Post-Surgery Concerns for Tibia and Calcaneus Fractures - Orthopedics

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After undergoing surgery for tibia and calcaneus fractures, it is common to have various concerns regarding recovery and rehabilitation. Let's address your questions one by one, providing insights based on medical knowledge and experience.

1. Is a small depression (about 5 cm) normal after surgery on the tibia?
It is not uncommon to observe some irregularities in the contour of the leg following surgery, especially if there was significant trauma or if the surgery involved extensive manipulation of the bone. A small depression may be a result of soft tissue changes, swelling, or even bone healing processes. However, if the depression is significant or accompanied by other symptoms such as increased pain, redness, or drainage, it is essential to consult your orthopedic surgeon for a thorough evaluation. They may perform imaging studies to ensure that the bone is healing correctly and that there are no complications such as infection or non-union.

2. Is limited range of motion in the ankle normal?
Yes, limited range of motion in the ankle post-surgery is quite common. After a fracture, the surrounding muscles and ligaments may become stiff due to immobilization and disuse. Additionally, swelling can further restrict movement. Physical therapy is typically recommended to gradually restore range of motion and strength. It is crucial to follow your rehabilitation program as prescribed by your healthcare provider, which may include exercises to improve flexibility and strength in the ankle.

3. What can be done about redness, swelling, and pain when walking?
Experiencing redness, swelling, and pain after walking a short distance can be indicative of several factors, including inflammation, overuse, or inadequate healing. Here are some strategies to help manage these symptoms:
- Rest and Elevation: Ensure you are giving your leg adequate rest and elevating it when possible to reduce swelling.

- Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb pain. Use ice packs for 15-20 minutes several times a day.

- Compression: Using a compression bandage can help control swelling.

- Gradual Increase in Activity: Avoid pushing yourself too hard. Gradually increase your walking distance and intensity as tolerated.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. Always consult your doctor before taking any medication.

- Physical Therapy: Engaging in a structured physical therapy program can significantly aid in recovery and help address pain and swelling through targeted exercises.

4. Is post-surgery fusion surgery necessary?
The necessity for fusion surgery after an initial fracture repair depends on various factors, including the type of fracture, the stability of the initial repair, and the healing progress. Fusion surgery may be indicated if there is a non-union (the bone does not heal properly) or if there is significant instability in the joint that could lead to further complications. Your orthopedic surgeon will monitor your healing through follow-up appointments and imaging studies to determine if fusion is necessary. It is essential to have open communication with your healthcare provider about your recovery and any concerns you may have regarding the need for additional procedures.

In conclusion, while some post-surgical symptoms are normal, it is crucial to monitor your recovery closely and maintain regular follow-ups with your healthcare provider. They can provide personalized advice and interventions to ensure optimal healing and recovery. Remember, rehabilitation is a gradual process, and patience is key to regaining full function and mobility.