Recovery After Femur Nail Surgery: What to Expect - Orthopedics

Share to:

Femoral nail implantation?


Hello Doctor, I was in a car accident on March 25 and underwent surgery on March 27 for a femoral fracture and dislocation, with some small fragments (very small area) that required two steel pins to be inserted.
The pins do not need to be removed from the femur.
It has been a month since the surgery, and my attending physician told me that I could start walking in 1 to 3 months.
I have had two follow-up appointments, and the pins have not shifted.
My next appointment is on May 25.
However, I am not sure if it is just my imagination, but I have recently been experiencing noticeable soreness in my leg, and occasionally I feel muscle contractions.
Is this normal or abnormal? Could you please advise me, Doctor? Thank you.

Xian, 10~19 year old female. Ask Date: 2016/05/02

Dr. Ye Qingnian reply Orthopedics


In cases of hip joint fracture-dislocation treated with internal fixation using screws, I generally recommend using crutches for walking to avoid putting weight on the fractured limb too soon, which could lead to displacement of the fracture.
The duration of this precaution should be determined by the attending physician.
Currently, if X-rays show no displacement of the fracture, it is not a concern, but caution should still be exercised to prevent excessive weight-bearing that could cause displacement of the fracture.

Reply Date: 2016/05/02

More Info


After undergoing femur nail surgery, it is essential to understand the recovery process and what to expect during this period. Your experience of having surgery on March 27 after a car accident, followed by the insertion of two steel nails to stabilize the femur, is a common procedure for treating fractures and dislocations. The recovery timeline can vary significantly from patient to patient, but there are some general expectations and considerations that can help you navigate this phase.

Firstly, it is important to recognize that the healing of a fractured femur typically takes several months. While your surgeon has indicated that you may be able to start walking within 1 to 3 months post-surgery, this is contingent upon various factors, including the nature of your injury, your overall health, and how well you adhere to rehabilitation protocols. The initial phase of recovery often involves limited weight-bearing on the affected leg, and you may be using crutches or a walker to assist with mobility.

The symptoms you are experiencing, such as noticeable soreness and occasional muscle contractions, can be quite normal during the recovery process. After surgery, your body undergoes significant changes as it heals. The soreness you feel could be attributed to several factors:
1. Muscle Atrophy: After a period of immobilization, the muscles surrounding the injured area may weaken due to disuse. This atrophy can lead to feelings of soreness and discomfort as you begin to use your leg more.

2. Nerve Sensitivity: Surgical procedures can irritate nearby nerves, leading to sensations such as tingling, muscle contractions, or spasms. This is often temporary and should improve as healing progresses.

3. Scar Tissue Formation: As your body heals, scar tissue will form around the surgical site. This tissue can sometimes cause discomfort or tightness, especially as you begin to move and stretch the affected area.

4. Physical Therapy: Engaging in physical therapy is crucial during your recovery. A physical therapist can guide you through exercises designed to strengthen the muscles around your femur, improve range of motion, and reduce discomfort. They can also help monitor your progress and adjust your rehabilitation plan as needed.

5. Pain Management: If the soreness becomes more pronounced or if you experience significant pain, it is essential to communicate this with your healthcare provider. They may recommend adjustments to your pain management plan or further evaluation to ensure there are no complications.

In terms of activity, while you may feel the urge to return to normal walking patterns, it is crucial to listen to your body. Gradually increasing your activity level is advisable, but you should avoid overexerting yourself. If you experience increased pain or discomfort, it may be a sign that you need to scale back your activities and allow more time for healing.

As you approach your next follow-up appointment on May 25, it would be beneficial to discuss your symptoms with your surgeon. They can assess your recovery progress, evaluate the stability of the nails, and provide personalized recommendations based on your specific situation.

In summary, while some discomfort and muscle contractions can be normal during the recovery phase after femur nail surgery, it is vital to stay in close communication with your healthcare team. They can provide guidance tailored to your recovery journey, ensuring that you regain strength and mobility safely and effectively. Remember, patience is key in the healing process, and adhering to your rehabilitation plan will significantly contribute to your overall recovery.

Similar Q&A

Understanding Recovery After Intramedullary Nail Removal in Femur Fractures

Hello, doctor. I am 23 years old and four years ago, I underwent surgery for femoral fractures in both legs due to a car accident, during which intramedullary nails were inserted. I am now considering having them removed. Will the recovery time for both legs be longer? How long w...


Dr. Shi Guozheng reply Orthopedics
1. Recovery after the removal of intramedullary nails is usually quick. 2. Weight-bearing on both feet should be resumed within a week. 3. Knee adhesions will not have any impact. 4. It will take about one to two months.

[Read More] Understanding Recovery After Intramedullary Nail Removal in Femur Fractures


Rehabilitation Tips for Climbing Stairs After Femur Fracture Surgery

Currently, it has been five months since my femur fracture surgery. I have had nails inserted and can walk normally, but I struggle with going up and down stairs without support, as my leg feels particularly strained and my balance is unstable. I would like to ask the doctor what...


Dr. Shi Guozheng reply Orthopedics
1. Practicing thigh lifts can increase muscle strength to improve function. 2. The presence of metal screws may affect the range of motion in the wide joint. 3. Occasional tingling sensations are normal and may be related to muscle tightness.

[Read More] Rehabilitation Tips for Climbing Stairs After Femur Fracture Surgery


Post-Surgery Recovery: When Can I Resume Normal Activities After Femur Nail Removal?

Hello, doctor. I was in a car accident in November 2015, which resulted in a closed fracture of my femur. After two years, on May 1, 2018, I underwent surgery to remove the intramedullary nail from my femur. On May 14, I had my stitches removed, and my attending physician mention...


Dr. Li Yongheng reply Orthopedics
Hello, generally speaking, after a fracture surgery, if the bone screw removal surgery is performed two weeks later and the stitches have been removed, you should be able to return to work normally by early June. Riding a motorcycle today should not pose a significant issue. As f...

[Read More] Post-Surgery Recovery: When Can I Resume Normal Activities After Femur Nail Removal?


Post-Surgery Recovery from Femoral Fractures: Common Concerns and Solutions

Hello doctor, I was in a car accident at the end of October 2021, resulting in fractures of my left femur and arm. I underwent surgery for steel nail fixation about five days later. Now, in mid-April 2022, I still experience frequent soreness in my leg and have difficulty walking...


Dr. Shi Guozheng reply Orthopedics
A femoral fracture typically heals in about six months. After healing, the pain at the fracture site will gradually subside. Therefore, it is important to first check if the fracture has healed. If the fracture has already healed, the pain may be due to tendonitis or inflammation...

[Read More] Post-Surgery Recovery from Femoral Fractures: Common Concerns and Solutions


Related FAQ

Post-Femoral Fracture Surgery

(Orthopedics)

Postoperative

(Orthopedics)

Nails

(Surgery)

Nails

(Orthopedics)

Toes

(Surgery)

Toe

(Orthopedics)

Ankle Fracture Recovery

(Orthopedics)

Tibia And Fibula Fracture

(Orthopedics)

Toe Injury

(Surgery)

Rehabilitation

(Orthopedics)