 to 6 weeks of recovery, she should be good as new, I am afraid this thing will NEVER heal. Its been a long hot summer.



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 Mon 1:09pm 23 August 2004
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