External Rotation After Tibia and Fibula Fractures - Orthopedics

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After experiencing tibia and fibula fractures, it is understandable to have concerns regarding the alignment and functionality of your leg, especially when you notice external rotation or a "duck-footed" appearance. This situation can arise due to several factors related to the healing process and the nature of the fractures.

Firstly, the external rotation of your foot may not necessarily indicate that the bones did not heal properly. After a fracture, especially in the tibia and fibula, the surrounding muscles, ligaments, and tendons can also influence the position of the foot. If the fractures were stable and properly aligned during surgery, the external rotation could be a result of muscle imbalances or compensatory mechanisms as your body adapts to the injury and recovery process.

Regarding your concern about whether the foot can be corrected after the fractures heal, the answer is generally yes. Once the bones have healed, physical therapy can play a crucial role in restoring proper alignment and function. A physical therapist can provide targeted exercises to strengthen the muscles around the ankle and improve range of motion. These exercises may include stretching and strengthening the calf muscles, as well as mobilization techniques to improve ankle flexibility.

It is also important to address the stiffness in your ankle joint. After immobilization, it is common for joints to become stiff, which can hinder movement. Gentle range-of-motion exercises, as advised by your physician, are essential to regain flexibility. If you find it difficult to perform these movements due to pain or stiffness, consider discussing this with your healthcare provider. They may recommend modalities such as ultrasound therapy, electrical stimulation, or even manual therapy techniques to help alleviate stiffness and improve mobility.

In terms of the external rotation, it is crucial to follow your doctor's advice regarding movement. While it may feel uncomfortable, moving your foot up and down (dorsiflexion and plantarflexion) is essential for maintaining circulation and preventing stiffness. If you are experiencing significant pain or difficulty, it is advisable to communicate this with your healthcare provider. They may adjust your rehabilitation plan or provide additional interventions to facilitate your recovery.

Lastly, as you progress through your rehabilitation, keep in mind that patience is key. Healing from fractures takes time, and the body often requires several weeks to months to fully recover. Regular follow-ups with your orthopedic surgeon will help monitor the healing process and ensure that any necessary adjustments to your treatment plan can be made.

In summary, while the external rotation of your foot may be concerning, it is not uncommon after tibia and fibula fractures. With appropriate rehabilitation and guidance from your healthcare team, it is likely that you can achieve a more normal alignment and regain full function of your ankle and foot. Always prioritize open communication with your medical team to address any concerns and to ensure you are on the right path to recovery.