Tibial Fractures: Post-Surgery Recovery and Concerns

Tibia, fracture

Hello Dr.
Chen: Good day! I would like to ask you a few questions, if you don't mind.

1.
For the removal of screws, do we need to reopen the same incision?
2.
The swelling I currently have is concentrated around the inner and outer ankle of my foot.
Is this commonly referred to as "athlete's foot"?
3.
It has been about two and a half months since my injury.
Although I can walk without crutches now, I still feel hesitant to put full weight on my foot.
Is this recovery situation considered acceptable?
4.
Lastly, I would like to express my gratitude to Dr.
Chen for taking the time to answer my questions amidst your busy schedule.
Thank you!

Xinji~~~~de ren, 30~39 year old female. Ask Date: 2003/11/12

Dr. Chen Xingyuan reply Orthopedics

Dear Readers,
The wound from the removal of the screws will generally be accessed through the original incision.
If there was another incision made during your surgery to assist in the reduction of the fracture, which is known as an open reduction surgery, then that incision does not need to be reopened during the screw removal procedure.

Swelling in the foot or lower limb is sometimes referred to as "edema," but regardless of the terminology used, the underlying principle remains the same, and it is not necessary to focus too much on the specific name.
The weight-bearing capacity of the affected limb should be determined based on the nature of the fracture and whether the screws can provide adequate stability during the healing process.
Therefore, it is essential to consult your attending physician regarding when you can fully bear weight on the affected limb.
Applying pressure or bearing weight on the fracture site can aid in healing; however, excessive weight-bearing may lead to screw breakage or displacement of the fracture site, so caution is crucial! It is very important and necessary to communicate thoroughly with your attending physician.
Wishing you a smooth recovery and good health!
Sincerely,
Dr.
Chen

Reply Date: 2003/11/12

More Info

Hello! Thank you for your questions regarding your recovery from tibial fractures and the concerns you have post-surgery. It's great to see that you are actively seeking information to better understand your condition and recovery process. Let’s address your questions one by one.

1. Removal of Hardware (Screw Removal Surgery): Typically, if a screw or plate needs to be removed, it can often be done through the same incision used for the original surgery. However, this depends on the specific case and the surgeon's preference. Sometimes, a new incision may be necessary if the original site is not accessible or if there are complications. It’s best to discuss this with your orthopedic surgeon, who can provide guidance based on your unique situation.

2. Swelling in the Ankle Area: The swelling you are experiencing around the ankle and foot could be due to several factors, including post-surgical inflammation, fluid retention, or even a condition known as "edema." It’s not typically referred to as "退腳氣" (which translates to "retreating foot disease" and is not a recognized medical term in English). If the swelling persists or is accompanied by pain, redness, or warmth, it’s essential to consult your physician to rule out any complications such as infection or deep vein thrombosis (DVT).

3. Weight Bearing and Recovery: It’s completely normal to feel hesitant about putting full weight on your injured leg, especially after a significant injury like a tibial fracture. The fact that you are able to walk without crutches is a positive sign of recovery. However, it’s crucial to gradually increase your weight-bearing activities as tolerated. If you’re still feeling apprehensive, consider using a walking aid for additional support until you feel more confident. Engaging in physical therapy can also help improve your strength and balance, which may alleviate your fears about putting weight on the leg.

4. General Recovery Concerns: At approximately two and a half months post-surgery, you are in a critical phase of recovery. It’s important to follow your rehabilitation plan closely, which may include exercises to improve range of motion, strength, and stability. If you have not yet started physical therapy, I highly recommend it, as a therapist can provide tailored exercises and guidance to help you regain full function.
In terms of long-term concerns, many patients experience some residual swelling or discomfort for a few months after surgery, but this should gradually improve. If you notice persistent pain or functional limitations, it’s essential to communicate this with your healthcare provider. They may suggest imaging studies or further evaluations to ensure that your recovery is on track.

Lastly, I appreciate your gratitude towards your physician, and it’s always a good idea to maintain open communication with them regarding your recovery. They can provide the most accurate advice tailored to your specific situation. Remember, recovery is a journey, and it’s important to be patient with yourself as you heal.
If you have any further questions or concerns, don’t hesitate to reach out. Wishing you a smooth and speedy recovery!

Similar Q&A

Understanding Tibial Fractures: Recovery, Complications, and Future Mobility

I would like to ask you some questions regarding the tibia and fractures. In mid-August of this year, I was involved in a car accident that resulted in a fracture of my left tibia (the larger bone). At the time, it became swollen and extremely painful. I was taken to Kaohsiung Me...

Dr. Chen Xingyuan reply Orthopedics
Dear Reader: Based on the description in the text, your recovery speed is actually quite good. Bone healing takes time; typically, the healing of a tibial fracture requires about six months to a year, and there is no need to rush. In principle, if the fracture heals well after ab...

Post-Surgery Recovery Challenges After Tibia and Fibula Fracture: Seeking Solutions

Hello, last July I suffered a fracture of the tibia and fibula in my lower leg, and underwent fracture reduction and fixation with a locking plate. The doctor recommended purchasing a pneumatic brace, but I have not actually worn it for walking. Four months post-surgery, the doct...

Dr. You Dianqi reply Orthopedics
If you experience any discomfort, it is recommended to consult your primary care physician for evaluation. Subsequent physical therapy can be pursued at the rehabilitation department outpatient clinic. Thank you.

Understanding Tibial Plateau Fractures: Recovery and Complications

After being diagnosed with a tibial plateau fracture, I underwent surgery on the third day. Post-surgery, my knee and lower leg were significantly swollen. Two months later, I noticed valgus deformity of the knee. I am concerned that the bones may have healed improperly, but the ...

Dr. Shi Guozheng reply Orthopedics
It may be necessary to take another X-ray to confirm the position of the joint, as it can sometimes be slightly angulated. However, if the angle is not significant, it is usually not a major concern.

Post-Surgery Concerns After Tibial Fracture: Pain and Limitations Explained

Hello, doctor! I suffered a distal tibial fracture due to a car accident, and the surgery involved minimally invasive open reduction and internal fixation. A steel rod was inserted from the tibial plateau and secured with four screws on the medial side of the leg. It has been fiv...

Dr. Chen Yongxue reply Orthopedics
Hello, based on your letter, your fracture should be at the proximal tibia rather than the distal tibia. 1. Proximal tibial fractures can range from very minor to highly comminuted, and the surgical approach and recovery can vary significantly. However, since the injury has alr...