Distal tibiofibular joint subluxation
The car accident resulted in a subluxation of the tibiofibular joint, and two steel pins have been placed for stabilization.
It has been six weeks since the injury, and ankle range of motion exercises have been ongoing.
When can I start putting weight on my foot? How long until I can fully bear weight? Additionally, my foot turns red immediately when placed vertically; when can I expect this issue to improve?
Liu, 10~19 year old female. Ask Date: 2017/03/23
Dr. Li Qinglong reply Surgery
Hello Mr.
Liu: Regarding the question you raised, it is recommended that you consult your attending physician or an orthopedic specialist.
Wishing you a speedy recovery.
The Ministry of Health and Welfare Hualien Hospital cares about you.
Reply Date: 2017/03/23
More Info
Recovering from an ankle joint subluxation after surgery can be a complex process, especially following a traumatic injury like a car accident that resulted in the placement of internal fixation devices such as steel pins. The timeline for recovery varies significantly based on several factors, including the severity of the injury, the type of surgical intervention, and the individual's overall health and adherence to rehabilitation protocols.
Typically, after surgery for an ankle joint subluxation, the initial recovery phase lasts about 6 to 12 weeks. During this period, the focus is on protecting the surgical site and allowing the bone and soft tissues to heal. Since you mentioned that you have already been performing ankle rotation exercises for six weeks, it indicates that you are likely in the early rehabilitation phase. At this stage, it is crucial to follow your orthopedic surgeon's recommendations regarding weight-bearing activities.
In general, the timeline for returning to full weight-bearing activities can be broken down as follows:
1. Weeks 0-6: During the first six weeks post-surgery, the focus is primarily on protecting the ankle. You may be advised to use crutches or a walking boot to avoid putting weight on the affected leg. Gentle range-of-motion exercises are encouraged, but weight-bearing is typically restricted.
2. Weeks 6-12: After six weeks, if your surgeon determines that the healing process is progressing well, you may begin to gradually introduce weight-bearing activities. This is often done in a controlled manner, starting with partial weight-bearing (using crutches or a walker) and progressing to full weight-bearing as tolerated. It's essential to listen to your body during this phase; if you experience significant pain or swelling, it may indicate that you are progressing too quickly.
3. Weeks 12 and beyond: By this time, many patients can start to engage in more functional activities, including walking without assistance. However, full recovery can take several months, and some individuals may require physical therapy to regain strength, stability, and range of motion in the ankle joint.
Regarding your concern about the redness when placing your foot flat on the ground, this could be a sign of several factors, including increased blood flow to the area as it adjusts to weight-bearing, inflammation, or even the presence of residual swelling. It is not uncommon for the foot to appear red or feel warm when you first start to place weight on it, especially if you have been non-weight-bearing for an extended period. However, if the redness persists or is accompanied by pain, swelling, or other concerning symptoms, it is crucial to consult your healthcare provider to rule out complications such as infection or improper healing.
In summary, while you are making progress with your rehabilitation, it is essential to be patient and allow your body the time it needs to heal properly. Follow your surgeon's guidance closely, and do not hesitate to reach out to them if you have any concerns about your recovery process. Engaging in physical therapy can also be beneficial, as a trained therapist can provide tailored exercises and strategies to help you regain strength and function in your ankle joint.
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