Post-Fracture Recovery: Can I Drive or Ride After Ankle Surgery?

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

Hello, Dr.
Hong.
I have had a fracture in my right ankle for over three months now, and I am already using crutches to walk on my own.
Can I ride a motorcycle or drive a car at this point? Will pressing the accelerator affect my right ankle? I noticed that the bone on the inner side of my right ankle, which I had surgery on, seems to be more prominent compared to my left ankle.
Is this normal, or will it return to normal after the removal of the screws and plates? Typically, how long should the screws and plates remain in the ankle before they can be removed? The range of motion in both of my ankles is currently limited; is this due to the presence of the screws, or will my range of motion improve once they are removed? Thank you for your assistance, doctor.

Mr. Hong, 20~29 year old female. Ask Date: 2016/06/15

Dr. Hong Ximing reply Orthopedics

It has been over three months since the fracture of the medial and lateral malleolus, and the fracture should have healed, allowing for normal activity.
The prominence of the metal screws is likely normal, and the limited range of motion is probably unrelated to the injury.
It is recommended to engage in more rehabilitation exercises, and the metal plate and screws should be removable after six months.

Reply Date: 2016/06/15

More Info

Post-fracture recovery, particularly after ankle surgery, can be a complex process that requires careful consideration of various factors, including mobility, pain management, and the structural integrity of the ankle joint. Based on your description, it seems you are approximately three months post-surgery for fractures of the medial and lateral malleoli, and you are currently using a cane to walk independently.

Driving and Riding a Motorcycle
Regarding your question about driving or riding a motorcycle, it is essential to consult your orthopedic surgeon for personalized advice. Generally, the ability to drive depends on several factors, including:
1. Pain Levels: If you are experiencing significant pain when moving your ankle, it may not be safe to drive. Pain can impair your reaction time and ability to control the vehicle.

2. Range of Motion: You mentioned that your ankle's range of motion is limited. If you cannot adequately flex or extend your ankle, this could hinder your ability to operate the pedals safely.

3. Strength: You need sufficient strength in your ankle to apply pressure to the brake and accelerator pedals without discomfort or instability.

4. Medical Clearance: Ultimately, your surgeon will provide the best guidance based on your healing progress. They may conduct a physical examination and assess your functional capabilities before giving you the green light to drive.

Impact of Using the Accelerator
Using the accelerator pedal can indeed place stress on your ankle, especially if you are still experiencing pain or limited range of motion. If you feel discomfort while pressing the pedal, it is advisable to wait until you have fully recovered before driving.

Ankle Appearance and Hardware Removal
You mentioned that the area around your surgical site appears more prominent. This could be due to swelling, scar tissue formation, or the presence of hardware (screws and plates) used during surgery. It is not uncommon for the surgical site to look different post-operation, and many patients notice changes in contour or swelling.
Regarding the removal of hardware, the general recommendation is to leave screws and plates in place for at least 6 to 12 months, depending on the healing process and the surgeon's discretion. Removing the hardware too early can compromise the stability of the fracture site. After the hardware is removed, some patients notice a reduction in prominence and improved comfort, but this varies from person to person.

Range of Motion and Recovery
The limited range of motion you are experiencing could be attributed to several factors:
1. Scar Tissue: Post-surgical scar tissue can restrict movement. Physical therapy focusing on gentle stretching and strengthening exercises can help improve flexibility.

2. Hardware: The presence of screws and plates may also limit motion. Once removed, some patients experience an improvement in their range of motion.

3. Muscle Atrophy: After a period of immobilization, the muscles around the ankle may weaken, contributing to limited movement. Engaging in rehabilitation exercises can help rebuild strength and improve function.

Recommendations for Recovery
1. Physical Therapy: Continue with physical therapy to work on range of motion and strength. Your therapist can provide tailored exercises to help you regain function safely.

2. Gradual Return to Activities: Listen to your body and gradually increase your activity level. Avoid high-impact activities until you have fully healed.

3. Follow-Up Appointments: Keep regular follow-up appointments with your orthopedic surgeon to monitor your recovery and discuss any concerns.

4. Pain Management: If you experience pain during activities, consider using ice or over-the-counter pain relief as recommended by your doctor.

In conclusion, while it may be tempting to return to driving or riding a motorcycle, it is crucial to prioritize your safety and recovery. Consult with your healthcare provider for personalized advice and follow their recommendations closely to ensure a successful recovery.

Similar Q&A

Can I Drive After Tibial Fracture Surgery? 85 Days Post-Op Concerns

I have a V-shaped fracture of the tibia in my right lower leg, and I underwent surgery with a self-funded plate treatment. I am currently using crutches to walk. Can I drive for transportation at this time? Thank you.

Dr. Shi Guozheng reply Orthopedics
If an X-ray examination shows that the fracture has healed, then you can start applying force, which means you can drive. However, if the fracture has not yet healed, you should avoid putting weight on it to prevent re-injury. Therefore, it is advisable to get another X-ray and h...

Can I Ride a Motorcycle After a Tibia Fracture Recovery?

Doctor, I had an open tibial fracture from a car accident in early May this year, and I had a rod inserted. In early October, during my follow-up appointment, the doctor said that half of the bone had healed and I could use a crutch to practice walking. Currently, I can walk with...

Dr. Li Wenlin reply Orthopedics
Hello: The best answer comes from your attending physician. If possible, please consult your attending physician directly. They can assess your bone structure and postoperative recovery status. You should be able to ride a motorcycle, but it's best to get their recommendatio...

Post-Fracture Recovery: Managing Pain and Mobility After Surgery

Dear Dr. Lee, I was involved in a car accident four months ago, resulting in a fracture of the mandible, a fracture of the right ankle, and an open fracture of the right tibia. Currently, the healing of the fractures has reached 95%. However, I experience pain in my foot, ankle,...

Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, recovery after the removal of the metal plate is generally quick. Typically, during the first week, you will need to rely on crutches, but you can still walk normally. By the second week, you should be able to walk without crutches, although y...

Post-Surgery Rehabilitation Challenges in Orthopedic Patients

Hello Dr. Zhou: My mother (64 years old) had a car accident a year ago, resulting in a fracture of her ankle (the area between the tibia and the foot). After surgery to insert a metal plate, the doctor said the operation was successful. Although the swelling has decreased somewha...

Dr. Zhou Lizhi reply Orthopedics
1. Post-operative rehabilitation for ankle fractures should first consider the degree of fracture comminution and the stability provided by the fixation with screws. If the ankle joint is stable after surgery, non-weight-bearing activities (dorsiflexion and plantarflexion) can be...