Can I Stop Using Crutches After a Femur Fracture Surgery? - Orthopedics

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Femoral fracture and the ability to use crutches?


I suffered a femur fracture in a car accident on August 22 and underwent minimally invasive surgery where a titanium alloy rod was placed.
Today is October 4, and I have been recovering for over a month.
This week, I need to go to school and stay for two days, and I often go to the bathroom without crutches.
I have a slight limp but no discomfort.
I would like to know if I can stop using crutches now.

Hou Fei, 10~19 year old female. Ask Date: 2022/10/04

Dr. Chen Bochen reply Orthopedics


Hello, Hou Fei: If it is a simple femoral fracture and you have undergone intramedullary nailing with good reduction, you can gradually start using crutches one month post-surgery.
However, if you are unsure about the type of surgery you had or the status of your reduction, it is difficult to answer your question.
I recommend that you follow up with the surgeon who performed your operation.

Reply Date: 2022/10/04

More Info


After undergoing femur fracture surgery, the decision to stop using crutches is a significant one and should be made with careful consideration of your healing progress and guidance from your healthcare provider. Given that you had minimally invasive surgery on August 22 and are now approximately six weeks post-operation, it is understandable that you are eager to regain mobility, especially with the upcoming need to attend school.

Generally, the timeline for transitioning away from crutches varies based on several factors, including the type of fracture, the surgical technique used, your overall health, and how well you have been healing. At around six weeks post-surgery, many patients may start to feel more comfortable bearing weight on the affected leg, but this does not mean that they should completely abandon crutches without medical advice.

Here are some important considerations:
1. Weight-Bearing Status: Your surgeon or physical therapist will have given you specific instructions regarding weight-bearing status. If you were advised to be non-weight-bearing or partial weight-bearing, it is crucial to adhere to those guidelines until you receive clearance to progress.

2. Pain and Discomfort: You mentioned that you experience a slight limp but no discomfort. While this is a positive sign, it is essential to assess whether you can walk without pain or instability. If you feel any pain or discomfort while walking, it may be a sign that your body is not yet ready to fully support your weight without crutches.

3. Physical Therapy: Engaging in physical therapy can significantly aid your recovery. A physical therapist can assess your strength, range of motion, and overall function. They can provide exercises to improve your stability and help you transition from crutches to walking independently.

4. Follow-Up Appointments: It is crucial to attend follow-up appointments with your orthopedic surgeon. They will evaluate your healing through physical examination and possibly imaging studies (like X-rays) to ensure that the bone is healing correctly and that there are no complications.

5. Gradual Transition: If you receive the go-ahead to start reducing your reliance on crutches, consider a gradual transition. You might start by using crutches for longer distances or when you feel fatigued, and gradually increase the time you spend walking without them.

6. Safety Precautions: If you decide to try walking without crutches, ensure that you are in a safe environment. Avoid uneven surfaces, and consider using a walker or a cane for additional support if needed.

In conclusion, while you may feel ready to stop using crutches, it is essential to consult with your healthcare provider before making that decision. They will provide personalized advice based on your specific situation and ensure that you are progressing safely in your recovery. Remember, the goal is to regain full function while minimizing the risk of re-injury or complications. Good luck with your recovery, and I hope you can return to school comfortably and safely!

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