Recovery from Ankle Fractures: Timeline and Rehabilitation Insights - Orthopedics

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Fracture of the right ankle involving the lateral malleolus and medial malleolus?


Hello, Dr.
Hong.
I would like to ask about my right foot.
I had a car accident in early March and fractured it.
I then underwent surgery where the doctor inserted metal screws and plates.
After two months, when I returned for a follow-up, the doctor said everything looked normal, but my bone had not fully healed yet.
The doctor advised me to come back for a check-up at the end of June.
During this time, the doctor told me I could try to lightly bear weight with crutches, but I originally heard that it would heal in three months, and now it seems I won't be able to stop using crutches until the end of June, making it four months.
Is this considered normal? Is my bone healing too slowly? The doctor hasn't referred me for any rehabilitation or physical therapy.
Should I go to a physical therapy clinic on my own to inquire about it?

Mr. Hong, 20~29 year old female. Ask Date: 2016/05/07

Dr. Hong Ximing reply Orthopedics


Surgical reduction and fixation of ankle fractures require monitoring of fracture healing through X-rays.
Partial weight-bearing walking is necessary, and appropriate protection should be provided.
For rehabilitation of the surrounding ligaments, consultation with a rehabilitation specialist is recommended.

Reply Date: 2016/05/07

More Info


Recovering from an ankle fracture can be a complex process, especially when surgical intervention is involved, such as the placement of plates and screws. Based on your situation, it seems that you are experiencing a common concern among patients recovering from such injuries: the timeline for healing and the rehabilitation process.

Firstly, it is important to understand that the healing time for fractures can vary significantly based on several factors, including the type of fracture, the specific bones involved, the patient's age, overall health, and adherence to post-operative care instructions. In general, most ankle fractures can take anywhere from 6 to 12 weeks to heal, but complete recovery, including regaining strength and mobility, may take several months longer.

In your case, since you had surgery to insert hardware (plates and screws), the healing process may be slightly extended. The fact that your doctor has advised you to return for a follow-up in June suggests that they are monitoring your healing closely. It is not uncommon for patients to feel anxious when they are told that they cannot fully bear weight or engage in normal activities for an extended period. However, it is crucial to follow your doctor's recommendations to avoid complications such as non-union (where the bone does not heal properly) or malunion (where the bone heals incorrectly).

Regarding your concern about the timeline, it is indeed normal for some fractures to take longer than initially expected. The healing process can be influenced by factors such as blood supply to the area, the severity of the fracture, and your body's natural healing ability. If your doctor has indicated that your healing is progressing normally, it is likely that your recovery is on track, even if it feels slower than anticipated.

As for rehabilitation, it is essential to engage in physical therapy to regain strength and mobility in your ankle once your doctor gives you the green light. While your doctor may not have referred you to a rehabilitation specialist yet, it is perfectly acceptable for you to seek out physical therapy on your own. A physical therapist can provide you with exercises tailored to your specific needs, helping to improve your range of motion, strength, and overall function. They can also guide you on how to safely progress from using crutches to walking independently.

In terms of self-care during your recovery, consider the following tips:
1. Follow Up with Your Doctor: Keep your scheduled appointments and communicate any concerns you have about your healing process. If you feel uncertain about your progress, don't hesitate to ask your doctor for more detailed information about your recovery timeline.

2. Engage in Gentle Movement: If your doctor has cleared you for light activity, try to incorporate gentle movements to maintain circulation and prevent stiffness. However, avoid putting too much weight on your injured ankle until you receive explicit permission from your healthcare provider.

3. Consider Physical Therapy: If you feel that you need additional support, reach out to a physical therapist. They can help you establish a rehabilitation plan that aligns with your healing process.

4. Be Patient: Healing takes time, and it is essential to be patient with yourself. Focus on small milestones, such as improving your range of motion or being able to bear weight gradually.

5. Nutrition and Hydration: Ensure you are eating a balanced diet rich in calcium and vitamin D to support bone healing. Staying hydrated is also crucial for overall health.

In conclusion, while it may feel frustrating to wait for your ankle to heal, it is essential to prioritize proper recovery to ensure the best long-term outcomes. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for guidance. Your health and recovery are the most important priorities.

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