Post-Surgery Recovery Tips for Tibia and Fibula Fractures

Postoperative care for tibia and fibula fractures?

Hello Dr.
Chan: I would like to ask about my situation after the car accident on September 17, where I sustained a tibial fracture and fibular fracture, and underwent internal fixation surgery with steel nails and plates.

1.
When is the earliest I can start putting weight on my injured leg to practice walking? What assistive devices should I use to make my return to work more convenient and efficient? When can I walk without relying on assistive devices?
2.
Currently, I notice a slight discrepancy in leg length (the injured leg appears longer).
Will this eventually return to equal length?
3.
There are some suture ends visible at the wound site.
Which specialty should I consult for this issue? Or can I wait and see if my body will gradually expel them on its own?
Thank you for your response, Dr.
Chan.

Xuan, 30~39 year old female. Ask Date: 2021/10/18

Dr. Zhan Xian reply Orthopedics

Hello, since the healing of fractures varies from person to person and the fixation methods differ, please consult the orthopedic surgeon who performed your surgery regarding rehabilitation issues.
If there are any concerns with the wound, you should return for follow-up at the clinic.
Wishing you a speedy recovery.

Reply Date: 2021/10/18

More Info

Post-surgery recovery from tibia and fibula fractures can be a challenging process, but with the right approach, you can optimize your healing and return to normal activities. Here are some insights based on your questions:
1. When can I start putting weight on my injured leg?
The timeline for weight-bearing activities after surgery varies depending on the severity of the fracture and the specific surgical procedure performed. Generally, if you had internal fixation with plates and screws, you might be able to start partial weight-bearing as early as 6 to 8 weeks post-surgery, depending on your surgeon's assessment of the fracture healing. Full weight-bearing might be allowed around 12 weeks, but this can vary. It's essential to follow your surgeon's advice and possibly start with crutches or a walker to assist with balance and support. Gradually increasing your weight-bearing activities will help strengthen the leg and improve mobility.
For rehabilitation, using a knee brace or an ankle-foot orthosis (AFO) can provide additional support as you begin to walk. Physical therapy is crucial during this phase to help regain strength and range of motion. Your therapist can guide you through exercises tailored to your recovery stage.

2. Will my legs return to the same length?
It's not uncommon for patients to notice slight discrepancies in leg length after a fracture, especially if there was significant displacement or if the fracture involved the growth plate in younger individuals. In many cases, as the swelling decreases and the muscles strengthen, the appearance of leg length discrepancies may improve. However, if the difference is significant or persists, it may require further evaluation. Consulting with your orthopedic surgeon is advisable to assess the situation and discuss potential interventions if necessary.

3. What should I do about the visible suture ends?
If you notice the ends of your sutures or any signs of irritation at the incision site, it’s important to consult your surgeon or the orthopedic department. While some sutures can dissolve on their own, others may need to be removed. If the area is red, swollen, or showing signs of infection (such as increased pain, warmth, or discharge), you should seek medical attention promptly. It’s better to err on the side of caution when it comes to post-operative care.

In summary, your recovery will depend on several factors, including the nature of your injury, the surgical technique used, and your overall health. Regular follow-ups with your orthopedic surgeon are crucial to monitor your healing progress. Engaging in physical therapy will also play a significant role in regaining strength and mobility. Remember to listen to your body and avoid rushing the recovery process, as this can lead to complications or prolonged healing times.
Always consult with your healthcare provider for personalized advice and recommendations tailored to your specific situation. They will provide the best guidance based on your recovery progress and individual needs.

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