How long after the removal of the metal pins can one walk normally?
Hello, doctor.
I was in a car accident on October 25, which resulted in two fractures in the fifth metatarsal of my right foot and a comminuted fracture in the middle bone.
I underwent surgery in November to have a metal screw inserted.
However, since I am still a student and will be doing an internship at a factory in March, I am concerned.
If I have the screw removed in early February, will it be difficult to rehabilitate and walk normally within a month? Is there a high risk of long-term complications?
Guo Xiaojie, 20~29 year old female. Ask Date: 2018/01/07
Dr. Shi Guozheng reply Orthopedics
After the removal of the metal screws from a foot fracture, it should be possible to bear weight and walk without any sequelae after one month.
Reply Date: 2018/01/07
More Info
After undergoing surgery to repair fractures in the fifth metatarsal of your right foot, the timeline for returning to normal walking can vary significantly based on several factors, including the severity of the injury, the type of surgical intervention, and your individual healing process. Generally, after the removal of pins or screws, most patients can expect to gradually return to normal walking within a few weeks to a couple of months, provided that the healing process has been progressing well.
In your case, since you had surgery in November and are planning to have the pins removed in early February, you will likely need to allow some time for rehabilitation after the removal. Typically, the initial healing phase after surgery can take around 6 to 8 weeks, during which time the bone begins to mend. After the pins are removed, you may experience some discomfort or stiffness, which is normal as the body adjusts and continues to heal.
Physical therapy is crucial during this recovery phase. It is recommended to start rehabilitation exercises as soon as your doctor gives you the green light post-pin removal. This rehabilitation process usually lasts about 4 to 6 weeks, during which you will work on regaining strength, flexibility, and range of motion in your foot. The goal of physical therapy is to help you return to your pre-injury level of activity and to minimize the risk of long-term complications, such as stiffness or weakness.
Regarding your concern about potential long-term effects, it is essential to follow your doctor's advice closely and adhere to the rehabilitation program. While some patients may experience lingering discomfort or weakness after such injuries, many can return to their normal activities without significant issues. Factors that can influence your recovery include your age, overall health, adherence to rehabilitation exercises, and the extent of the injury.
If you are planning to start an internship in early March, it is advisable to discuss your timeline and concerns with your orthopedic surgeon. They can provide a more personalized assessment based on your specific situation and healing progress. If you are diligent with your rehabilitation and follow medical advice, it is possible to achieve a functional level of walking by the time your internship begins. However, be prepared for the possibility that you may need to use supportive devices like crutches or a walking boot initially, depending on how your recovery progresses.
In summary, while you may be able to walk normally within a month after pin removal, the success of this timeline largely depends on your individual healing and rehabilitation efforts. Regular follow-ups with your healthcare provider and a commitment to your recovery plan will be key to minimizing any long-term complications and ensuring a smooth transition back to your daily activities.
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