What would be the recovery time for these injuries?

Upon reading KGs’s thread where he asked about a character being shot in the stomach, I realized that we have some very sharp people around here who work in medicine, and that I could use some expertise as well for the book I’m writing.

In the book, my very unfortunate character (though not as unfortunate as some others, who will never again be changing their shirts, if you get my meaning) is detained and tortured by a very shady character, who inflicts the following injuries on him:

– Shoots him in the right eye with an arrow, which luckily for him only penetrates to the back of his eye and does not go clear through his head, because the shooter loses her grip on the bow string before pulling it all the way back, thereby putting less oomph behind it. This action obviously completely ruins the eye, and screws up his sinuses a little because the arrow goes in very slightly crooked

– Hits him with a sledgehammer in the left leg a fair few times, in an attempt to cripple him so that he cannot escape (as well as attempting to incapacitate him with pain so that he’ll lose the will to fight back.) This basically reduces his hip joint and upper femur in that leg to really calcium-rich mud, and I also had a notion that it might put a crack in his pelvis just from the force of the hip joint being pushed inwards by the hammer blows, but I am willing to be disabused of that notion if it is not feasible.

– Sticks sewing pins into the left side of his abdomen, starting low and forming cluster patterns up his side, penetrating only shallowly for the most part (at least as originally placed…there is a complicating factor, to be discussed below) except in one area about four or five inches up from his groin, where she presses her hand into a field of the pins and pushes them deeper.

After all this is inflicted on him, he still manages with great difficulty to escape (the murderer is called away and has to leave him for a time, and he thinks of a way to unlock the door.) He crawls on his stomach, using his one good leg to propel him (and probably digging those pins in deeper…) out of the house, down the driveway and into the gutter, where he is seen by a passing motorist, who calls 911 for him. From the time he is first injured until he is being cared for by paramedics is, I’d say, about an hour or so, and then it’s about another 15 minutes to the hospital, which is in the next town over.

Now, with all that…once he got to the hospital, what would they fix first, after they made sure he wasn’t going to just die right then? What would be the recovery time on these sorts of injuries? As it is in the story now, I have him falling into a coma for a few days, then waking up and finding that they’ve cleaned out the remains of his broken eyeball and done something to his hip (would they replace it, or try to plate it and screw it back together?) He then spends some amount of time in the hospital, then a little while in a skilling nursing facility undergoing intensive physical therapy and being taught how to walk with a crutch (once he’s healed enough to allow that) and then a long recovery at home after that. How long these stays are is flexible, depending on your knowledgeable advice :slight_smile:

Just for background, this is a 16 year old boy, in good health before this incident, and (I think this is important, at least) he has a very strong will to live, both because of his general disposition and because the girl who tried to murder him also murdered his girlfriend and his best friend in front of him, and he intensely wants to get better so that he can help bring her to justice.

Thank you muchly in advance for your knowledgeable comments :slight_smile:

Pass on long term eye issues

Describe the point of impact and direction of swing, sounds like you are having the antagonist trying to drive his leg up into his pelvis the long way. IME with car accident victims and long falls you will see alot of dislocations with that type of injuries. Hip and femur fractures in someone that young would prolly be pretty rare unless force was applied much differently. Possibility of acetablum fracture, it happens, but hammering, dunno. Car accident generate alot more force than a good whack with a sledgehammer especially since you said it was a girl swinging it.

Back to full use prolly looking at at least 6-8 weeks 3 months being more realistic plus hes gonna need a little physical therapy… If its a simple dislocation he will prolly be up and around quite a bit quicker, more like a couple weeks.

Ouch, but prolly no biggie once all those pins are out

Prolly the hip is going to get the first attention, especially since a quick peek at the eye and the ER docs prolly gonna figure the eye is toast. Paramedics will have traction splinted the leg to stabilize the hip injury.

[quoteJust for background, this is a 16 year old boy, in good health before this incident, and (I think this is important, at least) he has a very strong will to live, both because of his general disposition and because the girl who tried to murder him also murdered his girlfriend and his best friend in front of him, and he intensely wants to get better so that he can help bring her to justice.

Thank you muchly in advance for your knowledgeable comments :)[/QUOTE]

gives the thread a little bump :slight_smile:

Hmmm…how would the force have to be applied to make his hip break? That’s really the important part…the pelvic fracture can go, if it’s not feasible. Also, I forgot to mention that it’s important that this injury causes him permanent disability…he has to use one of those arm crutches forever afterwards.

The fact that she’s a girl really doesn’t decrease the force in this case, hee. She’s a very, very angry girl…:slight_smile:

Aim for the joint itself, its buried deep and well padded but a good whack can do it. Women (on average) don’t have the upper body strength to swing a decent sized sledge for heavy damage. Of course if our victim was immobilized or restrained she might go for a nice long over the top swing and be able to get some solid pinpoint damage.

If you want more permanent disability aim for nerve damage secondary to the hip fracture, sharp bone ends and such. The world of orthopedic surgery has tons of solid experience rebuilding hip joints, but damage to the nerves in the area or better yet, nerve damage to the foot area can really mess up someones balance. This would make him mechanically intact but unable to walk well due to balance problems since his feet don’t properly relay ground pressure sensation to his brain. Maybe with lots of PT he could learn to compensate but it would probably take a long time, even then he would probably not do well under duress or serious exertion (say…running for his life, falls alot, etc).