Patellar Fractures: Healing Time and Recovery Tips - Orthopedics

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Patellar fracture


Last month, I slipped and fell on my knee, resulting in a minor bone fracture.
After seeing a doctor, I was not given a cast but was advised to keep my leg straight and limit movement.
A month later, during a follow-up appointment, the doctor said the bone is gradually healing and that I should return if there are any issues.
I would like to know if it is normal to still experience some pain when bending or lifting my leg.
Will climbing stairs or squatting affect the healing process? Since I don't need to return for follow-up, how long does it typically take for the bone to fully heal? Additionally, what exercises can help strengthen the muscles around the knee? Thank you for taking the time to answer my questions!

Marg, 20~29 year old female. Ask Date: 2020/08/23

Dr. Chen Yongxue reply Orthopedics


Hello, I have had a patella fracture for a month.
I would like to ask if it is normal to still experience some pain when bending and lifting my leg? Yes, the healing of the fracture requires more time.
Will climbing stairs or squatting affect the healing? Yes, the attending physician also mentioned to avoid bending movements.
Since I don't need to return for a follow-up, I would like to know how long it usually takes for the bone to fully heal? About three months.
I would also like to ask what exercises can strengthen the muscles around the knee? It is not suitable to do them now.
After three months, when the fracture has healed, you can start doing partial squats to strengthen the quadriceps.

Reply Date: 2020/08/23

More Info


Patellar fractures, or kneecap fractures, can be a significant concern, especially when they result from falls or trauma. Understanding the healing process and recovery tips is crucial for a successful rehabilitation.
Firstly, it’s important to note that the healing time for a patellar fracture can vary based on several factors, including the severity of the fracture, the age and overall health of the individual, and the specific treatment approach taken. Generally, a simple, non-displaced patellar fracture can take anywhere from 6 to 12 weeks to heal adequately. However, in your case, since you mentioned a minor bone crack and that your doctor noted the bone is gradually healing, it seems you are on the right track.

Regarding your current symptoms, experiencing some pain when bending or lifting your leg is not uncommon during the healing process. Pain can be a normal part of recovery, especially if you are beginning to use the knee more after a period of limited activity. However, it’s essential to differentiate between normal discomfort and pain that could indicate a problem. If the pain is sharp, severe, or worsening, it would be advisable to consult a healthcare professional.

As for activities like climbing stairs or squatting, these movements can indeed place stress on the healing patella. While gentle movement is encouraged to promote circulation and prevent stiffness, you should avoid any activities that cause significant pain or discomfort. It’s crucial to listen to your body; if an activity exacerbates your pain, it’s best to modify or avoid it until you have further guidance from a healthcare provider.

In terms of strengthening exercises for the muscles around the knee, once you have the green light from your doctor, consider starting with low-impact activities. Here are a few exercises that can help build strength in the quadriceps, hamstrings, and calf muscles:
1. Straight Leg Raises: While lying down, keep one leg bent and the other straight. Slowly lift the straight leg to the height of the bent knee, hold for a few seconds, and lower it back down. This exercise helps strengthen the quadriceps without putting too much strain on the knee.

2. Heel Slides: While sitting or lying down, slide your heel toward your buttocks, bending your knee as far as comfortable, then slide it back out. This exercise helps improve flexibility and range of motion.

3. Wall Sits: Stand with your back against a wall and slide down into a sitting position, keeping your knees at a 90-degree angle. Hold this position for as long as comfortable. This exercise strengthens the quadriceps and stabilizes the knee.

4. Calf Raises: Stand with your feet shoulder-width apart and slowly raise your heels off the ground, balancing on your toes. This exercise strengthens the calf muscles, which support the knee.

5. Step-Ups: Using a low step, step up with one foot and then back down. This can help improve strength and stability in the knee.

Always start with gentle movements and gradually increase the intensity as tolerated. It’s also beneficial to incorporate stretching exercises to maintain flexibility in the knee joint and surrounding muscles.

In conclusion, while your knee is healing, it’s essential to be patient and allow your body the time it needs to recover fully. If you have any concerns about your symptoms or recovery process, don’t hesitate to reach out to a healthcare professional for personalized advice. Remember, your health and safety come first, and proper rehabilitation will help ensure a successful return to your regular activities.

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