Post-Surgery Recovery from Femoral Fractures: Common Concerns and Solutions - Orthopedics

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Postoperative Recovery from Femoral Fracture Surgery


Hello doctor, I was in a car accident at the end of October 2021, resulting in fractures of my left femur and arm.
I underwent surgery for steel nail fixation about five days later.
Now, in mid-April 2022, I still experience frequent soreness in my leg and have difficulty walking normally.
I consulted a rehabilitation specialist who diagnosed me with tendinitis, but after more than a month of rehabilitation, there are still no signs of improvement.
Is this normal? Is there a possibility that I may never be able to walk normally again? Additionally, I would like to know if it is normal to feel discomfort throughout my entire leg, aside from the joint area due to overuse inflammation.

Cen, 10~19 year old female. Ask Date: 2022/04/12

Dr. Shi Guozheng reply Orthopedics


A femoral fracture typically heals in about six months.
After healing, the pain at the fracture site will gradually subside.
Therefore, it is important to first check if the fracture has healed.
If the fracture has already healed, the pain may be due to tendonitis or inflammation at the joint.
You may want to consult a physician for further evaluation.

Reply Date: 2022/04/12

More Info


Post-surgery recovery from femoral fractures can be a complex and often challenging process, particularly when there are complications such as tendonitis or persistent pain. Your experience following the surgery for your left femur and arm fractures, as well as the ongoing discomfort and difficulty walking, raises several important considerations.

Firstly, it is not uncommon for patients to experience pain and discomfort for an extended period after surgery, especially following significant injuries like femoral fractures. The healing process can be slow, and factors such as the severity of the fracture, the type of surgical intervention (in your case, intramedullary nailing), and individual healing responses all play a role in recovery. It is essential to understand that pain can persist for weeks or even months post-surgery, particularly if there has been significant soft tissue damage or if the body is still adjusting to the surgical hardware.

The diagnosis of tendonitis, which you mentioned, can also contribute to your discomfort. Tendonitis occurs when a tendon becomes inflamed, often due to overuse or strain. In the context of your recovery, it is possible that compensatory movements or altered gait patterns due to your initial injury and surgery may have placed additional stress on the tendons around your knee or hip, leading to inflammation and pain. This is particularly common in individuals who are trying to regain strength and mobility after a period of immobilization.

Regarding your concerns about the potential for long-term walking difficulties, it is crucial to maintain open communication with your healthcare providers. While some patients do experience lasting effects from their injuries, many can achieve significant improvements with appropriate rehabilitation. The key is to engage in a structured physical therapy program that focuses on strengthening the muscles around the affected area, improving flexibility, and restoring normal gait mechanics. If you have been in therapy for over a month without improvement, it may be worth discussing with your physical therapist or orthopedic surgeon whether your rehabilitation program needs to be adjusted or if further imaging studies are necessary to rule out any complications, such as hardware issues or non-union of the fracture.

As for the generalized discomfort in your leg, it is not unusual for patients recovering from fractures to experience widespread discomfort. This can be attributed to several factors, including muscle atrophy from disuse, changes in muscle tone, or even referred pain from the original injury site. It is essential to address these symptoms with your rehabilitation team, as they can help tailor your therapy to target these areas of discomfort.

In summary, while your ongoing pain and discomfort may be concerning, they are not uncommon in the context of recovery from significant fractures. It is vital to continue working closely with your healthcare providers to ensure that your rehabilitation is effective and to address any new or worsening symptoms promptly. With time, patience, and appropriate therapy, many individuals can return to normal function after femoral fractures, but it requires a commitment to the rehabilitation process and sometimes adjustments to the treatment plan based on your progress.

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