A closed fracture of the calcaneus requires the use of a protective brace?
My husband has a bone fracture, and during his last follow-up appointment, the doctor mentioned that he is recovering quickly.
However, his ankle is still swollen, and his foot is experiencing edema.
Is it suitable for him to use an inflatable ankle brace? What is its purpose? When should it be used—during walking or while sleeping?
Miss Zheng, 50~59 year old female. Ask Date: 2016/10/16
Dr. Shi Guozheng reply Orthopedics
After a fracture, the bone that has not fully healed will be filled with blood vessels.
For the bone to heal properly, new blood vessels must grow, which will improve circulation.
Therefore, it will take some time for the swelling to subside.
An ankle brace can be worn during the day, but it is not necessary to wear it at night.
Reply Date: 2016/10/16
More Info
When dealing with calcaneal fractures, the recovery process can be quite complex, and the use of an air ankle brace can play a significant role in facilitating healing and providing support. Calcaneal fractures, which involve the heel bone, can lead to significant swelling and discomfort, as you've observed in your husband's case.
Air ankle braces, particularly inflatable models, are designed to provide compression and support to the injured area. They can help reduce swelling by applying gentle pressure, which can promote circulation and aid in the healing process. Additionally, these braces can stabilize the ankle joint, preventing excessive movement that could hinder recovery.
In terms of timing for using an air ankle brace, it is generally recommended to start using it once the initial acute phase of the injury has passed—typically after the first few days post-injury when swelling is at its peak. Your husband should consult with his orthopedic doctor to determine the appropriate time to begin using the brace, as this can vary based on the severity of the fracture and individual healing rates.
Regarding when to wear the brace, it is advisable for your husband to wear the air ankle brace during the day while he is walking or engaging in activities that require him to be on his feet. This will provide the necessary support and help manage swelling. However, when it comes to sleeping, the decision can depend on his comfort level and the advice of his healthcare provider. Some patients find it beneficial to wear the brace at night to maintain stability, while others may prefer to remove it to allow for more natural movement and comfort during sleep.
It is also important to note that while air ankle braces can be helpful, they should not be seen as a substitute for other rehabilitation methods. Physical therapy is often recommended to regain strength and mobility in the ankle and foot after a fracture. Your husband should work closely with his healthcare team to develop a comprehensive rehabilitation plan that includes exercises to improve range of motion and strength, as well as strategies to manage swelling.
In summary, using an air ankle brace can be beneficial for your husband's recovery from a calcaneal fracture. It is important to start using it at the right time, primarily during the day while walking, and potentially at night based on comfort and medical advice. Always consult with his orthopedic specialist to ensure that the use of the brace aligns with his recovery goals and overall treatment plan.
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