Walking issues after a femoral fracture?
On October 29 of last year, I suffered a closed femoral fracture due to a car accident.
I underwent surgery to insert an intramedullary nail in my femur.
Shortly after being discharged, I accidentally broke the nail and had to be hospitalized again for surgery.
I was discharged on November 17, and now, over five months later, during my follow-up appointment on the 16th of this month, the doctor said I could gradually start using crutches.
I would like to ask what "gradually" means—does it mean I can start walking normally? Since I need to attend classes, can I ride a scooter now? Additionally, I weigh over 100 kg, which has caused me some psychological distress...
I hope the doctor can provide me with some advice.
Dàxuéshēng, 20~29 year old female. Ask Date: 2016/04/30
Dr. Shi Guozheng reply Orthopedics
A cane is still needed for assistance because the weight is too heavy, which may lead to a risk of re-fracture.
Reply Date: 2016/04/30
More Info
Recovering from a femur fracture, especially after surgical intervention such as the insertion of an intramedullary nail, can be a challenging process. It's great to hear that you are progressing in your recovery and have received clearance from your doctor to start using crutches more actively. Here are some insights and tips regarding your recovery, mobility, and overall rehabilitation.
Understanding Your Recovery Process
1. Gradual Weight Bearing: When your doctor mentions "slowly putting weight on it," this typically means you should start by using crutches to assist with your balance and support while gradually introducing weight on your injured leg. You may begin by placing just a small amount of weight on the affected leg while using crutches for support. This is often referred to as "partial weight-bearing."
2. Walking Techniques: As you become more comfortable, you can transition to using crutches with more weight on your leg. It's important to listen to your body; if you experience pain or discomfort, it may be a sign to reduce the weight you are placing on your leg. You should aim to practice walking in a safe environment, ideally with someone nearby to assist you if needed.
3. Mobility Aids: Initially, using crutches is advisable. As you gain strength and confidence, you may transition to a walker or even a cane, depending on your stability and comfort level. The goal is to gradually decrease your reliance on these aids as your strength improves.
4. Physical Therapy: Engaging in physical therapy can be incredibly beneficial. A physical therapist can provide you with a tailored rehabilitation program that includes exercises to strengthen your leg muscles, improve your range of motion, and enhance your balance. This is crucial for regaining your mobility and confidence.
Returning to Daily Activities
1. Riding a Motorcycle: Regarding your question about riding a motorcycle, it is essential to prioritize your safety and recovery. Riding a motorcycle requires good balance and the ability to react quickly, which may be compromised during your recovery. It’s advisable to discuss this with your doctor or physical therapist. They can assess your strength and mobility to determine if you are ready to resume riding.
2. Weight Management: Since you mentioned being over 100 kg, it’s important to consider how your weight may affect your recovery. Excess weight can place additional stress on your healing bones and joints. If possible, consult with a nutritionist or a healthcare provider to develop a plan that supports your recovery while also addressing your weight management goals.
3. Psychological Aspects: It's normal to feel anxious or fearful about re-injuring yourself, especially after experiencing a significant injury. Consider speaking with a mental health professional or a counselor who specializes in sports or injury recovery. They can help you work through these feelings and develop coping strategies.
Final Thoughts
Recovery from a femur fracture is a gradual process that requires patience and persistence. Focus on your rehabilitation exercises, maintain open communication with your healthcare team, and listen to your body. As you progress, you will likely find that your confidence and mobility improve, allowing you to return to your daily activities, including riding a motorcycle, when the time is right.
Always remember to follow your doctor's advice and attend all follow-up appointments to monitor your healing process. With time and effort, you will regain your strength and mobility. Best wishes for a smooth recovery!
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