Post-Surgery Swelling and Pain After Femur Fracture Repair - Orthopedics

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After undergoing surgery for a femur fracture and the subsequent removal of screws, it is not uncommon to experience swelling and discomfort in the knee area. The symptoms you describe, particularly the hard lump on the inner side of your knee that becomes more pronounced with bending, can be concerning, but they are not unusual in the context of post-surgical recovery.

Firstly, it's important to understand that swelling after surgery is a normal part of the healing process. When tissues are cut or manipulated during surgery, inflammation occurs as part of the body’s natural response to injury. This inflammation can lead to swelling, which may feel firm or hard to the touch. The lump you are feeling could be a combination of swelling, scar tissue formation, or even a hematoma (a localized collection of blood outside of blood vessels) that has not yet resolved.

The fact that the swelling has not decreased after four days of ice and heat treatment is something to monitor closely. While ice can help reduce swelling and numb pain, heat can promote blood flow and healing. However, if the swelling persists or worsens, it may indicate that the body is still in the inflammatory phase of healing, or there could be other underlying issues that need to be addressed.

It is also worth noting that the inability to bend your knee fully could be due to several factors, including swelling, pain, or stiffness from immobility. After surgery, it is crucial to gradually regain range of motion through physical therapy and gentle exercises, as prolonged immobility can lead to stiffness and decreased function.

Given that your surgeon was uncertain about the nature of the lump, it would be prudent to seek a second opinion or follow up with a physical therapist or another orthopedic specialist. They can perform a physical examination and possibly imaging studies, such as an ultrasound or MRI, to determine the exact nature of the swelling and to rule out any complications, such as infection or significant hematoma.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Rest and Elevation: Keep your leg elevated as much as possible to help reduce swelling. This can be done by propping your leg up on pillows while sitting or lying down.

2. Gentle Range of Motion Exercises: Engage in gentle exercises as advised by your healthcare provider or physical therapist. This can help maintain flexibility and prevent stiffness.

3. Compression: Consider using a compression bandage or wrap around the knee to help control swelling. Be cautious not to wrap it too tightly, as this can impede circulation.

4. Pain Management: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. Always consult with your doctor before starting any new medication.

5. Follow-Up Care: Keep your follow-up appointments and communicate any changes in your symptoms to your healthcare provider. If the lump continues to grow or if you experience increased pain, redness, or warmth in the area, seek medical attention promptly.

In conclusion, while some swelling and discomfort are expected after surgery, persistent or worsening symptoms warrant further evaluation. Your health and recovery are paramount, so do not hesitate to advocate for yourself and seek additional medical advice if needed.