I have a fourteen inch titanium rod in my leg to this day from a similar injury THE DAY AFTER I graduated high school ('95). Doc said it was the cleanest break he had ever seen, my leg was beyond 90 degrees to the outside just like this, but didn't break the skin (though it pressed against skin and stretched it abt an inch) Friend tried to take my legs out "play at the plate style". Put his shoulder through both of my leg bones. I rolled onto my back to flip myself up, and foot flopped to the right (right leg). I was enough in shock that I didn't feel all the pain I should have, until paramedic straightened it out to put in cradle and on board to carry me to ambulance. Doctor didn't set the small bone and didn't cast it, as the rod was "much stronger than both bones combined. The day after surgery (removing kneecap, drilling out tibia, inserting rod, replacing patella) they had me on crutches, trying to put ever so slight weight on my big toe. I passed out and threw up, in that order. In 2 weeks and 2 days I was walking with a cane. Giant calcium deposit that acts as a barometer, but beyond that, no trouble nearly 20 years later. Until I saw these pictures. Now I am reliving every moment.