Good morning, I stumbled on this forum and thought I might try and get some advice. My orthopedic issues started in 2011. I was hit by a car on my motorcycle and had an open spiral fracture of my right Femur, left tibial plateau fracture, fractured right ankle, and my right toes were shredded. When I was hospitalized they said risk of infection was too high to operate at the moment so instead put me in a rehabilitation hospital to learn how to operate in a wheelchair. About a month and a half later they operated and pieced my femur back together with a large metal plate and about 12 screws. Bone grafts from my hip were used to fill the cracks. I had a transmetatarsal amputation on my right foot as the toes weren't salvageable. My other bones were healed with surgery as well. I was told that I may never get full use of my leg again and that if I walked it would still be assisted. I didn't understand or accept that. I worked in PT for months and was finally able to walk, albeit assisted. I then had a nerve release surgery to ease some of the drop foot effects on my left leg. Fast forward a year and I could walk at a brisk pace without much issue. Still in pain though. I stopped taking the ample opiods prescribed to me when I began to notice the effect it had on my life long term. Fast forward a few years. My knee has gotten consistently worse. Loud cracking sounds when bending it. Pain is worse and now my femur hurts not just my knee. First doctor I went to in year 2 said it was crepitus and harmless. 2nd doctor in year 4 said that there was bone loss but that more PT is all that's needed. Did that and it didn't help. Year 6. I'm walking with a cane. My leg hurts whether I am standing or sitting. It radiates from below my hip to below my knee. I've now had countless x-rays and an MRI. My cruciate is stretched so far that it doesn't really offer any support now but my doctor is not wanting to operate. Keep in mind this is a second opinion - first opinion suggested SURPRISE... more PT. Said he would have to remove the screws in my knee to do any kind of work and removing those would cause even more instability in the bone. Even to repair my cruciate he would need to remove at least one which he wants to avoid at all costs. I am at the end of my rope. I am 27 and have the legs of a 70 year old. I can't do the things someone my age is supposed to do. It's affecting every aspect of my life. I don't know what to do. My doctor says my best bet is to continue steroid treatments in my knee and manage the pain pharmacologically but I know prolonged use of steroids can cause further bone loss and I'm not too keen on pain killers or pain clinics. Does anyone have any advice? Any would be appreciated. Pic is lower half of femur. Not all the issues but definitely the main one.