Fibula fracture from a car accident?
Doctor, I was involved in a motorcycle accident on February 2nd of this year, and I was diagnosed with a fracture of the distal fibula.
I underwent surgery that afternoon and had a self-funded plate inserted.
I also have a pneumatic boot for the fracture.
On February 4th, the doctor advised me to wear the pneumatic boot and to try walking without any walking aids.
Is this really okay? I am very scared.
Additionally, I was discharged on February 7th, but I occasionally feel a slight stabbing pain at the surgical site, and there is a sensation of swelling and pain around the affected area.
Is there any cause for concern regarding this?
Hui, 30~39 year old female. Ask Date: 2020/02/07
Dr. Zhan Xian reply Orthopedics
Hello, I believe your attending physician is very confident about the fixation.
Indeed, if the fixation is secure, you can walk with an air-cushioned brace.
It is recommended not to walk too much during the first month to prevent swelling and discomfort at the wound site.
Regular follow-up appointments are necessary to monitor the healing progress of the fracture.
Reply Date: 2020/02/07
More Info
I'm sorry to hear about your motorcycle accident and the subsequent fibula fracture. It's understandable to feel anxious about your recovery, especially after undergoing surgery. Let's break down your concerns regarding your recovery and provide some guidance.
Recovery After Fibula Fracture
1. Weight-Bearing and Mobility: After a fibula fracture, especially one that has been surgically treated with a plate, your doctor may recommend early weight-bearing activities. This is often done to promote healing and maintain joint mobility. The use of a walking boot or air-cushioned shoe is common, as it provides support while allowing you to gradually put weight on the injured leg. However, it's crucial to follow your doctor's specific instructions regarding the timing and extent of weight-bearing activities. If you feel significant pain or discomfort while walking, it's essential to communicate this to your healthcare provider.
2. Post-Surgical Pain and Swelling: Experiencing mild pain or a "tingling" sensation around the surgical site is not uncommon in the early stages of recovery. This can be due to nerve irritation, swelling, or the healing process itself. However, if the pain becomes severe or is accompanied by other symptoms such as increased swelling, redness, or discharge from the wound, you should seek medical attention. It's also important to keep the surgical site clean and dry to prevent infection.
3. Physical Therapy: Engaging in physical therapy is crucial for your recovery. A physical therapist can design a rehabilitation program tailored to your needs, focusing on restoring strength, flexibility, and range of motion in your ankle and leg. They will guide you through exercises that are safe and effective for your specific condition.
4. Pain Management: Managing pain is an essential part of recovery. Over-the-counter pain relievers, as recommended by your doctor, can help alleviate discomfort. If you find that your pain is not well-controlled, discuss this with your healthcare provider, as they may need to adjust your pain management plan.
5. Monitoring Recovery: Regular follow-up appointments with your orthopedic surgeon are vital to monitor the healing process. They may perform X-rays to ensure that the bone is healing correctly and that there are no complications. If you notice any unusual symptoms, such as increased pain, swelling, or changes in sensation, report these to your doctor promptly.
6. Gradual Return to Activities: As you recover, it's important to gradually return to your normal activities. Avoid high-impact activities or sports until your doctor gives you the green light. Listen to your body and don't rush the healing process; it's better to take your time and ensure a complete recovery.
Conclusion
In summary, while it can be daunting to start walking again after a fibula fracture, following your doctor's advice and gradually increasing your activity level is essential for recovery. Pay attention to your body's signals, and don't hesitate to reach out to your healthcare provider with any concerns. With proper care and rehabilitation, you can expect to regain strength and mobility in your leg. Remember, recovery is a journey, and it's important to be patient with yourself as you heal.
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