Post-Surgery Recovery Tips for Tibia and Fibula Fractures - Orthopedics

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Postoperative care for tibia and fibula fractures?


Dear Dr.
Wang,
I was involved in a motorcycle accident on September 17, resulting in a fracture of my right fibula and a crack in my tibia.
I underwent internal fixation surgery on the same day.
It has been two months since the surgery, and I am currently in the process of practicing walking with a single crutch.
I would like to ask if it is normal for the front side of my ankle to swell after each walking session, and if the dull pain on the inner side of my ankle (where the screws are placed) is also normal.
Could this pain be due to pressure on the fracture site or muscle atrophy from not bearing weight for an extended period?
In my free time, I also perform ankle stretching exercises to relax my Achilles tendon.
What other rehabilitation exercises would be beneficial for my walking recovery?
Thank you for taking the time to respond.

Xuan, 30~39 year old female. Ask Date: 2021/11/19

Dr. Wang Shouji reply Orthopedics


Hello, after an ankle fracture surgery, you should avoid putting weight on it initially, but the joint itself should not have significant issues with movement.
However, normal weight-bearing walking will depend on the healing status of the fracture.
Applying heat to the joint can help promote recovery, and it's also beneficial to strengthen the calf muscles to prevent atrophy that could affect recovery.
Changhua Hospital cares about your health.
Sincerely, Dr.
Wang Shou-ji.

Reply Date: 2021/11/19

More Info


Post-surgery recovery from tibia and fibula fractures can be a challenging journey, especially after a significant injury like yours. It’s great to hear that you are already in the walking practice phase two months post-surgery. Here are some insights and tips that may help you during your recovery process.


Understanding Your Symptoms
1. Swelling and Pain: It is not uncommon to experience swelling and pain around the ankle and the site of the fracture after surgery. The swelling you notice, particularly on the front of your ankle and the inner side where the steel pins are placed, can be attributed to several factors:
- Inflammation: Post-surgical inflammation is a normal part of the healing process. The body responds to surgery by sending fluid and immune cells to the area, which can lead to swelling.

- Weight Bearing: As you begin to put weight on your leg, the muscles and tissues that have been inactive may react to the new stress, causing discomfort or pain.

- Pressure on the Fracture Site: The presence of hardware (like steel pins) can sometimes cause localized discomfort, especially as the surrounding tissues adjust to the presence of these materials.


Recovery Tips
1. Rest and Elevation: Make sure to rest your leg as much as possible, especially after walking. Elevating your leg can help reduce swelling. Try to keep your foot above the level of your heart when resting.

2. Ice Therapy: Applying ice to the swollen areas can help reduce inflammation and numb the pain. Use ice packs for 15-20 minutes at a time, several times a day.

3. Gradual Weight Bearing: Since you are using a single crutch, it’s important to gradually increase the weight you place on your leg. Listen to your body; if you experience significant pain, it may be a sign to reduce the load and give your body more time to adjust.

4. Physical Therapy: Engaging in physical therapy is crucial for recovery. A physical therapist can provide you with a tailored rehabilitation program that includes:
- Range of Motion Exercises: Gentle movements to maintain flexibility in your ankle and foot.

- Strengthening Exercises: Once your pain decreases, your therapist can guide you through exercises to strengthen the muscles around your ankle and leg.

- Balance Training: This is essential as you regain your ability to walk independently.

5. Stretching: Continue with your ankle stretching and Achilles tendon relaxation exercises. These are beneficial for maintaining flexibility and preventing stiffness. You can also incorporate calf stretches and toe raises to strengthen the muscles around your ankle.

6. Footwear: Ensure you are wearing supportive footwear that provides adequate cushioning and stability. Avoid high heels or shoes that do not offer support.

7. Monitor Symptoms: Keep a close eye on your symptoms. If the swelling or pain worsens or if you notice any signs of infection (such as increased redness, warmth, or discharge), contact your healthcare provider immediately.


Long-Term Considerations
As you continue your recovery, remember that healing takes time. It’s important to be patient with yourself and to adhere to your rehabilitation plan. Regular follow-ups with your orthopedic surgeon will help monitor your progress and adjust your treatment plan as necessary.

In summary, while some swelling and discomfort are normal during the recovery phase, it’s essential to manage these symptoms effectively through rest, ice, gradual weight-bearing, and physical therapy. By following these guidelines and maintaining open communication with your healthcare team, you can optimize your recovery and return to your normal activities.

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