Rehabilitation After Fracture Surgery: Timeline for Recovery and Strength - Rehabilitation

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Rehabilitation after surgery for a fracture?


Hello doctor, I would like to ask, after having a titanium plate inserted for a left thigh fracture on June 7 and experiencing a strain in the right calf muscle, I started rehabilitation slowly in the fourth week.
I would like to know, generally speaking, after surgery for a fracture, if rehabilitation is done consistently, how long will it take for knee stiffness (unable to descend stairs) and thigh muscle weakness to improve?

Libero, 50~59 year old female. Ask Date: 2021/08/02

Dr. Li Yanheng reply Rehabilitation


The recovery of muscle strength after a fracture varies significantly depending on the individual's physical condition, rehabilitation progress, and level of commitment, and it may take anywhere from three months to six months.

Reply Date: 2021/08/02

More Info


Rehabilitation after fracture surgery is a critical aspect of recovery, and the timeline for improvement can vary significantly based on several factors, including the severity of the injury, the type of fracture, the surgical procedure performed, and the individual’s overall health and commitment to rehabilitation.

In your case, you mentioned that you had a fracture in your left thigh and a strain in your right calf, and you began rehabilitation four weeks post-surgery. Generally, after a stable fracture repair, patients can expect to see improvements in knee flexion and muscle strength within a few months, but this can vary widely. For many patients, significant improvements in knee mobility and muscle strength can be expected within three to six months, provided that rehabilitation is performed consistently and correctly.

Knee stiffness, particularly after a fracture, is a common issue. The inability to bend the knee adequately can be due to several factors, including swelling, pain, and the formation of scar tissue. Early rehabilitation focuses on gentle range-of-motion exercises to combat stiffness. As you progress, your physical therapist will likely introduce more challenging exercises to strengthen the quadriceps and hamstring muscles, which are essential for knee function and overall mobility.

In terms of specific timelines, if you are diligently participating in your rehabilitation program, you might expect to see some improvement in knee flexion within the first few weeks. However, achieving full range of motion, especially the ability to navigate stairs comfortably, may take longer. It’s not uncommon for patients to experience a gradual improvement over several months, with more significant gains often seen around the three to six-month mark.

Muscle strength recovery also follows a similar timeline. Initially, you may notice improvements in muscle activation and endurance, but full strength recovery can take longer, especially if there has been significant disuse or atrophy of the muscles surrounding the knee. A structured strength training program, guided by a physical therapist, will be crucial in regaining strength in your thigh muscles.

It’s also important to consider that every individual’s recovery is unique. Factors such as age, pre-existing conditions, and adherence to rehabilitation protocols can all influence recovery timelines. If you are experiencing persistent stiffness or weakness despite following your rehabilitation program, it may be beneficial to discuss this with your healthcare provider. They may recommend additional interventions, such as manual therapy, ultrasound, or even modifications to your rehabilitation plan to address these concerns.

In summary, while you can expect gradual improvements in knee flexion and muscle strength over the next few months, the exact timeline will depend on your individual circumstances. Consistent rehabilitation, patience, and communication with your healthcare team will be key to achieving the best possible outcome. If you have any concerns about your progress, don’t hesitate to reach out to your physical therapist or orthopedic surgeon for guidance.

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