Recovery Tips for Tibial Fracture and Lateral Ligament Injury - Orthopedics

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Closed fracture of the proximal tibia with lateral collateral ligament tear?


Hello Dr.
Tsai: I was in a car accident on May 16th and underwent open reduction and internal fixation of a right tibial fracture and lateral collateral ligament repair on May 17th.
It has been about 47 days since the surgery.
I have been gradually undergoing rehabilitation and practicing walking, but I still do not dare to put weight on my right leg.
I feel that my right knee feels strange when walking, and after a day of work, my right knee feels tight.
Could you please advise if I need any further treatment? Thank you.

Yuling, 50~59 year old female. Ask Date: 2016/07/02

Dr. Cai Shanglin reply Orthopedics


Six weeks after surgery, an initial X-ray will typically be taken to assess whether the plate has shifted or if there is any further displacement of the fracture.
Your attending physician should explain these findings to you and inform you whether you can put weight on your right foot or how much strength you can exert.
It is common to feel that the knee is unnatural or swollen, as you have sustained an injury and undergone surgery.
It is recommended to continue follow-up rehabilitation with your original physician.

Reply Date: 2016/07/02

More Info


Recovering from a tibial fracture and lateral ligament injury can be a challenging process, but with the right approach, you can achieve a successful recovery. Here are some tips and considerations based on your situation:
1. Follow-Up with Your Healthcare Provider: Since you are approximately 47 days post-surgery, it is crucial to maintain regular follow-ups with your orthopedic surgeon or physical therapist. They can monitor your healing progress through physical examinations and imaging studies if necessary. If you feel that your knee is not improving or if you experience increased pain or swelling, do not hesitate to reach out to them.

2. Physical Therapy: Engaging in a structured physical therapy program is essential for regaining strength and mobility in your knee. A physical therapist can provide you with specific exercises tailored to your condition. These exercises will likely focus on:
- Range of Motion: Gentle stretching exercises to improve flexibility in your knee joint.

- Strengthening: Gradual strengthening exercises for the muscles around your knee and leg, such as quadriceps and hamstrings, to support the joint.

- Balance and Proprioception: Exercises that improve your balance and coordination, which are crucial for preventing future injuries.

3. Weight-Bearing Activities: It is understandable that you may feel hesitant to put weight on your right leg. However, gradually increasing weight-bearing activities is important for recovery. Your physical therapist can guide you on how to safely progress from partial to full weight-bearing. Using assistive devices like crutches or a walker can help you feel more secure as you transition.

4. Pain Management: If you experience tightness or discomfort in your knee after a day of work, consider using ice packs to reduce swelling and inflammation. Over-the-counter pain medications, such as ibuprofen or acetaminophen, can also help manage pain, but consult your doctor before taking any medication.

5. Activity Modification: While you are recovering, it may be necessary to modify your daily activities to avoid putting excessive strain on your knee. Listen to your body and take breaks as needed. If certain movements or activities exacerbate your symptoms, it may be best to avoid them until you have regained more strength and stability.

6. Gradual Return to Normal Activities: As you progress in your recovery, you can gradually return to your normal activities, including work. However, be mindful of how your knee feels during and after these activities. If you notice increased tightness or discomfort, it may be a sign that you need to slow down or adjust your activity level.

7. Nutrition and Hydration: Proper nutrition plays a vital role in healing. Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly calcium and vitamin D, which are essential for bone health. Staying hydrated is also important for overall recovery.

8. Mental Health: Recovery from an injury can be mentally taxing. It’s normal to feel frustrated or anxious about your progress. Consider speaking with a mental health professional if you find that your emotional well-being is affected by your injury.

9. Long-Term Considerations: After your initial recovery, it may be beneficial to continue with a maintenance exercise program to strengthen the muscles around your knee and improve overall joint stability. This can help prevent future injuries and maintain mobility.

In summary, your recovery from a tibial fracture and lateral ligament injury requires a combination of medical follow-up, physical therapy, gradual weight-bearing, pain management, and lifestyle adjustments. Always consult with your healthcare provider before making any changes to your treatment plan, and remember that recovery takes time. With patience and dedication, you can achieve a successful outcome.

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