{"id":819,"date":"2019-04-23T18:19:39","date_gmt":"2019-04-23T18:19:39","guid":{"rendered":"http:\/\/www.drchristianwilches.com\/?p=819"},"modified":"2019-04-24T18:22:58","modified_gmt":"2019-04-24T18:22:58","slug":"ruben-lenten-under-the-weather","status":"publish","type":"post","link":"https:\/\/www.drchristianwilches.com\/en\/sports-injuries\/ruben-lenten-under-the-weather\/","title":{"rendered":"Ruben Lenten under the weather"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"http:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-1024x1024.jpg\" alt=\"Ruben Lenten under the weather, Pilon Fracture, Trauma Surgery, Doctor Christian Wilches\" class=\"wp-image-892\" srcset=\"https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-1024x1024.jpg 1024w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-150x150.jpg 150w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-300x300.jpg 300w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-768x768.jpg 768w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-540x540.jpg 540w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-270x270.jpg 270w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-730x730.jpg 730w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-365x365.jpg 365w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-532x532.jpg 532w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-266x266.jpg 266w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-800x800.jpg 800w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-400x400.jpg 400w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-520x520.jpg 520w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon-260x260.jpg 260w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Dr-Christian-Wilches_Ruben-Lenten-Pilon-Fracture_trauma-surgeon.jpg 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>I\u2019m sad to meet one of my idols under these circumstances, but happy to help him get back on the water as soon as possible.<\/p>\n\n\n\n<p>I\u2019ve been kitesurfing for many years now, and have been following Ruben Lenten&#8217;s crazy stunts and tricks ever since I started. So when I heard he got injured in Barcelona, my hometown, I wanted to do everything I could to help him out. <\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading_c01161-61, .wp-block-kadence-advancedheading.kt-adv-heading_c01161-61[data-kb-block=\"kb-adv-heading_c01161-61\"]{font-style:normal;color:#00b3bb;}.wp-block-kadence-advancedheading.kt-adv-heading_c01161-61 mark, .wp-block-kadence-advancedheading.kt-adv-heading_c01161-61[data-kb-block=\"kb-adv-heading_c01161-61\"] mark{font-style:normal;color:#f76a0c;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h3 id=\"kt-adv-heading_c01161-61\" class=\"kt-adv-heading_c01161-61 wp-block-kadence-advancedheading\" style=\"color:#00b3bb\">As an orthopedic surgeon and sports medicine specialist I\u2019ve dealt with injuries like Ruben\u2019s many times, and I know it is very important to act fast and correctly in the first hours as much as in the definite treatment.<\/h3>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<style>#kt-layout-id_d41d34-fb > .kt-row-column-wrap{align-content:start;}:where(#kt-layout-id_d41d34-fb > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}#kt-layout-id_d41d34-fb > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var( --global-kb-row-default-top, 25px );padding-bottom:var( --global-kb-row-default-bottom, 25px );padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr) minmax(0, 6fr) minmax(0, 1fr);}#kt-layout-id_d41d34-fb > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){#kt-layout-id_d41d34-fb > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}}@media all and (max-width: 767px){#kt-layout-id_d41d34-fb > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style>\n<div class=\"wp-block-kadence-rowlayout alignnone\"><div id=\"kt-layout-id_d41d34-fb\" class=\"kt-row-layout-inner  kt-layout-id_d41d34-fb\"><div class=\"kt-row-column-wrap kt-has-3-columns kt-gutter-default kt-v-gutter-default kt-row-valign-top kt-row-layout-center-exwide kt-tab-layout-inherit kt-m-colapse-left-to-right kt-mobile-layout-row\"><style>.kadence-column_4209b2-c7 > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_4209b2-c7 > .kt-inside-inner-col,.kadence-column_4209b2-c7 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_4209b2-c7 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_4209b2-c7 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_4209b2-c7 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_4209b2-c7 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_4209b2-c7{position:relative;}@media all and (max-width: 1024px){.kadence-column_4209b2-c7 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_4209b2-c7 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-1 kadence-column_4209b2-c7\"><div class=\"kt-inside-inner-col\">\n<p><\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column_0a52e2-e2 > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_0a52e2-e2 > .kt-inside-inner-col,.kadence-column_0a52e2-e2 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_0a52e2-e2 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_0a52e2-e2 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_0a52e2-e2 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_0a52e2-e2 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_0a52e2-e2{position:relative;}@media all and (max-width: 1024px){.kadence-column_0a52e2-e2 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_0a52e2-e2 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-2 kadence-column_0a52e2-e2\"><div class=\"kt-inside-inner-col\"><style>#kt-info-box_f91014-e0 .kt-blocks-info-box-link-wrap{border-color:#fff;border-radius:1px;border-top-width:2px;border-right-width:2px;border-bottom-width:2px;border-left-width:2px;background:#ffffff;padding-top:5px;padding-right:5px;padding-bottom:5px;padding-left:5px;}#kt-info-box_f91014-e0 .kt-blocks-info-box-link-wrap:hover{border-color:#00b3bb;background:#ffffff;}#kt-info-box_f91014-e0 .kadence-info-box-image-inner-intrisic-container{max-width:218px;}#kt-info-box_f91014-e0 .kadence-info-box-image-inner-intrisic-container .kadence-info-box-image-intrisic{padding-bottom:73.8532%;width:218px;height:0px;max-width:100%;}#kt-info-box_f91014-e0 .kadence-info-box-icon-container .kt-info-svg-icon, #kt-info-box_f91014-e0 .kt-info-svg-icon-flip, #kt-info-box_f91014-e0 .kt-blocks-info-box-number{font-size:50px;}#kt-info-box_f91014-e0 .kt-blocks-info-box-media{background:transparent;border-color:#444444;border-radius:200px;border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;padding-top:10px;padding-right:10px;padding-bottom:10px;padding-left:10px;}#kt-info-box_f91014-e0 .kt-blocks-info-box-media-container{margin-top:0px;margin-right:15px;margin-bottom:0px;margin-left:15px;}#kt-info-box_f91014-e0 .kt-blocks-info-box-media .kadence-info-box-image-intrisic img{border-radius:200px;}#kt-info-box_f91014-e0 .kt-blocks-info-box-link-wrap:hover .kt-blocks-info-box-media{background:transparent;border-color:#444444;}#kt-info-box_f91014-e0 .kt-infobox-textcontent h2.kt-blocks-info-box-title{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-top:5px;margin-right:0px;margin-bottom:10px;margin-left:0px;}#kt-info-box_f91014-e0 .kt-blocks-info-box-learnmore{color:#444444;background:#ffffff;border-color:#444444;border-width:1px 0px 0px 0px;padding-top:4px;padding-right:8px;padding-bottom:4px;padding-left:8px;margin:10px 0px 10px 0px;}#kt-info-box_f91014-e0 .kt-blocks-info-box-link-wrap:hover .kt-blocks-info-box-learnmore{color:#222222;background:#ffffff;border-color:#222222;}<\/style>\n<div id=\"kt-info-box_f91014-e0\" class=\"wp-block-kadence-infobox\"><div class=\"kt-blocks-info-box-link-wrap kt-blocks-info-box-media-align-top kt-info-halign-center\"><div class=\"kt-blocks-info-box-media kt-info-media-animate-none\"><div class=\"kadence-info-box-image-inner-intrisic-container\" style=\"max-width:218px\"><div class=\"kadence-info-box-image-intrisic kt-info-animate-none\" style=\"padding-bottom:73.85321100917432%\"><div class=\"kadence-info-box-image-inner-intrisic\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Pilon-fracture_AO-foundation_Doctor-Christian-Wilches.png\" alt=\"Pilon fracture_AO foundation_Doctor Christian Wilches\" width=\"218\" height=\"161\" class=\"kt-info-box-image wp-image-830\"\/><\/div><\/div><\/div><\/div><div class=\"kt-infobox-textcontent\"><h2 class=\"kt-blocks-info-box-title\">Ruben Lenten&#8217;s Injury<\/h2><p class=\"kt-blocks-info-box-text\">Ruben Lenten suffered a <em><strong>direct impact non-rotational injury <\/strong><\/em>after falling unsupported from such height. <br\/>(I\u2019m sure we have all seen the video by now&#8230;).<br\/><br\/>He has a distal tibia intraarticular fracture, also known as <em><strong>pilon fracture<\/strong><\/em><strong> with dislocation of the ankle joint<\/strong>. <br\/>This is a high energy severe injury. <br\/><br\/><\/p><div class=\"kt-blocks-info-box-learnmore-wrap\"><a class=\"kt-blocks-info-box-learnmore\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www2.aofoundation.org\/wps\/portal\/surgery?bone=Tibia&amp;segment=Distal&amp;classification=43-Complete%20articular,%20multifragmentary&amp;showPage=indication\">Image: Pilon Fracture &#8211; AO Foundation<\/a><\/div><\/div><\/div><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Ruben-Lenten-tibial-fracture_Dr-Christian-Wilches-Trauma-surgeon-Barcelona-1024x639.png\" alt=\"\" class=\"wp-image-857\" width=\"512\" height=\"320\" srcset=\"https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Ruben-Lenten-tibial-fracture_Dr-Christian-Wilches-Trauma-surgeon-Barcelona-1024x639.png 1024w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Ruben-Lenten-tibial-fracture_Dr-Christian-Wilches-Trauma-surgeon-Barcelona-300x187.png 300w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Ruben-Lenten-tibial-fracture_Dr-Christian-Wilches-Trauma-surgeon-Barcelona-768x479.png 768w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Ruben-Lenten-tibial-fracture_Dr-Christian-Wilches-Trauma-surgeon-Barcelona-80x50.png 80w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Ruben-Lenten-tibial-fracture_Dr-Christian-Wilches-Trauma-surgeon-Barcelona.png 1085w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/><figcaption>Ruben Lenten&#8217;s Tibial Fracture<\/figcaption><\/figure>\n<\/div><\/div>\n\n\n<style>.kadence-column_41cea5-45 > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_41cea5-45 > .kt-inside-inner-col,.kadence-column_41cea5-45 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_41cea5-45 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_41cea5-45 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_41cea5-45 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_41cea5-45 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_41cea5-45{position:relative;}@media all and (max-width: 1024px){.kadence-column_41cea5-45 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_41cea5-45 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-3 kadence-column_41cea5-45\"><div class=\"kt-inside-inner-col\"><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">The treatment<\/h2>\n\n\n\n<p>As a high energy injury, we can\u2019t asses the soft tissue damage until at least 48 hours have passed, which is why we must act carefully and initially avoid major surgery and its complications.<\/p>\n\n\n\n<p>The first stage of the treatment is to get the ankle joint back in place and immobilize the leg as much as possible. The best way to achieve this is with joint bridging external fixation. <\/p>\n\n\n<style>#kt-layout-id_8ae975-59 > .kt-row-column-wrap{align-content:start;}:where(#kt-layout-id_8ae975-59 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}#kt-layout-id_8ae975-59 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var( --global-kb-row-default-top, 25px );padding-bottom:var( --global-kb-row-default-bottom, 25px );padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr) minmax(0, 6fr) minmax(0, 1fr);}#kt-layout-id_8ae975-59 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){#kt-layout-id_8ae975-59 > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}}@media all and (max-width: 767px){#kt-layout-id_8ae975-59 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style>\n<div class=\"wp-block-kadence-rowlayout alignnone\"><div id=\"kt-layout-id_8ae975-59\" class=\"kt-row-layout-inner  kt-layout-id_8ae975-59\"><div class=\"kt-row-column-wrap kt-has-3-columns kt-gutter-default kt-v-gutter-default kt-row-valign-top kt-row-layout-center-exwide kt-tab-layout-inherit kt-m-colapse-left-to-right kt-mobile-layout-row\"><style>.kadence-column_c4ca36-24 > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_c4ca36-24 > .kt-inside-inner-col,.kadence-column_c4ca36-24 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_c4ca36-24 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_c4ca36-24 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_c4ca36-24 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_c4ca36-24 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_c4ca36-24{position:relative;}@media all and (max-width: 1024px){.kadence-column_c4ca36-24 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_c4ca36-24 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-1 kadence-column_c4ca36-24\"><div class=\"kt-inside-inner-col\">\n<p><\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column_2478f2-bf > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_2478f2-bf > .kt-inside-inner-col,.kadence-column_2478f2-bf > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_2478f2-bf > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_2478f2-bf > .kt-inside-inner-col{flex-direction:column;}.kadence-column_2478f2-bf > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_2478f2-bf > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_2478f2-bf{position:relative;}@media all and (max-width: 1024px){.kadence-column_2478f2-bf > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_2478f2-bf > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-2 kadence-column_2478f2-bf\"><div class=\"kt-inside-inner-col\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"666\" height=\"392\" src=\"http:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Stryker-Hoffmann-3_External-fixation-system_Dr-Christian-Wilches_Ruben-Lenten-surgery.jpeg\" alt=\"\" class=\"wp-image-839\" srcset=\"https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Stryker-Hoffmann-3_External-fixation-system_Dr-Christian-Wilches_Ruben-Lenten-surgery.jpeg 666w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Stryker-Hoffmann-3_External-fixation-system_Dr-Christian-Wilches_Ruben-Lenten-surgery-300x177.jpeg 300w\" sizes=\"(max-width: 666px) 100vw, 666px\" \/><figcaption>Joint Bridging External fixation &#8211; Stryker Hoffmann 3<\/figcaption><\/figure>\n<\/div><\/div>\n\n\n<style>.kadence-column_c7d948-dd > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_c7d948-dd > .kt-inside-inner-col,.kadence-column_c7d948-dd > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_c7d948-dd > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_c7d948-dd > .kt-inside-inner-col{flex-direction:column;}.kadence-column_c7d948-dd > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_c7d948-dd > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_c7d948-dd{position:relative;}@media all and (max-width: 1024px){.kadence-column_c7d948-dd > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_c7d948-dd > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-3 kadence-column_c7d948-dd\"><div class=\"kt-inside-inner-col\"><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>We successfully performed this procedure only a few hours after the injury and Ruben is now recovering without <g class=\"gr_ gr_4 gr-alert gr_spell gr_inline_cards gr_run_anim ContextualSpelling ins-del\" id=\"4\" data-gr-id=\"4\">many<\/g> problems. Unfortunately, he is under quite a bit of pain, which is normal due to the injury and swelling.<\/p>\n\n\n\n<p>The next stage will be the definitive surgery, which is a <strong>plate osteosynthesis<\/strong> (fixing the bones in place).<\/p>\n\n\n\n<p>We can do this as soon as the soft tissues heal, which is normally <strong>within 7 \u2013 10 days<\/strong>.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<style>#kt-layout-id_4f6c91-b5 > .kt-row-column-wrap{align-content:start;}:where(#kt-layout-id_4f6c91-b5 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}#kt-layout-id_4f6c91-b5 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var( --global-kb-row-default-top, 25px );padding-bottom:var( --global-kb-row-default-bottom, 25px );padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr) minmax(0, 2fr);}#kt-layout-id_4f6c91-b5 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){#kt-layout-id_4f6c91-b5 > .kt-row-column-wrap{grid-template-columns:repeat(2, minmax(0, 1fr));}}@media all and (max-width: 767px){#kt-layout-id_4f6c91-b5 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style>\n<div class=\"wp-block-kadence-rowlayout alignnone\"><div id=\"kt-layout-id_4f6c91-b5\" class=\"kt-row-layout-inner  kt-layout-id_4f6c91-b5\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-gutter-default kt-v-gutter-default kt-row-valign-top kt-row-layout-right-golden kt-tab-layout-inherit kt-m-colapse-left-to-right kt-mobile-layout-row\"><style>.kadence-column_1448dc-66 > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_1448dc-66 > .kt-inside-inner-col,.kadence-column_1448dc-66 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_1448dc-66 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_1448dc-66 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_1448dc-66 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_1448dc-66 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_1448dc-66{position:relative;}@media all and (max-width: 1024px){.kadence-column_1448dc-66 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_1448dc-66 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-1 kadence-column_1448dc-66\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading_c7f76a-96, .wp-block-kadence-advancedheading.kt-adv-heading_c7f76a-96[data-kb-block=\"kb-adv-heading_c7f76a-96\"]{font-style:normal;color:#00b3bb;}.wp-block-kadence-advancedheading.kt-adv-heading_c7f76a-96 mark, .wp-block-kadence-advancedheading.kt-adv-heading_c7f76a-96[data-kb-block=\"kb-adv-heading_c7f76a-96\"] mark{font-style:normal;color:#f76a0c;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h3 id=\"kt-adv-heading_c7f76a-96\" class=\"kt-adv-heading_c7f76a-96 wp-block-kadence-advancedheading\" style=\"color:#00b3bb\">We will carefully put the bone \u201cpuzzle\u201d back together and hold it in place with bone graft and a titanium plate through a minimally invasive procedure, trying to protect the soft tissues as much as possible.<\/h3>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column_f7dec8-e2 > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_f7dec8-e2 > .kt-inside-inner-col,.kadence-column_f7dec8-e2 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_f7dec8-e2 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_f7dec8-e2 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_f7dec8-e2 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_f7dec8-e2 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_f7dec8-e2{position:relative;}@media all and (max-width: 1024px){.kadence-column_f7dec8-e2 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_f7dec8-e2 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-2 kadence-column_f7dec8-e2\"><div class=\"kt-inside-inner-col\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"666\" height=\"392\" src=\"http:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Stryker-AxSOS-tibia-plate_Dr-Christian-Wilches_Ruben-Lenten-Surgery.jpeg\" alt=\"Stryker AxSOS-tibia plate_Dr Christian Wilches_Ruben Lenten Surgery\" class=\"wp-image-842\" srcset=\"https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Stryker-AxSOS-tibia-plate_Dr-Christian-Wilches_Ruben-Lenten-Surgery.jpeg 666w, https:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Stryker-AxSOS-tibia-plate_Dr-Christian-Wilches_Ruben-Lenten-Surgery-300x177.jpeg 300w\" sizes=\"(max-width: 666px) 100vw, 666px\" \/><figcaption>Stryker AxSOS Tibia Plating System<\/figcaption><\/figure>\n<\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">The future<\/h2>\n\n\n\n<p>Even though this is a major injury that requires two surgeries and physical therapy, doing a proper recovery he might be able to be back on the water in only a few months.<\/p>\n\n\n\n<p>His attitude from the beginning has been excellent and he\u2019s 100% positive and committed to his healing process. In my experience, this is as important as the surgery itself.<br><\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<style>#kt-layout-id_d2dac4-5a > .kt-row-column-wrap{align-content:start;}:where(#kt-layout-id_d2dac4-5a > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}#kt-layout-id_d2dac4-5a > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var( --global-kb-row-default-top, 25px );padding-bottom:var( --global-kb-row-default-bottom, 25px );padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr) minmax(0, 6fr) minmax(0, 1fr);}#kt-layout-id_d2dac4-5a > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){#kt-layout-id_d2dac4-5a > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}}@media all and (max-width: 767px){#kt-layout-id_d2dac4-5a > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style>\n<div class=\"wp-block-kadence-rowlayout alignnone\"><div id=\"kt-layout-id_d2dac4-5a\" class=\"kt-row-layout-inner  kt-layout-id_d2dac4-5a\"><div class=\"kt-row-column-wrap kt-has-3-columns kt-gutter-default kt-v-gutter-default kt-row-valign-top kt-row-layout-center-exwide kt-tab-layout-inherit kt-m-colapse-left-to-right kt-mobile-layout-row\"><style>.kadence-column_668bcf-99 > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_668bcf-99 > .kt-inside-inner-col,.kadence-column_668bcf-99 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_668bcf-99 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_668bcf-99 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_668bcf-99 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_668bcf-99 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_668bcf-99{position:relative;}@media all and (max-width: 1024px){.kadence-column_668bcf-99 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_668bcf-99 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-1 kadence-column_668bcf-99\"><div class=\"kt-inside-inner-col\">\n<p><\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column_44e697-56 > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_44e697-56 > .kt-inside-inner-col,.kadence-column_44e697-56 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_44e697-56 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_44e697-56 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_44e697-56 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_44e697-56 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_44e697-56{position:relative;}@media all and (max-width: 1024px){.kadence-column_44e697-56 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_44e697-56 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-2 kadence-column_44e697-56\"><div class=\"kt-inside-inner-col\">\n<blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/Bwd8KkTFSpz\/?utm_source=ig_embed&amp;utm_medium=loading\" data-instgrm-version=\"12\" style=\" background:#FFF; 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font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> Ver esta publicaci\u00f3n en Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div><\/a> <p style=\" margin:8px 0 0 0; padding:0 4px;\"> <a href=\"https:\/\/www.instagram.com\/p\/Bwd8KkTFSpz\/?utm_source=ig_embed&amp;utm_medium=loading\" style=\" color:#000; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none; word-wrap:break-word;\" target=\"_blank\" rel=\"noopener noreferrer\">Update. Wow. What a deal. Two surgeries needed to puzzle this back together. Had the first one done, next one in 10 days or so. Super stoked with how easy I remain happy and grateful. Mental resilience game going strong. It hurts a lot and sleeping didn&#8217;t really work yet, luckily the drugs do a great job most of the time. Also IG seems to numb some pain, thanks for the healing vibes, awesome messages and silly jokes. Have a wonderful Easter holiday and I&#8217;ll be back stronger than ever in a couple of months. Healing mode ON. #len10 #zen10 #pain10 #crash10 #broken #bones #ouch #roadtorecovery #challnge #support #growth #idiscover360<\/a><\/p> <p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\">Una publicaci\u00f3n compartida de <a href=\"https:\/\/www.instagram.com\/rubenlen10\/?utm_source=ig_embed&amp;utm_medium=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px;\" target=\"_blank\" rel=\"noopener noreferrer\"> Ruben Lenten<\/a> (@rubenlen10) el <time style=\" font-family:Arial,sans-serif; font-size:14px; line-height:17px;\" datetime=\"2019-04-20T06:46:52+00:00\">19 Abr, 2019 a las 11:46 PDT<\/time><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column_b25da1-53 > .kt-inside-inner-col{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;}.kadence-column_b25da1-53 > .kt-inside-inner-col,.kadence-column_b25da1-53 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_b25da1-53 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_b25da1-53 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_b25da1-53 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_b25da1-53 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_b25da1-53{position:relative;}@media all and (max-width: 1024px){.kadence-column_b25da1-53 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_b25da1-53 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column inner-column-3 kadence-column_b25da1-53\"><div class=\"kt-inside-inner-col\">\n<p><\/p>\n<\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-cover alignfull is-layout-flow wp-block-cover-is-layout-flow\" style=\"background-image:url(http:\/\/www.drchristianwilches.com\/wp-content\/uploads\/2019\/04\/Ruben-Lenten_injury_Dr-Christian-Wilches-Trauma-Surgeon_Ozone-Kites-1.jpg)\"><p class=\"wp-block-cover-text\">Hopefully we will see these inspiring megaloops again soon!<\/p><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">I know our kite loops don\u2019t look like his, but they sure as hell feel like it. <\/h3>\n\n\n\n<p>*Amazing photo courtesy of <a rel=\"noreferrer noopener\" aria-label=\"Ozone Kites (abre en una nueva pesta\u00f1a)\" href=\"https:\/\/ozonekites.com\/\" target=\"_blank\">Ozone Kites.<\/a><\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Information about Ruben Lenten&#8217;s tibial fracture in Barcelona and the treatment we will perform to get him back on the water.<\/p>\n","protected":false},"author":1,"featured_media":892,"comment_status":"closed","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"kt_blocks_editor_width":"","_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[7,40,46],"tags":[11,42,44,43],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ruben Lenten under the weather - Dr CHRISTIAN WILCHES<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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