Post-Operative Concerns After Patellar Fracture Surgery: A Patient's Inquiry

Postoperative issues following patellar fracture surgery?

Hello Dr.
Chen: In March, I fell and landed on my knees, resulting in a patellar fracture.
I had surgery on March 6 to fix it, and afterwards, I was fitted with a knee brace.
The doctor later said I could practice bending my knee to 90 degrees.
Now, it's been 35 days since my surgery.
Can I bend my knee more than 90 degrees? Also, is it safe for me to occasionally go up and down two flights of stairs? Will this cause any displacement of the bone? Thank you for your response.

Ms. Wang, 60~69 year old female. Ask Date: 2023/04/10

Dr. Chen Yongxue reply Orthopedics

Hello, each person's condition and recovery process is different.
It is best to discuss this with your attending physician.
Thank you.

Reply Date: 2023/04/10

More Info

Hello! Thank you for your inquiry regarding your post-operative concerns after patellar fracture surgery. It’s great to hear that you are actively engaging in your recovery process.
Firstly, it's important to understand that after a patellar fracture, the recovery timeline can vary significantly from person to person. Generally, after surgery, the focus is on regaining range of motion and strength while ensuring that the fracture site heals properly. At 35 days post-surgery, achieving a knee flexion greater than 90 degrees is often possible, depending on your individual healing process and the specific surgical technique used. However, you should always consult your orthopedic surgeon or physical therapist before pushing your limits, as they can provide personalized advice based on your specific condition.

Regarding your question about climbing stairs, it is typically advised to proceed with caution. Climbing stairs can be a good exercise to promote strength and mobility, but it also places additional stress on the knee joint. If your surgeon has cleared you to practice stair climbing, start slowly and ensure you have a stable support system in place, such as a handrail. If you experience pain or instability while doing so, it’s best to stop and consult your healthcare provider.

One of the primary concerns after any orthopedic surgery, including patellar fracture repair, is the risk of the bone moving out of place (displacement). This risk is generally minimized by following your rehabilitation protocol and avoiding high-impact activities until your doctor gives you the green light. It’s crucial to listen to your body; if you feel any unusual pain or discomfort, it’s wise to refrain from activities that could jeopardize your recovery.

In addition to physical therapy and gradual return to activities, consider the following tips to support your recovery:
1. Follow Rehabilitation Protocol: Stick to the exercises and guidelines provided by your physical therapist. They will help you regain strength and flexibility safely.

2. Ice and Elevate: If you experience swelling or discomfort, applying ice and elevating your leg can help reduce inflammation.

3. Strengthening Exercises: Focus on strengthening the quadriceps and hamstrings, as these muscles play a crucial role in stabilizing the knee joint.

4. Use Assistive Devices: If you feel unsteady, don’t hesitate to use crutches or a walker until you feel confident in your mobility.

5. Nutrition: Maintain a balanced diet rich in calcium and vitamin D to support bone healing.

6. Regular Follow-ups: Keep up with your follow-up appointments to monitor your healing progress and adjust your rehabilitation plan as needed.

In summary, while it is possible to achieve greater than 90 degrees of flexion at 35 days post-surgery, it is essential to do so under the guidance of your healthcare provider. Stair climbing can be beneficial, but proceed with caution and listen to your body. Always prioritize your safety and recovery by adhering to the advice of your medical team. Wishing you a smooth and speedy recovery!

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