Post-Surgery Complications: Fibula Infection and Mobility Issues - Orthopedics

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Post-surgery complications can be quite complex, especially when dealing with issues such as fibula infections and mobility problems. In your case, it seems that you are experiencing a few distinct issues following your surgery three months ago. Let's break down your concerns and provide some insights based on medical knowledge.

Firstly, the infection of the fibula that required the removal of the steel plate is a significant complication. Infections can lead to various problems, including delayed healing, chronic pain, and even further surgical interventions. The fact that you are now able to bear weight without pain is a positive sign, indicating that the infection may be under control and that your bone is healing to some extent. However, the inability to lift your big toe (hallux) could be indicative of several underlying issues.

One possibility is that the infection may have affected the surrounding soft tissues, including the tendons and nerves that control the movement of your toe. The extensor hallucis longus tendon is responsible for lifting the big toe, and if it has been damaged or if there is scarring from the infection, this could explain the difficulty you are experiencing. Additionally, nerve damage or entrapment could also lead to weakness in toe movement.
Another consideration is that the immobilization of the foot during the healing process may have led to some degree of muscle atrophy or weakness, particularly in the muscles that control toe movement. This is common after prolonged periods of inactivity, and rehabilitation exercises may be necessary to regain full function.

Regarding your question about whether you can start learning to walk without a walker, it is essential to consult with your orthopedic surgeon or physical therapist. They can assess your current condition, including the stability of your fibula and overall strength. If you are able to bear weight without pain, that is a good indicator, but walking without assistance should be approached cautiously. A physical therapist can provide you with a tailored rehabilitation program that includes exercises to strengthen your foot and improve your range of motion, which may help with the toe movement issue as well.

In summary, while your ability to bear weight without pain is encouraging, the inability to lift your big toe warrants further investigation. It is crucial to work closely with your healthcare team to address these concerns and develop a rehabilitation plan that suits your needs. Regular follow-ups and possibly imaging studies may be necessary to monitor your healing progress and ensure that no further complications arise. Remember, recovery is a gradual process, and patience is key as you work towards regaining full mobility and function.