Fibula Fractures: Healing Time and Training Recovery - Orthopedics

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Fibular fracture


Due to a sprain while practicing under high-intensity conditions, I sustained a fibular fracture.
The next day, I had a cast applied, and the doctor said it would need to stay on for six weeks.
However, it has only been one week, and I have already removed the cast.
I can walk, but the area of the fracture feels a bit tight and sore, though not painful.
I would like to know how long it will take for the bone to heal, when I can resume normal training, and whether removing the cast early will affect the bone.

Li Xiansheng, 20~29 year old female. Ask Date: 2017/10/14

Dr. Li Yongheng reply Orthopedics


Hello, a fibula fracture generally requires plaster immobilization and the use of crutches for 4-6 weeks.
If the cast is removed after just one week and normal walking is attempted, there is a risk of the fracture displacing and turning into a complete fracture.
If you insist on not using a cast, at least use bilateral crutches and avoid putting weight on the affected limb for at least 3 weeks for safety.
Generally, bone healing takes about three months, and normal training can resume in six months.
Wishing you a speedy recovery.

Reply Date: 2017/10/14

More Info


Fibula fractures, particularly those that are non-displaced or stable, can often heal well with appropriate management. In your case, it sounds like you sustained a fibula fracture due to a high-intensity sports activity. The treatment protocol you received, which included the application of a cast for immobilization, is standard practice. Typically, a fibula fracture may take about 6 to 8 weeks to heal, depending on various factors such as the type of fracture, your age, overall health, and adherence to rehabilitation protocols.

Since you mentioned that you removed the cast after just one week, it is crucial to understand the potential implications of this decision. Removing the cast prematurely can lead to complications, such as the risk of the fracture displacing or not healing properly. The tightness and soreness you are experiencing while walking may indicate that the fracture site is still healing and that the surrounding muscles and soft tissues may be stiff or weak due to immobilization.

In general, the healing process for a fibula fracture can be broken down into several stages:
1. Inflammatory Phase (0-1 week): This phase begins immediately after the injury and involves swelling and pain. The body starts to form a blood clot at the fracture site.

2. Reparative Phase (1-6 weeks): During this phase, the body begins to lay down new bone tissue. A soft callus forms around the fracture, which will eventually harden into a bony callus.

3. Remodeling Phase (6 weeks and beyond): This phase can last for several months to years, where the bone continues to strengthen and reshape itself based on the stresses placed upon it.

Given that you have removed the cast after one week, it is advisable to be cautious. You should avoid putting weight on the injured leg and consider using crutches or a walker to assist with mobility. It is essential to allow the fracture to heal adequately before resuming normal activities or training. Generally, you may expect to start light weight-bearing activities around 4 to 6 weeks post-injury, but this should be guided by your healthcare provider.

As for your question about when you can return to normal training, this will depend on how well your fracture heals. Typically, full recovery and return to high-impact sports can take anywhere from 3 to 6 months. Engaging in physical therapy during the recovery process is highly beneficial. A physical therapist can help you with exercises to improve strength, flexibility, and range of motion, which are crucial for a safe return to sports.

In summary, while it is possible to heal from a fibula fracture and return to normal activities, it is vital to follow your doctor's recommendations regarding immobilization and rehabilitation. If you experience increased pain, swelling, or instability in the area, it is crucial to seek medical advice promptly. Always prioritize your healing process to prevent long-term complications.

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