Post-Surgery Foot Elevation: Addressing Concerns After Fibula Fracture - Orthopedics

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Postoperative elevation of the legs issue?


Hello, doctor: I was hospitalized for a fibula fracture and was discharged home yesterday (August 8).
The doctor advised me to keep my foot elevated at home to reduce swelling.
However, when I elevate my foot using a pillow, I notice that the knee of the affected leg involuntarily exerts force, which did not occur while I was in the hospital.
Is this due to an incorrect positioning of my foot, or is this a normal condition? (My foot is in a cast.)

Linn, 10~19 year old female. Ask Date: 2021/08/09

Dr. Zhan Xian reply Orthopedics


Hello, using a blanket to elevate the legs so that the calves are not hanging too low can be more comfortable.
It's also important to change positions regularly to prevent pressure sores.

Reply Date: 2021/08/09

More Info


After undergoing surgery for a fibula fracture, it is common for patients to have concerns about the recovery process, particularly regarding foot elevation and swelling management. Elevating the affected limb is a crucial part of post-operative care, as it helps reduce swelling and promotes better circulation. However, the experience you described—where your knee seems to exert force while your foot is elevated—can be attributed to several factors.

Firstly, it is important to ensure that your foot is positioned correctly when elevated. The goal is to keep the foot above the level of the heart to facilitate venous return and minimize swelling. If the foot is not properly supported, it may lead to discomfort or unintended muscle engagement in the knee or thigh. You might want to experiment with different pillow arrangements or supports to find a position that feels comfortable and allows your foot to rest without straining other joints.

Secondly, the sensation of your knee exerting force could be a result of muscle tension or reflexive responses. After surgery, your body may still be adjusting to the changes and restrictions imposed by the injury and the immobilization of the foot in a cast. It is not uncommon for muscles around the knee to engage as a protective mechanism, especially if you are subconsciously trying to stabilize your leg. This can happen more noticeably at home, where you may not have the same level of monitoring and support as in the hospital.

Additionally, psychological factors can play a role in your perception of discomfort. Being in a familiar environment may lead to increased awareness of your body and its responses, which can sometimes amplify sensations that were less noticeable in a clinical setting.
If the knee discomfort persists or worsens, it is advisable to consult your orthopedic surgeon or physical therapist. They can assess your positioning and provide guidance on how to properly elevate your foot without causing undue strain on your knee. They may also suggest specific exercises or stretches to help alleviate any tension in the knee and promote overall recovery.

In the meantime, continue to follow your doctor's recommendations regarding elevation and rest. It is also essential to monitor for any signs of complications, such as increased swelling, redness, or pain, which could indicate issues with circulation or healing.
In summary, while it is normal to experience some discomfort or unusual sensations during the recovery process, ensuring proper foot elevation and seeking professional advice if discomfort persists will help you navigate your recovery more effectively. Remember that healing takes time, and being attentive to your body's signals is an important part of the process.

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