Delayed Healing in Femur Fractures: Your Concerns Addressed - Orthopedics

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Femoral fracture


1.
It has been five months since my femur fracture, and the doctor said the bone has not healed at all.
Is this normal?
2.
However, I can walk with a limp without crutches and I don't feel any pain.
Is there a risk that the internal screws might break if I continue to walk?
3.
Can I go out by myself? Since I can walk with a limp and I don't feel pain, I feel capable of taking public transport to get a haircut or do other errands.
However, I'm concerned that since the bone hasn't healed at all, the screws might suddenly break.

Miss Yang, 30~39 year old female. Ask Date: 2022/12/01

Dr. Shi Guozheng reply Orthopedics


Typically, it takes about six months for a fracture to heal properly.
If weight is applied too early, the bone screws may break.
If the fracture has not healed after a year, it is considered a nonunion.
At that point, certain interventions may be necessary to promote healing.
If you want to confirm whether the bone has healed, you should get an X-ray and consult a physician for evaluation.

Reply Date: 2022/12/01

More Info


Understanding delayed healing in femur fractures can be a complex issue, especially when considering the implications of your current situation. Let's address your concerns one by one.

1. Delayed Healing: It is not uncommon for femur fractures to take a significant amount of time to heal, sometimes extending beyond the typical 6-12 weeks, especially in cases of complex fractures or if there are underlying health issues affecting bone healing. Five months without complete healing may be concerning, but it is essential to consider factors such as the type of fracture, your age, overall health, and whether you have any conditions that could impede healing, such as diabetes or smoking. It would be advisable to follow up with your orthopedic surgeon to discuss your healing progress and possibly consider imaging studies like X-rays or an MRI to assess the status of the fracture and the hardware used.

2. Walking Without Pain: The fact that you can walk with a limp and without pain is a positive sign. However, it is crucial to be cautious. The presence of internal fixation devices, such as screws or plates, means that while you may feel stable, there is still a risk of complications. If the bone has not healed completely, there is a possibility that excessive weight-bearing could lead to issues such as hardware failure or further injury. It is essential to follow your doctor's advice regarding weight-bearing activities. If you have not been cleared for full weight-bearing, it is advisable to continue using crutches or a walker until you receive further guidance.

3. Going Out Independently: If you feel stable enough to walk with a limp and without pain, it may be tempting to venture out independently. However, it is crucial to consider the risks involved. If your fracture has not healed, there is a risk that you could fall or put too much stress on the fracture site, potentially leading to complications. If you decide to go out, ensure that you are in a safe environment where you can avoid obstacles and have a means of assistance if needed. It may also be wise to have someone accompany you, especially if you are planning to use public transportation or navigate busy areas.

In summary, while your ability to walk without pain is encouraging, it is essential to approach your recovery with caution. Regular follow-ups with your orthopedic surgeon are critical to monitor your healing progress and adjust your rehabilitation plan as needed. If you have any concerns about your mobility, pain levels, or the stability of your fracture, do not hesitate to reach out to your healthcare provider for advice. They can provide you with a tailored plan that considers your specific circumstances and helps ensure a safe and effective recovery.

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