Open Fixation Internal Reduction with Bone Graft

That is the description of my surgical repair.  I had my injury on June 9th and had my surgery on June 23rd.  There were a couple reasons for the delay.  The first and foremost was because my Orthapaedist stressed it was important that the swelling from the injury go down before he operate.  It would be hard to close me back up and my healing would be inhibited.  The second delay was because his nurse is not very competent or compassionate.  She screwed up my cat scan appointment and then tried to blame me.  My surgeon wanted to verify the extent of the pylon fracture before surgery on a cat scan.  Once he did that, we scheduled surgery - which was a week later.

I found a great description of a pilon fracture here on emedicine:
http://emedicine.medscape.com/article/1233429-overview

And here is a diagram I edited to show my breaks:

As it turns out though, once the doctor got in there, the other fracture wasn't still attached and required a plate as well.  He also said my ankle is like styrofoam and my cartilage was extremely damaged from the impact. 

I was in the hospital 3 days (or 2 1/2 cause I left before noon on Friday).  There was A LOT of pain.  It didn't seem like the PCN was working.  I would get .2 mg of dialuaded every ten minutes if I pushed the button.  The worst part was falling asleep and waking up not having any pain medication for hours.  I'd have to build the dialuaded back up in my system before I felt like it was manageable pain.  The surgeon sent me home with Percocet and that seems to work a million times better.  I take 10mg every 4 hours.

My leg is held together again with another splint and wrapped with ace bandages.  This is because ten days from surgery the doctor will look at my wounds and most likely remove my staples.  My plates and screws are permanent.  I'm not sure what kind of cast I'll be getting after that, but I hope it is something like an air cast so I can take it off when I shower.  The amount of itchiness I get under these bandages is maddening.  I go back and forth from taking Zyrtec and Xanax to control it.  It flares up the most in the evening.