Leg Fractures from Car Accidents: Recovery and Care Tips

Fractured leg due to a car accident?

Hello, doctor.
I recently had a car accident that resulted in fractures in both of my legs, and they have been placed in casts.
Since both my ankles and knees are fractured, the casts extend from the soles of my feet up to my thighs, leaving only my toes exposed (both legs are the same).
I would like to ask you a few questions: Is it necessary for me to use a wheelchair? Can I use crutches to walk around the house? If my toes feel uncomfortable, is it okay to massage them? Additionally, is having the entire leg in a cast considered serious? Also, why do people with leg fractures have to wear a walking boot? What would happen if I don't wear one? Thank you for taking the time to answer my questions.

Jiesika, 10~19 year old female. Ask Date: 2017/04/30

Dr. Shi Guozheng reply Orthopedics

1.
If you don't use a wheelchair, are you able to walk or stand? The fractured area hasn't healed yet, so it shouldn't be compressed.

2.
You can try using crutches.

3.
Massage is an option.

4.
Avoid wearing slippery shoes.

Reply Date: 2017/04/30

More Info

I'm sorry to hear about your recent car accident and the resulting leg fractures. It's understandable to have many questions regarding your recovery and care. Let's address your concerns one by one.

Firstly, regarding the use of a wheelchair: Yes, using a wheelchair is often recommended for individuals with significant leg fractures, especially when both legs are affected. This helps to prevent further injury and allows for easier mobility during the healing process. If you find it difficult to move around, a wheelchair can provide the necessary support and stability.

As for using crutches at home, it is possible, but it depends on your doctor's recommendations and your ability to bear weight on your legs. If your doctor has advised you to avoid putting weight on your legs, then using crutches may not be appropriate until you receive clearance. Always follow your healthcare provider's advice regarding weight-bearing activities.

Regarding the discomfort in your toes, gentle massage can be beneficial, but it should be done with caution. If the toes are swollen or painful, it's best to consult your doctor before attempting any massage. They can provide guidance on whether it's safe to do so and how to proceed without risking further injury.

Having your entire leg in a cast can be considered a serious injury, especially if both the ankle and knee are fractured. The severity of the injury often dictates the type of treatment required, and a cast is typically used to immobilize the area to promote healing. The length of time you will need to wear the cast will depend on the specific nature of your fractures and how well they heal.

As for wearing a cast shoe, it is highly recommended. A cast shoe is designed to provide support and protection to the cast while allowing for some mobility. If you do not wear a cast shoe, you risk damaging the cast, which can compromise its effectiveness in immobilizing the fracture. Additionally, walking without proper footwear can lead to slips and falls, further injuring yourself.

In terms of recovery, it's essential to follow your doctor's instructions closely. This includes attending all follow-up appointments, adhering to weight-bearing restrictions, and engaging in any prescribed physical therapy once your doctor deems it appropriate. Nutrition also plays a crucial role in recovery; ensure you are consuming a balanced diet rich in calcium and vitamin D to support bone healing.

Lastly, be patient with yourself during this recovery process. Healing from fractures can take time, and it's essential to allow your body the necessary time to heal properly. If you have any concerns about your recovery or experience any unusual symptoms, do not hesitate to reach out to your healthcare provider for advice.

Wishing you a smooth recovery and a return to full mobility soon!

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