Today, I went with Dr. Logel at the Cary location for Raleigh Orthopedics. We had quite the case come in today. There was this patient who was on a trip to celebrate his new job that he was supposed to start on Monday. While on his trip, he slipped on a rock and fell. He went to a Caribbean hospital where instead of trying to correct his now dislocated ankle, they simply put a cast on it and gave him the okay to fly. There are two problems with this: 1. the cast restricts the ankle’s ability to swell, thus resulting in blistering and 2. flying can make the dislocation worse due to the air pressure. Both of these things occurred. When this patient came in to see Dr. Logel, his x-rays not only showed an acute dislocation of the ankle where the talus moved backwards in relation to the tibia, but the talus bone had many fragments broken off that shifted and turned. Due to these extensive injuries, he also tore many ligaments. An injury of this gravity would generally require surgery within 48 hours; however, when Dr. Logel saw the patient, it had been 5 days since the injury. We’ve got a major problem now. So, Dr. Logel scheduled him for immediate surgery tomorrow at noon which I have the pleasure of watching. During this surgery, Dr. Logel is during a complete ankle reconstruction. I am looking forward to it and will give an update tomorrow!!