Recovery from a tibial plateau fracture?
Dear Doctor,
I was in a car accident on June 3rd, resulting in a comminuted fracture at the area of my right calf near the knee, along with a fracture of the right tibia and damage to the cartilage in my right knee.
The doctor mentioned that during surgery, the bone was already shattered.
I have had two follow-up appointments, and the doctor has prescribed a month’s supply of calcium supplements for me.
However, I have not yet been referred to a rehabilitation specialist; I was only verbally instructed to bend my knee and provided with a knee brace set to 70 degrees.
Every time I attempt to bend my knee, I experience a tightness.
I have tried taking glucosamine supplements, but the tightness worsened.
Currently, I am only taking the calcium supplements and turmeric, which has reduced the tightness somewhat, but I still cannot bend my knee to 70 degrees.
I can only bend it halfway before it feels very tight.
Should I go ahead and schedule an appointment with a rehabilitation specialist myself, or should I wait for the doctor to say it's okay to start rehabilitation? I have two titanium plates implanted in my right knee; could this be related? Thank you, Doctor.
Chi Yezi, 30~39 year old female. Ask Date: 2021/07/17
Dr. You Dianqi reply Orthopedics
Hello: Based on your description of the injury, it seems more like a tibial plateau fracture.
The rehabilitation progress may depend on the recommendations of the surgeon who performed the operation.
It would be a good idea to discuss your thoughts with your surgeon during your follow-up appointment.
Current medical decisions are made on a shared decision-making platform.
Wishing you a speedy recovery.
Reply Date: 2021/07/17
More Info
Recovering from a right knee and leg fracture, especially after a traumatic event like a car accident, can be a complex and lengthy process. Given your situation, where you have experienced a comminuted fracture near the knee and soft tissue damage to the knee cartilage, it is crucial to approach your recovery with a well-structured plan.
Understanding Your Injury
1. Nature of the Injury: A comminuted fracture means that the bone has broken into several pieces, which can complicate healing. Additionally, soft tissue injuries, particularly to the cartilage, can affect joint function and mobility. The presence of titanium plates indicates that surgical intervention was necessary to stabilize the fracture.
2. Current Treatment: Your doctor has prescribed calcium supplements to aid bone healing, which is essential after a fracture. Calcium plays a vital role in bone regeneration, and it is good that you are following this advice. However, it is also important to ensure you are getting adequate vitamin D, as it helps with calcium absorption.
Rehabilitation Process
1. Physical Therapy: While your doctor has not yet referred you to a rehabilitation specialist, it is advisable to seek physical therapy as soon as possible. Physical therapists can provide tailored exercises to improve your knee's range of motion, strength, and overall function. They can also help manage the tightness you are experiencing when trying to bend your knee.
2. Range of Motion Exercises: Since you are experiencing tightness and difficulty bending your knee to the prescribed 70 degrees, gentle range of motion exercises should be a priority. These exercises can include:
- Heel Slides: While lying down, slowly slide your heel towards your buttocks and then back to the starting position.
- Quadriceps Sets: Tighten the muscles on the top of your thigh while keeping your leg straight. Hold for a few seconds and release.
- Gentle Stretching: Stretching the muscles around your knee can help alleviate tightness.
3. Use of Knee Brace: The knee brace you mentioned is likely intended to provide stability and support as you heal. However, if it causes significant discomfort or pressure, discuss this with your doctor or physical therapist. They may adjust the brace or suggest alternatives.
4. Gradual Increase in Activity: As your healing progresses, gradually increase your activity level. Start with low-impact exercises, such as swimming or cycling, which can help maintain fitness without putting excessive strain on your knee.
Nutritional Support
1. Dietary Considerations: In addition to calcium and turmeric, consider incorporating foods rich in omega-3 fatty acids (like fish) and antioxidants (like berries) to support healing. Adequate hydration is also essential for recovery.
2. Supplements: While glucosamine is often used for joint health, its effectiveness can vary. If you find it exacerbates your tightness, it may be best to discontinue it. Always consult your doctor before starting or stopping any supplements.
Monitoring Progress
1. Regular Follow-ups: Keep regular appointments with your orthopedic surgeon to monitor your healing progress. They can assess whether the titanium plates are functioning as intended and if any adjustments to your rehabilitation plan are necessary.
2. Listening to Your Body: Pay attention to your body’s signals. If you experience increased pain or swelling, it may indicate that you are pushing too hard or that there are complications that need addressing.
Conclusion
In summary, your recovery from a right knee and leg fracture will require a combination of medical treatment, physical therapy, and self-care. It is essential to communicate openly with your healthcare providers about your symptoms and progress. Seeking physical therapy sooner rather than later can significantly enhance your recovery trajectory, helping you regain mobility and strength in your knee. Remember, patience and consistency are key in the rehabilitation process.
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