Post-Surgery Care for Left Leg Fracture: Addressing Concerns

Surgical intervention for a left calf fracture?

Dear Doctor, my husband had surgery for a fracture in his left calf almost two weeks ago, and he is gradually starting to put weight on it.
However, he is now unable to put weight on his other leg, and I am really worried.
Can you please give me some advice on what I should do now? Thank you.

Xiao Ping, 50~59 year old female. Ask Date: 2022/04/12

Dr. Shi Guozheng reply Orthopedics

Sitting on a chair, the individual can perform knee flexion exercises and thigh raises to strengthen the thigh muscles.
Afterward, they can practice walking, of course, using assistive devices such as a walker or a cane for support.

Reply Date: 2022/04/12

More Info

Post-surgery care for a leg fracture, especially in the case of a left lower leg fracture, is crucial for recovery and rehabilitation. It’s common for patients to experience weakness or difficulty using the non-injured leg, particularly after a period of immobilization or limited mobility. Here are some insights and recommendations to address your concerns:
1. Understanding Weakness in the Non-Injured Leg: After surgery, it’s not unusual for the non-injured leg to feel weak or difficult to use. This can be attributed to several factors, including disuse atrophy (muscle wasting due to lack of use), compensatory movement patterns, and the overall impact of the injury on your husband’s mobility. When one leg is injured, the body often relies more heavily on the other leg, which can lead to fatigue and weakness over time.

2. Gradual Weight Bearing: If your husband is in the recovery phase and has been cleared by his physician to start putting weight on the injured leg, it’s essential to follow a gradual weight-bearing protocol. This typically starts with partial weight-bearing, using crutches or a walker, and progresses to full weight-bearing as tolerated. Encourage him to listen to his body and not rush the process, as this can lead to setbacks.

3. Physical Therapy: Engaging in physical therapy is highly recommended. A physical therapist can provide tailored exercises to strengthen both the injured and non-injured leg. They will focus on restoring range of motion, improving strength, and enhancing overall mobility. This can also help address any compensatory patterns that may have developed during the recovery process.

4. Exercises for Strengthening: While waiting for a physical therapy appointment, gentle exercises can be initiated at home. These may include:
- Ankle Pumps: While seated or lying down, move the foot up and down to promote circulation and prevent stiffness.

- Quadriceps Sets: Tighten the thigh muscle of the injured leg while keeping the knee straight. Hold for a few seconds and release.

- Heel Slides: While lying down, slide the heel of the injured leg towards the buttocks and then back down to promote knee mobility.

- Gentle Stretching: Stretching the calf and hamstring muscles can help maintain flexibility.

5. Monitoring Pain and Swelling: It’s important to monitor for any signs of increased pain, swelling, or changes in the injured leg. If the non-injured leg is experiencing pain or discomfort, it may be due to overcompensation. Encourage your husband to rest and elevate the leg when needed.

6. Nutrition and Hydration: Proper nutrition plays a vital role in recovery. Ensure that he is consuming a balanced diet rich in protein, vitamins, and minerals to support healing. Staying hydrated is equally important.

7. Follow-Up Appointments: Regular follow-up appointments with the orthopedic surgeon are essential to monitor the healing process. If there are concerns about the recovery or if the non-injured leg continues to feel weak, it’s important to discuss these issues with the physician.

8. Emotional Support: Recovery from a fracture can be mentally and emotionally challenging. Providing emotional support and encouragement can help your husband stay positive and motivated throughout his rehabilitation journey.

In conclusion, while it’s common to experience weakness in the non-injured leg after a fracture, proactive measures such as physical therapy, gradual weight-bearing, and appropriate exercises can significantly aid in recovery. Always consult with healthcare professionals before starting any new exercise regimen or if there are any concerns about the healing process.

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