Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal? - Orthopedics

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Post-surgery swelling, especially after a tibial plateau fracture, is a common occurrence and can be considered a normal part of the healing process. When your mother underwent surgery for her tibial plateau fracture, the body naturally responds to the trauma of surgery with inflammation, which can lead to swelling in the affected area. This swelling is due to increased blood flow and the accumulation of fluids as the body works to heal the injured tissues.
In the case of your mother, the fact that she is experiencing swelling in her foot and toes without significant pain is a positive sign. It indicates that while her body is responding to the surgical trauma, there is no immediate indication of complications such as infection or severe complications. Swelling can often be exacerbated by prolonged periods of immobility, which is common after surgery, particularly if the patient has been bedridden due to other issues like a urinary tract infection.

Using ice packs is an effective method to help reduce swelling. Ice therapy works by constricting blood vessels, which can decrease blood flow to the area and help minimize swelling. It is generally recommended to apply ice for 15-20 minutes every hour as needed, ensuring that there is a barrier (like a cloth) between the ice and the skin to prevent frostbite. If your mother finds that the swelling reduces with ice but returns when not applied, this is also typical. It may take time for the swelling to fully subside as the body continues to heal.

Here are some additional points to consider regarding post-surgery swelling and recovery:
1. Elevation: Keeping the affected leg elevated can help reduce swelling. Encourage your mother to elevate her leg above the level of her heart whenever possible, especially when resting or sleeping.

2. Movement: Gentle movement of the toes and ankle can promote circulation and help reduce swelling. However, she should avoid putting weight on the leg until cleared by her physician.

3. Compression: If recommended by her doctor, using a compression bandage or stocking can help manage swelling. However, it should not be too tight, as this can impede circulation.

4. Hydration: Staying well-hydrated can also assist in reducing swelling. Encourage her to drink plenty of fluids unless otherwise advised by her healthcare provider.

5. Monitoring: Keep an eye on the swelling and any other symptoms. If the swelling worsens, becomes painful, or is accompanied by redness, warmth, or fever, it is essential to contact her healthcare provider, as these could be signs of complications such as infection or deep vein thrombosis (DVT).

6. Follow-Up Care: Regular follow-up appointments with her orthopedic surgeon are crucial to monitor the healing process. They may perform imaging studies to assess the fracture's healing and ensure that there are no complications.

In summary, while swelling after surgery is normal, it is essential to manage it effectively and monitor for any concerning symptoms. With proper care and attention, your mother should continue to heal and regain function in her leg. If you have any further concerns, do not hesitate to reach out to her healthcare provider for personalized advice and guidance.