Returning to Work After Patellar Fracture: Is Two Months Enough? - Orthopedics

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Can I return to work 2 months after a comminuted fracture of the patella?


I was in a car accident on December 2nd of last year, resulting in a comminuted fracture of my left patella and a fractured right clavicle.
I underwent surgery on December 3rd (the left patella was shattered into four pieces).
The stitches were removed on December 12th, and by December 26th, I was able to bend my leg to 45 degrees and was fitted with a knee brace.
On January 16th, I could bend my leg to 90 degrees and performed leg raises, 50 repetitions each morning and evening.
My right clavicle fracture has healed, and I started using crutches.
The doctor mentioned that my next appointment on February 6th would be the last one, and after that, I wouldn't need to see the rehabilitation department.
I am to return for a follow-up in a year and can start working and attending classes normally (I am currently a junior working at 7-11).
With just one week left until my final appointment, I am concerned that transitioning to normal walking for work and classes on February 6th might be too soon, despite my daily leg exercises.

Kdd, 20~29 year old female. Ask Date: 2018/01/29

Dr. Chen Yongxue reply Orthopedics


Generally, the initial healing of a fracture takes about six weeks to return to normal daily activities, and most individuals can resume exercise after three months.
The letter mentions that the patella is fractured into four pieces (which is actually not too severe and not considered particularly shattered).
After surgery, the patella can bear weight, but it is important to avoid bending and actively straightening (including straightening while suspended) during the initial phase.
If you understand how to care for it, you may not even need to use crutches.
As a student, you only need to excuse yourself from physical education classes.
Attending regular classes will not negatively impact the fracture.
Thank you.

Reply Date: 2018/01/29

More Info


Returning to work after a patellar fracture, especially one as severe as a comminuted fracture, requires careful consideration of your recovery progress and the demands of your job. Based on your description, you underwent surgery for a left patellar fracture and a right clavicle fracture, with a significant recovery process that included immobilization and gradual rehabilitation.
Typically, the recovery timeline for a patellar fracture can vary significantly depending on the severity of the fracture, the surgical technique used, and individual healing rates. In your case, since you had a comminuted fracture, it is essential to ensure that the bone has healed adequately before returning to work, especially if your job involves physical activity.

From your timeline, it appears that you had surgery on December 3rd, and by February 6th, you will have had approximately two months of recovery. During this time, you have made progress with your range of motion and strength, which is promising. However, returning to work just two months post-surgery may still be ambitious, depending on the physical demands of your job at 7-11.

Here are some considerations regarding your return to work:
1. Healing Time: Generally, for a patellar fracture, full healing can take anywhere from 3 to 6 months, depending on the fracture's complexity and your adherence to rehabilitation protocols. While you may feel ready to return, it is crucial to ensure that the fracture site has healed sufficiently to bear weight and withstand the physical demands of your job.

2. Physical Demands of Your Job: If your role involves standing for long periods, lifting, or other physical activities, you may need more time to recover fully. Even if you can walk without pain, the stress of lifting or moving around could exacerbate your injury if you are not fully healed.

3. Rehabilitation: Continuing your rehabilitation exercises is vital. If you have not already, consider consulting with a physical therapist who can provide a tailored rehabilitation program to strengthen your knee and improve your range of motion. They can also assess your readiness to return to work.

4. Pain and Discomfort: Pay attention to any pain or discomfort you experience during your rehabilitation exercises or daily activities. If you find that certain movements cause pain, it may indicate that you are not yet ready to return to work.

5. Consult Your Doctor: Before making any decisions about returning to work, it is essential to discuss your concerns with your orthopedic surgeon or healthcare provider. They can provide you with a more accurate assessment of your healing progress and whether it is safe for you to resume work.

In conclusion, while two months may seem like a sufficient recovery period, it is crucial to consider your specific situation, the nature of your job, and the advice of your healthcare providers. If you feel uncertain, it may be beneficial to extend your recovery period to ensure that you do not risk re-injury or prolong your recovery. Your health and safety should always come first.

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