Post-Surgery Complications: Recovery After Orthopedic Procedures - Orthopedics

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Surgical complications


Hello, I was hospitalized for carbon monoxide poisoning on January 7, 14, and 25, where I underwent surgery for decompression due to being in a coma and having my foot pressed down.
There is some muscle necrosis on the outer side of my right calf, and the inner side has been grafted.
I was discharged on February 2, and most of the wounds have healed.
However, since I started wearing a drop foot brace at the end of March, I have noticed that my ankle is gradually becoming stiff, and now I also have a discrepancy in leg length.
My toes are swollen, and there is intermittent pain on both sides of my foot; sometimes it hurts, and sometimes it feels fine.
I am unable to move my foot up and down, but I can slightly push my toes down.
I can practice walking without support, but I cannot fully place my heel flat on the ground.
Is there still a chance for recovery in my condition? I do not want to walk with a limp for the rest of my life.

Waiwai, 30~39 year old female. Ask Date: 2016/06/21

Dr. Shi Guozheng reply Orthopedics


It is necessary to continue rehabilitation, and there may be a chance for improvement.
Please seek assistance from a rehabilitation physician for hopeful outcomes.

Reply Date: 2016/06/21

More Info


Post-surgery recovery, especially after orthopedic procedures, can be a complex and challenging process. Your situation, involving skin grafting and muscle necrosis due to pressure from being in a coma, adds layers of complexity to your recovery. It’s understandable to be concerned about the long-term implications of your condition, particularly with symptoms like ankle stiffness, swelling in the toes, and the feeling of having one leg shorter than the other.

Firstly, it’s important to recognize that recovery from such significant surgeries can take time, and the body often goes through various stages of healing. The stiffness in your ankle and the swelling in your toes could be indicative of several factors, including inflammation, scar tissue formation, or even the effects of immobilization during your recovery. The fact that you are experiencing pain intermittently suggests that your body is still adjusting and healing.

Regarding the "long-short leg" phenomenon, this can occur due to muscle atrophy or changes in the alignment of your joints and bones as a result of your injury and subsequent immobilization. It’s crucial to address these issues with a healthcare professional who specializes in rehabilitation. They can assess your gait, strength, and flexibility, and develop a tailored rehabilitation program to help restore function and alleviate pain.

Physical therapy is a vital component of recovery after orthopedic surgery. A physical therapist can guide you through exercises designed to improve range of motion, strengthen the muscles around your ankle, and enhance overall mobility. They may also use modalities such as ultrasound or electrical stimulation to reduce pain and promote healing. Additionally, they can provide you with strategies to manage swelling and improve circulation in your legs.

In terms of your concern about walking with a limp, it’s essential to focus on regaining strength and flexibility in your ankle and foot. This may involve specific exercises to stretch and strengthen the muscles and tendons around the ankle joint. As you progress, your therapist may introduce balance and proprioception exercises to help improve your overall stability and coordination.

It’s also worth mentioning that the psychological aspect of recovery should not be overlooked. Many patients experience anxiety or frustration during their rehabilitation journey, especially when progress seems slow. Engaging in supportive counseling or joining a support group for individuals recovering from similar injuries can be beneficial.

In summary, while your current symptoms may seem daunting, there is a significant opportunity for recovery. With the right rehabilitation program, commitment to your exercises, and regular follow-ups with your healthcare team, you can work towards regaining function and reducing the impact of your injury on your daily life. Remember, recovery is a journey, and it’s important to be patient with yourself as you navigate this process. Don’t hesitate to reach out to your healthcare providers with any concerns or questions you may have along the way.

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