Post-Surgery Concerns: Is Swelling Normal After Calcaneus Fracture? - Orthopedics

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Post-operative issues following calcaneal fracture surgery?


One and a half months after the surgery, the skin has been consistently swollen.
Is this normal? I feel very confused.

Xiao Zhi, 40~49 year old female. Ask Date: 2023/01/17

Dr. You Dianqi reply Orthopedics


Hello! After surgery, you can apply cold compresses and elevate the affected limb to alleviate pain and swelling at the surgical site.
If you experience persistent pain and worsening redness and swelling, significant bleeding, purulent drainage, loss of sensation at the surgical site, cold or pale toes in the affected limb, coughing, shortness of breath, chest pain, rapid heartbeat, chills, or fever (temperature of 38°C or 100°F and above), please return for a follow-up appointment as soon as possible.
Thank you!

Reply Date: 2023/01/17

More Info


After a calcaneus fracture surgery, experiencing swelling is a common concern among patients. Swelling, or edema, is a natural response of the body to injury and surgery. It occurs due to the accumulation of fluid in the tissues surrounding the surgical site. This is especially true in the case of fractures, where the body is working to heal the damaged bone and surrounding soft tissues.

In the first few weeks following surgery, it is typical for swelling to be pronounced. The body’s inflammatory response is activated as part of the healing process, which can lead to increased blood flow and fluid accumulation in the affected area. This is particularly relevant for the calcaneus (heel bone), as it bears significant weight and is involved in various movements, making it susceptible to swelling post-surgery.

However, while some swelling is normal, there are certain factors to consider that can help determine whether the swelling you are experiencing is within the expected range or if it may indicate a complication. Here are some points to keep in mind:
1. Duration and Severity of Swelling: Swelling that persists beyond a few weeks or increases in severity may warrant further evaluation. If the swelling is accompanied by severe pain, redness, or warmth, these could be signs of infection or other complications.

2. Elevation and Rest: Keeping the affected foot elevated can help reduce swelling. It is advisable to rest and avoid putting weight on the injured foot until your doctor gives you the go-ahead.
3. Compression and Ice: Using a compression bandage and applying ice can also help manage swelling. However, be cautious not to apply ice directly to the skin; always use a cloth or towel as a barrier.

4. Follow-Up Appointments: Regular follow-ups with your orthopedic surgeon are crucial. They can assess the healing process through physical examinations and imaging studies, such as X-rays, to ensure that the bone is healing properly and that there are no complications like nonunion or malunion.

5. Physical Therapy: Once the initial healing phase is over, physical therapy may be recommended to help regain strength and mobility. A physical therapist can provide exercises that promote circulation and reduce swelling.

6. Signs of Complications: Be vigilant for signs of complications, such as increased swelling, persistent pain, or changes in skin color. If you notice any of these symptoms, it’s important to contact your healthcare provider promptly.

In conclusion, while some swelling after calcaneus fracture surgery is normal, it is essential to monitor its duration and severity. If you have concerns about the swelling or if it seems excessive, do not hesitate to reach out to your orthopedic surgeon for guidance. They can provide personalized advice based on your specific situation and ensure that your recovery is on track. Remember, healing takes time, and following your doctor's recommendations will help facilitate a smoother recovery process.

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