Impact of Slow Bone Healing on Athletes After Leg Fracture - Orthopedics

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Fracture of the left femur due to a car accident?


Hello doctor, I had a car accident on February 10th that resulted in a fracture of my left femur.
It has been six months now, and during my recent follow-up appointment, the doctor advised me to wait another two months before returning, but I still cannot put weight on my left leg.
I consulted another rehabilitation specialist who mentioned that my bone healing is progressing slowly, but since it has been six months, she suggested that I can gradually start putting weight on it.

As an athlete, I would like to know if the slow healing of my bone will affect my future sports career and performance.
Could the slow bone healing be influenced by my mental state and appetite? I experienced depression during the first three months, which severely affected my eating habits.
However, over the past three months, I feel that I can exert force with my left leg without experiencing numbness or pain, although my hip joint still feels quite weak.

louis, 20~29 year old female. Ask Date: 2016/08/15

Dr. Wang Shouji reply Orthopedics


Hello: The speed of fracture healing is closely related to the mechanism of injury, surgical methods, and nutritional status.
However, even with slow bone healing, most strength training can still be performed, just not with full weight-bearing.
It is essential to closely monitor the recovery status of the fracture in order to recommend the appropriate weight-bearing capacity.
Thank you.

Reply Date: 2016/08/15

More Info


The impact of slow bone healing on athletes, especially after a significant injury like a leg fracture, can be profound and multifaceted. As an athlete, the recovery process is not just about the physical healing of the bone but also involves psychological and emotional aspects that can influence performance and overall well-being.

Firstly, it is essential to understand that bone healing is a complex biological process that can be affected by various factors, including age, nutrition, the severity of the fracture, and overall health. In your case, having experienced a fracture in February and still being unable to bear weight after six months suggests that your healing process may be slower than average. This can be concerning for an athlete, as prolonged recovery times can lead to a loss of conditioning, decreased muscle strength, and potential psychological impacts such as anxiety about returning to sport.

Regarding your question about whether slow bone healing will affect your athletic career and performance, the answer is nuanced. If the healing process is significantly delayed, it may lead to a longer absence from competitive activities, which can impact your training regimen and performance levels. Athletes often rely on consistent training to maintain their skills and physical condition, and any interruption can lead to a decline in performance. Additionally, if the bone does not heal correctly, it could result in long-term complications, such as chronic pain or instability, which might further hinder your ability to compete at your previous level.

It is also important to consider the psychological aspect of recovery. The mental strain of dealing with a slow recovery can lead to feelings of frustration, anxiety, or even depression, especially if you have experienced these emotions in the past. Your mention of having depression in the first three months post-injury highlights the importance of addressing mental health during recovery. Mental well-being is closely linked to physical recovery; stress and negative emotions can indeed affect your appetite and overall health, potentially impacting bone healing. Ensuring you have a support system in place, whether through friends, family, or mental health professionals, can be beneficial during this challenging time.

Nutrition plays a crucial role in bone healing as well. A well-balanced diet rich in calcium, vitamin D, and protein is essential for bone health. If your appetite has been affected due to emotional distress, it may hinder your recovery. It is advisable to consult with a nutritionist who can help you create a meal plan that supports your healing process and overall health.

As for your current condition, where you feel you can start applying some weight to your left foot, it is crucial to proceed cautiously. Gradually introducing weight-bearing activities, as advised by your rehabilitation specialist, can help strengthen the muscles around the hip joint and improve stability. However, it is vital to listen to your body and not rush the process. Engaging in physical therapy can also aid in regaining strength and mobility, which is essential for your return to sports.

In summary, slow bone healing can indeed impact your athletic career, but it is not the sole determinant of your future success. Addressing both the physical and psychological aspects of recovery is crucial. Focus on maintaining a positive mindset, ensuring proper nutrition, and following your rehabilitation plan closely. With patience and the right support, many athletes successfully return to their sport after significant injuries. It may take time, but with dedication and the right approach, you can work towards regaining your strength and performance levels.

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