When Can I Start Using Crutches After a Femur Fracture? - Orthopedics

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After a femur fracture, the timeline for starting to use crutches can vary significantly based on several factors, including the type of fracture, the surgical procedure performed, and individual healing rates. In your case, since you had a somewhat comminuted fracture and underwent surgery to insert an intramedullary nail, it is crucial to follow your orthopedic surgeon's advice closely.

Typically, after surgery for a femur fracture, patients are advised to avoid putting weight on the affected leg for a certain period, which can range from a few weeks to several months. The initial healing phase is critical, as the bone needs time to stabilize and begin the healing process. Generally, most surgeons will allow partial weight-bearing after about 4 to 6 weeks, but this can vary based on the specifics of your fracture and how well it is healing.

The conflicting advice you received from different doctors is not uncommon in orthopedic care. Some surgeons may be more conservative, while others might adopt a more aggressive approach to rehabilitation. It’s essential to have a clear understanding of your specific situation, including the type of fracture and the surgical technique used. If your primary surgeon has indicated that you can start using crutches after one month, it is likely based on their assessment of your healing progress. However, if another physician has advised against it, it may be due to a more cautious approach to ensure that the fracture heals properly without complications.

Using crutches is a transitional step that allows you to begin bearing weight gradually. If your surgeon has cleared you to use crutches, it is generally safe to do so, provided you are cautious and listen to your body. If you experience significant pain or discomfort while using crutches, it may indicate that you are putting too much weight on the leg too soon, and you should consult your surgeon for further evaluation.

Regarding the pain you feel on the inner side of your thigh when you open your leg, this could be related to muscle tightness or strain, especially if you have been immobilized for an extended period. After a fracture, muscles can become weak and tight due to disuse, leading to discomfort when you attempt to move them. Gentle stretching and physical therapy can help alleviate this tightness and improve your range of motion. It is advisable to discuss this symptom with your physical therapist or orthopedic surgeon, who can provide tailored exercises to help you regain strength and flexibility.

In summary, the timeline for using crutches after a femur fracture varies, and it is essential to follow your primary surgeon's guidance. If you have concerns or experience conflicting advice, consider seeking a second opinion from a specialist who can review your case comprehensively. Always prioritize your safety and healing, and engage in physical therapy to support your recovery.