Pelvic fracture
Hello, doctor.
It has been 21 days since I underwent open reduction and internal fixation surgery for a femoral fracture.
The doctor advised me to rest at home for 3 months for complete recovery.
Currently, I can only bend my knee to about 30 degrees, and I am unable to lift my foot.
How can I train my leg to regain normal function? Thank you.
LKK, 60~69 year old female. Ask Date: 2018/11/03
Dr. Wang Zhaomin reply Rehabilitation
If the range of motion in the joint is still only 30 degrees three weeks after surgery, rehabilitation therapy should begin, and simple joint mobility and strength training can be initiated independently.
However, since each individual's condition varies, it is essential to have a professional physician assess the situation on-site to arrange appropriate rehabilitation therapy and provide guidance for a home exercise plan.
It is recommended to visit a qualified medical facility's rehabilitation department for accurate information.
Reply Date: 2018/11/03
More Info
Recovering from a patella fracture surgery can be a challenging process, especially when you are experiencing limited range of motion and difficulty in lifting your leg. At 21 days post-surgery, it is crucial to follow a structured rehabilitation program to facilitate healing and restore function. Here are some rehabilitation tips that may help you in your recovery journey:
1. Follow Medical Advice
Always adhere to the recommendations of your orthopedic surgeon and physical therapist. They will provide personalized guidance based on your specific condition and recovery progress.
2. Gentle Range of Motion Exercises
Since you are currently limited to about 30 degrees of knee flexion, it is essential to start with gentle range of motion exercises. You can perform these exercises several times a day:
- Heel Slides: While lying down, slide your heel towards your buttocks, bending your knee as much as you can without pain. Hold for a few seconds and then slide back to the starting position.
- Quadriceps Sets: While sitting or lying down, tighten the muscles on the top of your thigh (quadriceps) and hold for 5-10 seconds. This helps maintain muscle strength and prevent atrophy.
3. Isometric Exercises
Isometric exercises can help strengthen the muscles around the knee without putting too much strain on the joint:
- Straight Leg Raises: While lying down, keep one leg straight and slowly lift it to the height of the opposite knee. Hold for a few seconds and lower it back down.
- Glute Squeezes: While lying down, squeeze your glute muscles and hold for a few seconds. This helps activate the muscles in your hips and buttocks.
4. Use of Assistive Devices
If you have difficulty walking or moving around, consider using crutches or a walker as recommended by your healthcare provider. This will help you maintain mobility while protecting your knee.
5. Physical Therapy
Engaging in physical therapy is crucial for your recovery. A physical therapist can provide you with a tailored rehabilitation program that includes:
- Manual Therapy: Techniques to improve joint mobility and reduce stiffness.
- Strengthening Exercises: Gradually increasing the intensity of exercises as your knee heals.
- Functional Training: Activities that mimic daily tasks to help you regain independence.
6. Cold Therapy
Applying ice packs to the knee can help reduce swelling and pain. Make sure to wrap the ice pack in a cloth and apply it for 15-20 minutes at a time, several times a day.
7. Hydration and Nutrition
Proper hydration and nutrition play a vital role in the healing process. Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly calcium and vitamin D, which are essential for bone health.
8. Patience and Consistency
Recovery from a patella fracture can take time, and it is essential to be patient with yourself. Consistency in your rehabilitation exercises will yield better results over time.
9. Monitor Pain and Swelling
Pay attention to your body’s signals. If you experience increased pain or swelling during or after exercises, it may be a sign to modify your approach or consult your healthcare provider.
10. Gradual Progression
As your knee begins to heal and your range of motion improves, your physical therapist will guide you in progressing to more challenging exercises, including weight-bearing activities and functional movements.
In conclusion, while the journey to recovery from a patella fracture surgery can be daunting, following a structured rehabilitation plan, staying in communication with your healthcare team, and being patient with your progress are key components to regaining full function of your knee. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.
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