Due to a car accident, the right thigh suffered a closed fracture, splitting into two parts?
Due to a car accident, I suffered a closed fracture of my femur, which was split into two parts.
I later underwent surgery to implant a steel plate and screws.
After the surgery, the doctor advised me not to put weight on my right leg for three months.
Since the surgery, my leg has been in a straight position, and now, after about three weeks, I can only bend it to approximately 90 to 100 degrees.
Recently, I accidentally slipped in the bathroom and almost fell, causing my right leg to unintentionally support my weight on the floor.
As a result, I noticed a decrease in my bending angle, and it doesn't bend as much as it did before the slip.
When I stretch it out and rest for a while, the angle seems to decrease again.
Is this related? What can I do to bend it back to a normal angle as quickly as possible? I would appreciate your guidance, and I apologize for the inconvenience.
Dada, 10~19 year old female. Ask Date: 2016/11/30
Dr. Wang Shouji reply Orthopedics
Hello: First, it is important to determine whether the fixation after a fracture surgery is stable.
If it is stable, joint mobilization should be permissible.
Early mobilization can help reduce the risk of joint stiffness as a complication.
It is essential to confirm the stability of the fracture fixation before deciding whether to initiate early joint mobilization training.
Thank you!
Reply Date: 2016/11/30
More Info
Recovering from a severe thigh fracture, especially one that involves surgical intervention with plates and screws, can be a challenging process. It’s crucial to follow your physician's advice closely, as they understand the specifics of your injury and recovery plan. Here are some tips and insights to help you regain mobility and improve your recovery.
Understanding Your Current Situation
After a closed fracture of the femur, especially one that has been surgically treated, it is common to experience stiffness and limited range of motion in the knee and hip joints. The fact that you have been advised not to put weight on your leg for three months is a standard precaution to allow the bone to heal properly. However, this can lead to muscle atrophy and joint stiffness, which may explain the difficulty you are experiencing in bending your knee.
Importance of Rehabilitation
1. Physical Therapy: Engaging in a structured physical therapy program is essential. A physical therapist can provide you with specific exercises tailored to your recovery stage. They will focus on gentle range-of-motion exercises to gradually increase your knee flexion and extension.
2. Range of Motion Exercises: Start with passive range-of-motion exercises, where you or a therapist gently move your knee through its range without putting weight on it. As you progress, you can move to active range-of-motion exercises, where you attempt to bend and straighten your knee on your own.
3. Strengthening Exercises: Once you have regained some range of motion, your therapist will introduce strengthening exercises for the quadriceps and hamstrings. Strengthening these muscles is crucial for supporting the knee and improving overall mobility.
Addressing Stiffness and Pain
1. Heat and Cold Therapy: Applying heat before exercises can help relax the muscles and improve blood flow, making it easier to move your knee. Cold therapy afterward can help reduce any swelling or pain.
2. Avoiding Overexertion: If you experience pain or a decrease in your range of motion after an activity, it may be a sign that you are overdoing it. It’s important to listen to your body and not push through pain, as this can lead to further complications.
3. Gradual Progression: As you regain strength and flexibility, gradually increase the intensity and duration of your exercises. This gradual approach helps prevent re-injury and promotes healing.
Nutrition and Healing
Proper nutrition plays a vital role in recovery. Ensure you are consuming a balanced diet rich in:
- Protein: Essential for muscle repair and recovery.
- Calcium and Vitamin D: Important for bone health. Foods like dairy products, leafy greens, and fortified foods can help.
- Hydration: Staying well-hydrated is crucial for overall health and recovery.
Monitoring Your Progress
Keep track of your progress and communicate regularly with your healthcare provider. If you notice any significant changes, such as increased pain, swelling, or a decrease in mobility, it’s important to report these to your doctor. They may recommend imaging studies, such as X-rays or MRIs, to assess the healing process and check for any complications.
Conclusion
Recovering from a severe thigh fracture is a gradual process that requires patience and dedication. By following your rehabilitation plan, engaging in physical therapy, and maintaining a healthy diet, you can improve your mobility and regain strength in your leg. Always consult with your healthcare provider before making any changes to your recovery plan, and don’t hesitate to ask for help when needed. Your commitment to your recovery will ultimately lead to better outcomes and a return to your normal activities.
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