Surgery was performed, and a metal plate was inserted?
Hello Doctor: I would like to inquire about my surgery on February 10th, during which a metal plate was inserted.
I had a follow-up appointment on February 22nd, and my recovery is progressing well.
My attending physician informed me that I could use a wearable inflatable rehabilitation shoe and a cane to assist with walking.
I would like to ask if walking on my feet just two weeks post-surgery could cause the metal plate to shift.
How long do you recommend waiting before I start walking? Additionally, if I do not move, could this lead to issues such as fascial adhesions in my foot?
Ms. Tseng, 20~29 year old female. Ask Date: 2022/02/24
Dr. Shi Guozheng reply Orthopedics
After surgery, the joints can be mobilized to prevent adhesions; however, it is not necessary to bear weight on them.
If the fracture has not yet healed, walking and applying weight may lead to displacement.
Reply Date: 2022/02/24
More Info
Post-surgery recovery, especially after a procedure involving the insertion of a steel plate, is a critical phase that requires careful management to ensure optimal healing and to prevent complications. Based on your inquiry regarding your surgery on February 10 and the subsequent advice from your doctor, here are some insights and recommendations.
Firstly, it is important to understand that the healing process varies significantly from person to person. Factors such as the type of fracture, the surgical technique used, and individual health conditions can all influence recovery time. In general, after surgery involving a steel plate, patients are often advised to start walking with the aid of assistive devices like crutches or a walker, as you have been instructed. This is to ensure that weight is gradually introduced to the affected limb without compromising the integrity of the surgical repair.
Regarding your concern about whether walking too soon could lead to the displacement of the steel plate, it is crucial to follow your surgeon's recommendations closely. Typically, if the bone has not fully healed, putting weight on the leg can indeed risk displacing the hardware. However, if your doctor has cleared you for partial weight-bearing with the use of a walking boot and crutches, it suggests that they believe your bone is stable enough to handle some weight. It is essential to listen to your body; if you experience significant pain or discomfort while walking, you should stop and consult your physician.
As for your question about the risk of developing adhesions or fascia sticking together due to lack of movement, it is true that immobilization can lead to complications such as joint stiffness and soft tissue adhesions. Gentle movement and physical therapy are often recommended to maintain flexibility and strength in the surrounding muscles and joints. However, this should be balanced with the need to protect the surgical site. Your healthcare provider will likely guide you on the appropriate exercises and movements to perform during your recovery.
In terms of the timeline for returning to full weight-bearing activities, this can vary widely. Generally, patients may be able to transition to full weight-bearing within 6 to 12 weeks post-surgery, depending on the healing progress. Regular follow-up appointments with your orthopedic surgeon will be crucial in monitoring your recovery and making adjustments to your rehabilitation plan as needed.
If you notice any unusual symptoms, such as increased swelling, redness, or pain that worsens rather than improves, it is important to seek medical attention promptly. These could be signs of complications such as infection or hardware failure.
In summary, while it is important to begin moving and using your leg as per your doctor's advice, it is equally vital to proceed with caution. Adhere to the guidelines provided by your healthcare team, and do not hesitate to reach out to them with any concerns or questions about your recovery process. Your health and safety should always come first, and they will be able to provide the best advice tailored to your specific situation.
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