Post-Surgery Recovery Time for Knee and Pelvis Injuries Explained - Orthopedics

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I have a question I would like to ask the doctor?


I was involved in a car accident where I hit a woman who is approximately 53 years old.
When she was taken to the hospital, the doctor said she has a dislocated patella and pelvis, and she needs surgery.
She has had surgery before.
After the surgery, will she need to rest for six months before she can start walking?

Xiao Jia, 10~19 year old female. Ask Date: 2003/12/03

Dr. Yang Zhengfan reply Orthopedics


Dear Xiao Jia, in medical terms, there is no such thing as "patellar dislocation." What you are likely referring to is a patellar fracture.
The healing time for a fracture typically ranges from three months to six months.
However, the time it takes to be able to walk again is usually shorter, generally around two to three months before you can walk reasonably well.

Reply Date: 2003/12/03

More Info


Post-surgery recovery time for knee and pelvis injuries can vary significantly based on the severity of the injuries, the type of surgical procedure performed, and the individual’s overall health. In the case of a knee and pelvis injury, particularly after a traumatic event like a car accident, the recovery process can be complex and requires careful management.

For a patient who has undergone surgery for a dislocated knee cap (patella) and pelvic injuries, the initial recovery phase typically involves a period of immobilization. This is crucial to allow the surgical site to heal properly. Depending on the extent of the injuries and the surgical intervention, patients may be advised to use crutches or a walker to avoid putting weight on the injured leg for a certain period, often ranging from a few weeks to several months.

In general, the timeline for recovery can be broken down into several phases:
1. Immediate Post-Operative Phase (0-2 weeks): During this time, the focus is on managing pain and preventing complications such as infection or blood clots. Patients are usually advised to keep the leg elevated and may be prescribed pain medications. Physical therapy may begin with gentle range-of-motion exercises to prevent stiffness.

2. Early Rehabilitation Phase (2-6 weeks): As the initial healing progresses, patients may start physical therapy to regain mobility and strength. This phase often includes non-weight-bearing exercises, and patients may begin to gradually put weight on the leg as tolerated. The use of assistive devices like crutches is common during this period.

3. Intermediate Rehabilitation Phase (6-12 weeks): Patients typically begin to engage in more active rehabilitation, focusing on strengthening the muscles around the knee and pelvis. Weight-bearing activities may increase, and patients often start to walk with less assistance. The goal is to improve functional mobility and prepare for more advanced exercises.

4. Advanced Rehabilitation Phase (3-6 months): By this stage, many patients can return to more normal activities, including walking without assistance. However, high-impact activities or sports may still be restricted until the knee and pelvis have fully healed. Continued physical therapy is essential to ensure proper recovery and to address any lingering issues such as stiffness or weakness.

5. Full Recovery (6 months and beyond): Complete recovery can take anywhere from 6 months to a year, depending on the individual’s progress and the nature of the injuries. Regular follow-ups with the orthopedic surgeon and physical therapist are crucial to monitor healing and adjust rehabilitation protocols as needed.

It is important to note that every patient’s recovery journey is unique. Factors such as age, pre-existing health conditions, and adherence to rehabilitation protocols can significantly influence recovery time. For instance, older adults or individuals with previous injuries may experience a longer recovery period.

In summary, while some patients may begin to walk with assistance within a few weeks post-surgery, it is not uncommon for full recovery to take several months. It is essential to follow the advice of healthcare professionals, including orthopedic surgeons and physical therapists, to ensure a safe and effective recovery process. Regular assessments will help determine when it is appropriate to progress to more demanding activities and when to expect a return to normal function.

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