Can Fibula Fracture Screws Shift After Surgery? Your Concerns - Orthopedics

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It sounds like you have been through quite a journey with your fibula fracture and subsequent surgery. To address your question about whether fibula fracture screws can shift after surgery, let's delve into some important aspects of post-operative recovery and the potential complications that can arise.

First, it is essential to understand that while titanium screws are designed to be stable and secure, there are instances where they may shift or become loose. This can happen due to several factors, including the type of fracture, the quality of bone healing, the level of physical activity post-surgery, and even the individual’s bone density. In your case, since you mentioned that you have been able to run and engage in light activities without significant issues for ten months, it suggests that your initial healing process was likely on track. However, the recent onset of pain and mild swelling after a period of increased activity could indicate that the screws or the surrounding bone may be experiencing stress.

When you engage in activities that put stress on the healing bone, such as running, it is possible for the screws to experience forces that could lead to discomfort or even a shift if the bone has not fully healed or if there is any underlying issue. The fact that you are experiencing pain and slight swelling under the screw after running could be a sign of irritation or inflammation in the area, which may not necessarily indicate that the screws have shifted but could suggest that the bone or surrounding soft tissue is reacting to the increased activity.

Given your symptoms, it is advisable to monitor the situation closely. If the pain persists for more than a few days, or if you notice any worsening of symptoms such as increased swelling, redness, or warmth in the area, it would be prudent to seek a follow-up appointment with your orthopedic surgeon. They may recommend imaging studies, such as an X-ray, to assess the position of the screws and the integrity of the bone.
In terms of activity, it is crucial to listen to your body. If you experience pain during certain movements or activities, it may be a sign that you need to modify your activity level or incorporate more rest into your routine. Gradually increasing your activity level while being mindful of any discomfort is key to ensuring a successful recovery.

In summary, while it is possible for screws to shift after surgery, your current symptoms may not necessarily indicate a significant problem. However, given the recent changes in your pain levels and swelling, it is wise to consult with your doctor if these symptoms persist. They can provide a thorough evaluation and determine the best course of action to ensure your continued recovery and return to full activity. Remember, your health and safety are paramount, and it is always better to err on the side of caution when it comes to post-surgical concerns.