Postoperative care after tibial plateau surgery?
Hello Doctor, I was involved in a car accident on July 3rd this year.
At the time of the accident, my leg was in a vertical position.
I was taken to the emergency room where X-rays diagnosed me with a torn anterior cruciate ligament (ACL) and a tibial plateau fracture in my right knee.
I underwent arthroscopic reduction and internal fixation with screws.
Currently, it has been one month post-surgery.
The doctor advised me to start practicing bending my knee to 90 degrees within a month after surgery.
I have reached 60 degrees so far, but the area around my knee is still swollen and painful (the doctor prescribed a topical medication, but after using it for over a week, I feel the effect is not very noticeable, and the swelling has not decreased at all).
1.
Should I apply heat or ice?
2.
How long will it take before I can start riding a motorcycle?
3.
I am 18 years old; what is the likelihood of experiencing long-term complications affecting my future activities?
Niming, 10~19 year old female. Ask Date: 2020/08/08
Dr. Shi Guozheng reply Orthopedics
1.
If there is swelling and heat, you can apply ice.
If the swelling is not severe but the joint is very stiff and cannot bend, then you can apply heat before attempting to bend the joint.
2.
Bone healing occurs after approximately three months.
3.
You can regain a certain level of function, but it is unlikely to be the same as before the injury.
This also depends on the extent of your rehabilitation and the severity of the fracture.
Reply Date: 2020/08/08
More Info
Post-surgery recovery from a tibial plateau fracture can be a challenging journey, but with the right approach, you can optimize your healing process. Here are some tips and insights based on your situation and general medical knowledge.
1. Ice vs. Heat Therapy: After surgery, the initial phase of recovery typically involves managing swelling and pain. Ice therapy is generally recommended for the first 48 to 72 hours post-surgery. Applying ice can help reduce swelling and numb the area, providing pain relief. You should apply ice for 15-20 minutes every hour as needed. After the initial swelling has decreased, heat therapy can be beneficial to promote blood flow and relax the muscles around the knee. However, always consult your physician or physical therapist for personalized advice, as individual responses to heat and cold can vary.
2. Returning to Activities: Regarding your question about when you can start riding a motorcycle, this largely depends on your healing progress and your doctor's recommendations. Generally, you should wait until you have regained sufficient strength, range of motion, and stability in your knee. Since you are currently at 60 degrees of flexion, and your goal is to reach 90 degrees, it’s essential to focus on your rehabilitation exercises. Most patients can expect to return to light activities, including riding a motorcycle, within 8 to 12 weeks post-surgery, but this can vary significantly based on individual recovery rates.
3. Long-term Outcomes and Risks: At 18 years old, your body has a remarkable ability to heal, and younger patients often have better outcomes after orthopedic surgeries. However, the risk of long-term complications, such as post-traumatic arthritis, can increase depending on the severity of the fracture and the quality of the surgical repair. Engaging in proper rehabilitation, maintaining a healthy lifestyle, and following your doctor's advice can significantly reduce the risk of future issues. Regular follow-ups with your orthopedic surgeon will help monitor your recovery and address any concerns.
4. Rehabilitation Exercises: Focus on a structured rehabilitation program that includes range-of-motion exercises, strengthening exercises, and balance training. Physical therapy is crucial in this phase. Your therapist can guide you through exercises tailored to your specific needs, helping you gradually improve your knee flexion and strength. Consistency is key; even if progress feels slow, regular practice will yield results.
5. Managing Swelling and Pain: If you continue to experience swelling and pain, it’s essential to communicate this with your healthcare provider. They may suggest adjustments to your pain management regimen or additional therapies, such as ultrasound or electrical stimulation, to aid in recovery.
6. Nutrition and Healing: Don’t forget the importance of nutrition in your recovery. A balanced diet rich in protein, vitamins (especially Vitamin D and C), and minerals (like calcium) supports bone healing. Staying hydrated is also crucial.
7. Mental Health: Lastly, remember that recovery can be a mentally taxing process. Stay positive, set small goals, and celebrate your progress. Engaging in light activities that do not stress your knee can help maintain your mental well-being during recovery.
In summary, focus on your rehabilitation, manage your pain and swelling effectively, and maintain open communication with your healthcare team. With dedication and the right support, you can look forward to a successful recovery and a return to your normal activities.
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