Post-Fracture Complications: When to Seek Medical Advice - Orthopedics

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It sounds like you are experiencing some concerning symptoms following your previous femur fracture and surgery. The fact that your right calf is now larger than your left by about 3 centimeters, along with swelling in the ankle, could indicate several potential issues that warrant further investigation.

Firstly, one possibility is that you may be experiencing a condition known as post-thrombotic syndrome, which can occur after a deep vein thrombosis (DVT). DVT is a blood clot that can form in the deep veins of the leg, often as a complication following surgery or prolonged immobility. Symptoms of DVT can include swelling, pain, and changes in skin color. If a clot is present, it can lead to increased pressure in the veins, resulting in swelling and discomfort.

Another possibility is that you may have developed lymphedema, which is a condition characterized by the accumulation of lymphatic fluid in the tissues, leading to swelling. This can occur after surgery, especially if lymph nodes were removed or damaged during the procedure. Lymphedema can cause significant swelling and may require specialized treatment.

In addition to these conditions, it is also important to consider the possibility of complications related to your previous fracture and surgery. For example, if there is an issue with the hardware (such as the bone screws or pins), it could lead to localized swelling and discomfort. Additionally, if there is an infection or inflammation in the area, this could also contribute to the symptoms you are experiencing.

Given these possibilities, it is crucial to seek medical advice promptly. You should consider visiting an orthopedic specialist, as they can evaluate your previous fracture site and any related complications. They may perform imaging studies, such as an ultrasound or MRI, to assess for DVT, lymphedema, or any issues with the surgical hardware.
If your symptoms are accompanied by severe pain, redness, warmth, or if you experience shortness of breath, you should seek emergency medical attention, as these could be signs of a more serious condition, such as a pulmonary embolism, which can occur if a blood clot travels to the lungs.

In summary, while your previous fracture and surgery may have healed, the new symptoms you are experiencing could indicate a range of complications. It is essential to consult with a healthcare professional who can provide a thorough evaluation and appropriate management. Early intervention can help prevent further complications and ensure the best possible outcome for your recovery.