Ankle fracture
An 8-year-old child underwent surgery for a left ankle fracture on December 2, where metal screws were inserted, and has been in a cast for two weeks.
Is it permissible for the child to use crutches for assistance in moving on a flat surface without putting weight on the left foot?
Chen Mama, 30~39 year old female. Ask Date: 2020/12/15
Dr. Li Wenhong reply Orthopedics
Hello: Yes, you will need to use two crutches or a walker (four-legged assistive device).
Instructions on how to use them will be provided by the physical therapist during your follow-up appointment.
Changhua Hospital Orthopedics, Dr.
Li Wen-Hong.
Reply Date: 2020/12/15
More Info
After an ankle surgery, especially one involving the insertion of screws and the application of a cast, it is crucial to ensure that your child is moving safely and effectively. In your case, since your child is 8 years old and has undergone surgery for a fractured ankle with screws placed and a cast applied for two weeks, using crutches can be a viable option for mobility, provided certain conditions are met.
Firstly, crutches are designed to help individuals who cannot bear weight on their injured limb. If your child's doctor has advised against putting any weight on the left ankle, then using crutches is not only acceptable but recommended. Crutches can help your child move around without putting pressure on the healing ankle, which is essential for proper recovery.
Here are some important considerations regarding the use of crutches after ankle surgery:
1. Consult the Doctor: Before allowing your child to use crutches, it is essential to consult with the orthopedic surgeon or the healthcare provider who performed the surgery. They can provide specific guidance based on the surgical procedure and the current healing status of the ankle.
2. Proper Technique: Ensure that your child is taught the correct way to use crutches. This includes how to position the crutches under the arms, how to move them forward, and how to balance while using them. Proper technique is crucial to prevent falls and further injury.
3. Weight Bearing Status: If the doctor has indicated that your child can begin partial weight-bearing, crutches can assist in this transition. However, if your child is still in a non-weight-bearing phase, crutches should be used solely for support without any weight placed on the injured ankle.
4. Safety Precautions: Make sure that your child is using crutches on flat, even surfaces to minimize the risk of slipping or falling. It may also be helpful to have someone nearby to assist your child while they are learning to use the crutches.
5. Monitoring Pain and Discomfort: Pay attention to any signs of pain or discomfort while your child is using crutches. If they experience increased pain in the ankle or any other unusual symptoms, it is important to stop using the crutches and consult the doctor.
6. Rehabilitation and Follow-Up: After a period of using crutches, your child will likely need to engage in rehabilitation exercises to regain strength and mobility in the ankle. Follow-up appointments with the healthcare provider will help assess the healing process and determine when it is safe to transition from crutches to walking without assistance.
In summary, using crutches can be an effective way for your child to move around while protecting the healing ankle after surgery. However, it is essential to follow medical advice, ensure proper technique, and monitor your child's comfort and safety during the process. As your child heals, they will gradually regain strength and mobility, allowing for a return to normal activities.
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