When can I walk normally and ride a scooter?
I have a closed fracture of the navicular bone in my right ankle, and I am currently undergoing external fixation treatment.
On November 9, it will be exactly two months, and I have an outpatient appointment for surgery to remove the fixation.
Will I be able to walk normally after the removal?
Xiangqing, 30~39 year old female. Ask Date: 2017/11/01
Dr. Shi Guozheng reply Orthopedics
After having the pins removed, there may still be a little bit of pain.
Once the pain subsides, you can try walking a bit to see how it feels.
Reply Date: 2017/11/01
More Info
After undergoing ankle surgery for a navicular bone fracture, the timeline for returning to normal walking can vary significantly based on several factors, including the type of fracture, the surgical technique used, and your individual healing process. Generally, the recovery process involves several stages, and it is crucial to follow your orthopedic surgeon's advice closely.
Typically, after a fracture, the initial phase involves immobilization to allow the bone to heal properly. In your case, since you mentioned that you have been using an external fixator for two months, it is likely that your surgeon will evaluate the healing progress during your follow-up appointment on November 9. If the X-rays show that the bone has healed adequately, your surgeon may remove the fixator and allow you to start weight-bearing activities.
However, even after the removal of the external fixator, you may not be able to walk normally immediately. Here are some key points to consider:
1. Weight-Bearing Status: Your surgeon will likely provide specific instructions regarding weight-bearing. Initially, you may be advised to use crutches or a walker to assist with walking while gradually increasing the weight on your injured ankle. Full weight-bearing may take additional time, depending on your healing.
2. Rehabilitation: Physical therapy is often a critical component of recovery after ankle surgery. A physical therapist can help you regain strength, flexibility, and range of motion in your ankle. They will guide you through exercises that are appropriate for your stage of recovery. Typically, rehabilitation can begin shortly after the removal of the fixator, but the intensity and type of exercises will depend on your pain level and healing status.
3. Pain Management: It is normal to experience some discomfort as you begin to use your ankle again. Pain should not be severe, and if you experience significant pain, it may indicate that you are pushing too hard or that the healing process is not complete.
4. Gradual Progression: Expect to progress gradually. You may start with partial weight-bearing and then move to full weight-bearing as tolerated. Walking may initially be unsteady, and you might have a slight limp as your body adjusts to using the ankle again.
5. Follow-Up Appointments: Regular follow-ups with your orthopedic surgeon are essential. They will monitor your healing and provide guidance on when you can safely return to normal activities, including sports or high-impact exercises.
6. Long-Term Considerations: Even after you can walk without assistance, it may take several months before you feel completely back to normal. Factors such as age, overall health, and the severity of the injury can influence your recovery timeline.
In summary, while the removal of the external fixator is a significant milestone in your recovery, it does not necessarily mean you will be able to walk normally right away. Follow your surgeon's recommendations closely, engage in physical therapy, and be patient with your recovery process. If you have any concerns or experience unusual symptoms, do not hesitate to reach out to your healthcare provider for guidance.
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