Recovery from Right Leg Ankle and Tibia Fractures

Fracture of the right ankle and right tibia?

Dear Doctor,
Thank you for taking the time to respond to my questions despite your busy schedule.
I underwent surgery on July 27, 2017, for a fracture of the right ankle and right tibia, where steel pins were inserted to stabilize the area.
Since then, I have been using a foot brace and crutches to avoid putting weight on my right leg, hoping for a quick recovery.
After my follow-up appointment in early October, the doctor reviewed my X-rays and said I could remove the foot brace and crutches.
I was very happy to walk normally again; however, I noticed a soreness in my right leg while walking.
I thought this was a normal reaction since I hadn’t put weight on it for three months.
However, feeling uneasy, I went to another orthopedic clinic for an X-ray and discovered that there is still a crack in the tibia, although there are signs of gradual healing.
Therefore, I started practicing walking without crutches.
I have a few questions for you:
1.
Is it normal for my foot to still hurt if I walk for too long without crutches?
2.
After sitting or walking throughout the day, my right foot swells up significantly.
How long will it take for the swelling to subside?
3.
Will the crack in my tibia worsen or fail to heal if I put weight on it while walking?
Thank you for your assistance with these questions.

Xiao Mi, 30~39 year old female. Ask Date: 2017/10/30

Dr. Chen Yongxue reply Orthopedics

Hello,
1.
It is normal to experience soreness when bearing weight in the early stages of a fracture, but it is important to ensure that the metal pins are securely in place.

2.
For initial swelling, elevate the affected limb or use an elastic bandage or ankle brace to reduce swelling.
As mobility gradually improves, the swelling will also subside.

3.
The fracture line should disappear on X-rays; in adult patients, this may take a significant amount of time (up to six months).
If follow-up shows improvement, there is no need to worry, as healing will continue.

Thank you.

Reply Date: 2017/10/30

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding your recovery from the right leg ankle and tibia fractures. It’s great to hear that you are making progress after your surgery, but I understand that you still have some worries about your recovery process. Let’s address your questions one by one.

1. Is it normal to experience pain when walking without crutches?
Yes, it is quite common to experience some discomfort or pain when you start walking again after a period of immobilization. Your body has been in a state of rest for an extended time, and the muscles, ligaments, and joints need to readjust to the load and activity. This discomfort is often a sign that your body is adapting to the new demands placed on it. However, if the pain is severe or worsening, it’s important to consult your healthcare provider to rule out any complications.

2. How long will the swelling last?
Swelling is a normal part of the healing process, especially after a fracture. It can take several weeks to months for the swelling to subside completely. Factors such as activity level, elevation of the leg, and the extent of the injury can influence the duration of swelling. To help reduce swelling, you can try elevating your leg when resting, applying ice packs, and avoiding prolonged periods of standing or walking. If the swelling persists or increases, it would be wise to consult your doctor.

3. Will the crack in the bone worsen with activity?
It’s crucial to be cautious with your activity level as you recover. If there is still a visible crack in the bone, excessive weight-bearing activities could potentially lead to further injury or delay the healing process. It’s important to follow your doctor’s recommendations regarding activity restrictions. Gradually increasing your activity level while paying attention to your body’s signals is key. If you experience significant pain or swelling after walking, it may indicate that you are pushing yourself too hard.

In addition to addressing your specific questions, I want to emphasize the importance of a structured rehabilitation program. Physical therapy can be incredibly beneficial in helping you regain strength, flexibility, and function in your leg. A physical therapist can provide you with exercises tailored to your recovery stage and help you progress safely.

Furthermore, maintaining a healthy diet rich in calcium and vitamin D can support bone healing. Staying hydrated and managing your overall health will also contribute positively to your recovery.

Lastly, it’s essential to keep regular follow-up appointments with your orthopedic surgeon. They can monitor your healing through X-rays and adjust your treatment plan as necessary. If you have any concerns about your recovery or if new symptoms arise, don’t hesitate to reach out to your healthcare provider.

Wishing you a smooth and speedy recovery. Take care of yourself, and remember that healing takes time.

Best regards.

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