Healing Time for Pediatric Bone Fractures: Key Insights - Orthopedics

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Bone healing phase


Hello, Dr.
Lee: How long does it typically take for a three-year-old child to heal from a bone fracture? After the fracture heals, how long should they rest before they can run and jump like before? Thank you.
During the follow-up appointment a week ago, the fracture had not fully healed, but the child can walk and stand.
The doctor mentioned to return for a follow-up in a month.
If the child is unwilling to walk, can we wait until the fracture is completely healed before practicing walking? Will this affect the muscle strength in the leg?

Xiao Qiang, 40~49 year old female. Ask Date: 2016/10/12

Dr. Li Yongheng reply Orthopedics


The healing period for a bone fracture in a three-year-old child is approximately three months.
If the child is unwilling to walk, it is acceptable to wait until complete healing before practicing walking, as this will not affect leg muscle strength.
Regular follow-up appointments and X-rays are necessary, and once the fracture has healed, the child can resume running and jumping as before.

Reply Date: 2016/10/12

More Info


When it comes to pediatric bone fractures, understanding the healing time and the necessary recovery period is crucial for both the child and their caregivers. In the case of a three-year-old child with a bone fracture, the healing time typically ranges from six to eight weeks, depending on various factors such as the type of fracture, the child's overall health, and how well the fracture is managed.
In general, pediatric bones heal faster than adult bones due to their higher metabolic rate and the presence of growth plates. For a child, a simple fracture may heal in about three weeks, while more complex fractures could take longer. In your case, since the doctor indicated that the fracture has not fully healed yet, it is essential to continue monitoring the situation closely.

After the fracture has healed, the child may need additional time to regain full strength and mobility. This period can vary, but typically, children can return to their usual activities, including running and jumping, within a few weeks to a couple of months after the fracture has healed. It is important to follow the doctor's advice regarding activity levels during this time.
If the child is reluctant to walk, it is generally advisable to allow them to wait until the fracture has completely healed before encouraging them to walk or run. This approach helps prevent any potential re-injury and ensures that the healing process is not disrupted. However, it is also essential to engage in gentle movements and exercises as recommended by the healthcare provider to maintain some level of muscle strength and flexibility.
Regarding concerns about muscle strength, it is common for children to experience some temporary weakness in the affected limb after a period of immobilization. However, with appropriate rehabilitation and gradual reintroduction to physical activities, the child should regain their strength and mobility. Engaging in physical therapy or guided exercises can be beneficial in this regard, as it helps to strengthen the muscles around the fracture site and improve overall function.

In summary, the healing time for a three-year-old with a bone fracture is typically around six to eight weeks, with additional recovery time needed to regain full activity levels. It is crucial to follow the doctor's recommendations, allow the child to heal completely before resuming high-impact activities, and consider gentle exercises to maintain muscle strength during the recovery period. Regular follow-ups with the healthcare provider will ensure that the healing process is on track and that the child can safely return to their normal activities.

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