Post-Surgery Concerns for Ankle Fracture Recovery - Orthopedics

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Postoperative Issues Following Ankle Fracture Surgery


Hello, doctor.
My husband had an open fracture of his right ankle from a car accident a few days ago, and he underwent surgery today to have a metal plate inserted.
He has been experiencing recurrent fevers every day, and after the surgery, the lower half of his right calf is red, swollen, and hard, with numbness below the knee and no sensation.
Will this affect his recovery or ability to walk in the future? How long is the pain from the fracture site likely to last?

Zhi Zhi, 30~39 year old female. Ask Date: 2021/10/23

Dr. You Dianqi reply Orthopedics


Hello: The occurrence of fever without any accompanying symptoms is not common.
Please discuss this with the surgeon as soon as possible to ensure that your husband is within the normal range of postoperative recovery.
We hope for a swift recovery for your family.

Reply Date: 2021/10/23

More Info


Post-surgery recovery from an ankle fracture, especially following an open fracture, can be a complex process that requires careful monitoring and management. Your husband's situation, involving a recent surgery with the insertion of metal hardware, raises several important concerns that need to be addressed.

Firstly, the presence of fever after surgery can be a sign of infection, particularly in the case of an open fracture where the skin is breached, allowing bacteria to enter. The redness, swelling, and hardness in the lower leg, along with numbness below the knee, are also concerning symptoms. These could indicate complications such as infection or even compartment syndrome, which is a serious condition that occurs when pressure within the muscles builds to dangerous levels, potentially leading to muscle and nerve damage. It is crucial to contact your husband's healthcare provider immediately to assess these symptoms. Early intervention is essential to prevent long-term complications.

Regarding the impact of these symptoms on recovery and walking, any infection or complications can significantly delay healing and rehabilitation. If an infection is confirmed, it may require additional treatments such as antibiotics or even further surgical intervention to clean the wound and remove infected tissue. Compartment syndrome, if present, may necessitate an emergency fasciotomy to relieve pressure and prevent irreversible damage.

As for the pain associated with the fracture, it is common for patients to experience significant discomfort in the initial weeks following surgery. Pain levels can vary widely depending on the severity of the fracture, the surgical technique used, and individual pain tolerance. Typically, pain should gradually decrease as healing progresses, but it can persist for several weeks or even months, especially if there are complications. Pain management strategies, including prescribed medications and physical therapy, will be important components of recovery.

In terms of rehabilitation, once your husband is stable and any complications are addressed, physical therapy will play a crucial role in restoring function and mobility. The timeline for resuming weight-bearing activities will depend on the healing of the fracture and the overall condition of the ankle. Generally, patients are advised to avoid putting weight on the injured leg for a period of time, often several weeks, until the doctor confirms that it is safe to do so.

In summary, your husband's current symptoms warrant immediate medical attention to rule out serious complications. The recovery process from an ankle fracture can be lengthy and requires a multidisciplinary approach, including pain management, infection control, and rehabilitation. With appropriate care and monitoring, many patients can achieve a good recovery, but it is essential to address any complications promptly to optimize outcomes.

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