Post-Operative Care and Recovery Tips for Patellar Fracture Patients - Orthopedics

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Post-operative care and recovery for patients with a patellar fracture are crucial for ensuring proper healing and regaining function. Here are some comprehensive tips and recommendations based on your current situation, which is approximately 6-7 weeks post-surgery.


1. Walking and Swelling Management
You mentioned that you have been walking with crutches and that your knee has become more swollen after walking approximately 800 meters. It is common for swelling to occur after increased activity, especially in the early stages of recovery. Ice therapy is an effective method for managing swelling. You can continue to ice your knee for 15-20 minutes several times a day, especially after walking or any activity that increases swelling.
However, it is essential to listen to your body. If walking is causing significant swelling or discomfort, consider reducing the distance or frequency until your knee adjusts. Gradually increasing your activity level is key; aim for short walks and slowly build up as tolerated.

2. Knee Flexibility and Pain Management
You noted that you can bend your knee to 90 degrees but are experiencing tightness and mild pain in the patellar area. This tightness may be due to scar tissue formation or adhesions, which can occur after surgery. It is important to continue gentle range-of-motion exercises to prevent stiffness.
You can perform exercises such as:
- Heel slides: While lying down, slide your heel towards your buttocks, bending your knee as far as comfortable, and then slide it back out.

- Quadriceps sets: Sit with your leg straight and tighten the muscles on the top of your thigh, holding for a few seconds, then relax.

- Straight leg raises: While lying down, keep one leg straight and slowly lift it to the height of the opposite knee, then lower it back down.

If the tightness persists or worsens, it may be beneficial to consult with your orthopedic surgeon to rule out any complications.

3. When to Start Rehabilitation
You should consider starting formal rehabilitation as soon as you feel ready and your physician approves. Typically, physical therapy can begin around 6-8 weeks post-surgery, depending on your healing progress. A physical therapist can provide a tailored rehabilitation program that focuses on:
- Strengthening exercises for the quadriceps and hamstrings.

- Flexibility exercises to improve range of motion.

- Balance and proprioception training to help regain stability.


Additional Considerations
- Medication: Continue to take any anti-inflammatory medications as prescribed to help manage pain and swelling.

- Elevation: Keep your leg elevated when resting to help reduce swelling.

- Nutrition: Ensure you are consuming a balanced diet rich in protein, vitamins, and minerals, particularly calcium and vitamin D, to support bone healing.

- Follow-up Appointments: Regular follow-ups with your orthopedic surgeon are essential to monitor your recovery and make any necessary adjustments to your treatment plan.


Conclusion
In summary, continue to manage swelling with ice and elevation, engage in gentle range-of-motion exercises, and prepare to start rehabilitation as approved by your physician. Always communicate any concerns or changes in your symptoms to your healthcare provider. With proper care and adherence to your rehabilitation plan, you can expect a gradual return to normal function. Wishing you a smooth recovery!