Post-Surgery Recovery for Ankle Fractures: What to Expect - Orthopedics

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Post-surgery recovery for ankle fractures can be a complex process, and it is essential to understand what to expect during this time. Based on your description, it seems you are experiencing some common post-operative symptoms, but there are also some concerns that need to be addressed.

Firstly, it is normal to experience swelling and bruising after ankle surgery. The presence of swelling, particularly in the toes and the ankle area, is a typical response to surgery and can persist for several weeks. The fact that your foot is still swollen, especially in the two toes, indicates that your body is still healing. The bruising you observe can also be attributed to the surgical procedure and the trauma from the accident. It is essential to monitor the swelling and bruising, as they should gradually decrease over time. However, if you notice an increase in swelling or if the bruising spreads significantly, it would be wise to consult your physician.

The pain you feel when pressing on your big toe could be due to several factors, including inflammation around the surgical site or irritation of the surrounding tissues. Pain is a common part of the healing process, but it should gradually improve. If the pain becomes severe or is accompanied by other symptoms such as fever or increased redness, you should seek medical advice.

Regarding the discoloration and the sensation of your foot becoming congested after being in a dependent position for an extended period, this is also a common occurrence. When you keep your foot down for long periods, gravity can cause blood to pool in the lower extremities, leading to increased swelling and a feeling of heaviness or tightness. It is advisable to elevate your foot whenever possible to help reduce swelling and improve circulation. Additionally, gentle movements and exercises, as recommended by your physical therapist, can aid in reducing swelling and improving mobility.

As for the surgical hardware, it is common for orthopedic surgeons to use screws and plates that do not require a second surgery for removal unless they cause significant discomfort or complications. If your doctor has indicated that the screws can be removed in the office without the need for another surgical procedure, this is typically accurate. However, the decision will depend on your healing progress and any discomfort you may experience from the hardware.

In summary, while some swelling, bruising, and discomfort are expected after ankle surgery, it is crucial to monitor your symptoms closely. Elevating your foot, performing recommended exercises, and maintaining communication with your healthcare provider will be vital in your recovery process. If you have any concerns about your symptoms or if they worsen, do not hesitate to reach out to your doctor for further evaluation. Your recovery journey may take time, but with proper care and attention, you can expect to regain strength and mobility in your ankle.