
Pre and post operative X-rays showing intramedullary tibia nailing (not mine!)
Dear Readers, I have been hoping to get my mitts on the actual x-rays that have been taken off my poor old fractured leg, but in the absence thereof I thought I’d give you a rough idea of what’s been done. In the old days, the doctors would have tried to align the fractured ends of my bones ( a process called ‘traction’ which believe me you don’t want to experience too often) and would then have coated my leg from hip to ankle in thick plaster for six months, whilst keeping their fingers crossed. Not any more! These days you can insert a metal rod (titanium in my case) from below the kneecap right through the bone, tying in the broken ends of the fracture. Then you ‘nail’ the whole lot together horizontally. The procedure is known as intramedullary (i.e. inside the bone) nailing. The bone will grow around the internal scaffold of the pin, which shouldn’t need to be removed, and will hence send security men scuttling for their rubber gloves for the rest of my travelling career.
Well, the procedure is a miracle of modern science, but for the past few days my painkillers have only really worked for about two hours out of six, so I’ve had plenty of time to contemplate the dull ache in my bones. Eventually, this morning I realised exactly what the pain reminded me of.
“Growing pains!” I said to myself.
When I was about ten years old, and increasing in height by a couple of inches every few months (or so it seemed) I had persistent pains in my legs. The aches were really painful, to the point where they kept me awake and made me quite tearful and irritable (no difference there, then. My husband is a saint). I remember that Mum used to make me a hot water bottle, though I don’t remember any painkillers being involved – I don’t really remember being dosed with anything in the 1960s except for Rosehip Syrup and some rather tasty malt-flavoured paste called Virol.

What are growing pains, though? They’re still clearly a ‘thing’ now, described as being pain in the calves, knees or front of the thighs. They appear to be more common in very active children (being more of a bookish sort I doubt that this was the reason in my case). Strangely, the pains appear to have nothing to do with growth, which rather scuppers my theory – I was thinking that maybe the similarity of my current pain to that of my childhood days was due to the shin bone gently regenerating around my splendid titanium pin. As it is, it’s probably just my bruised and unhappy flesh accommodating itself to this unexpected new ‘visitor’.
And what else to fill the time, but to look for a poem? I found two. The first one, ‘Fracture Story’ by Nell Wright, describes some of the things that I’m currently feeling – the urge to ‘make things right’ when what I need is patience, the way that I see trip hazards and disaster everywhere, the feeling that, inside me, my body knows what to do, and is already doing it.
Fracture Story
By Nell Wright
It was a beautiful place, horizon on all sides
like diner mirrors. I sped
toward its limit and hit the asphalt hard. My arm
in the X-ray glowed like a jellyfish at night
and I wanted to slip into its ocean and go
totally numb. I wanted
to fix what I’d done, but the doctor said
Stay patient, massaging my plaster
with soap. On the radio they spoke
about a meteor shower, so we spread old
towels in the darkest back yard. While we waited
someone laid out an endless riddle
about albatrosses. Cannibalism was the answer.
Inside me, minerals were mending themselves,
sending collagen threads across
the bad chasm I’d made. From behind a wide cloud slid
stars like flecks of bone, old and glowing.
They held their breaths. When one dashed
across the black, I think I gasped
admiring the platonic plummet: it left
no fallen body. No broken heft.
In the morning I got up and walked
to the laundromat. Mountains ran
a cardiogram across the sky. Inside
two parts of me were reaching
toward each other—something I’d felt
before, but more in the mind. I started
to forgive myself. It
was a physical place. Hard
to be lonely carrying that slow embrace.
And then there’s this one, by Ellen Bass, an American poet who I admire greatly. This is about a different kind of fracture, between mother and child, but about a lot of other things besides. Since I’ve hurt my leg, I find myself thinking a lot about my mother, about how she always knew how to make things better, from growing pains to broken hearts. And about how she was in chronic pain for much of her later life, and how she still managed to make the best of it, and how much I can learn from that. See what you think.
Fracture
Ellen Bass
When the grizzly cubs were caught, collared, and taken away—
relocated they call it—
their mother ran back and forth on the road screaming.
Brutal sound. Torn from her lungs. Her heart,
twisted knot, hot blood rivering
to the twenty-six pounding bones of her feet.
Just weeks before
I watched a bear and her cubs run down a mountain
in the twilight.
So buoyant, they seemed to be tumbling
to the meadow,
to the yarrow root they dug, rocking
to wrest it from the hard ground, fattening for winter.
They were breathing what looked like gladness.
But that other mother . . .
Her massive head raised, desperate to catch their scent.
Each footfall a fracture in the earth’s crust.
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