Knee Fractures: Recovery Tips for Community Workers - Orthopedics

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Knee ligament tear


I would like to ask, I fell while climbing stairs half a month ago, causing a horizontal fracture in my left knee while in a kneeling position.
An X-ray showed that the bone is fractured; it's a small bone below the knee joint that is cracked.
I work as a community cleaner, and I am currently on rest.
The doctor said I can work, but I should avoid squatting or bending my leg, as there is a risk that the injured area could break further, which would require surgery.
He mentioned that the joint is not dislocated, but I do not fully understand what the doctor meant.
Should I work or not? My supervisor keeps asking me to come in for one or two hours.
What should I do?

Shu Zhen, 40~49 year old female. Ask Date: 2023/04/15

Dr. Zhan Xian reply Orthopedics


Hello, if there is a non-displaced patellar fracture, a knee brace can be worn to prevent displacement.
If you have any questions or uncertainties, please visit the orthopedic outpatient clinic.

Reply Date: 2023/04/15

More Info


Knee fractures, particularly those involving the patella or the small bones around the knee joint, can be quite complex and require careful management to ensure proper healing and recovery. Given your recent injury from a fall while climbing stairs, it is essential to understand the nature of your fracture and the implications for your work as a community worker.


Understanding Your Injury
From your description, it seems that you have sustained a transverse fracture of a small bone beneath the knee joint, likely involving the patella or a related structure. The fact that your doctor mentioned the joint is "not displaced" is a positive sign, indicating that the fracture has not caused the bones to shift out of their normal alignment. This is crucial because displaced fractures often require surgical intervention to realign the bones properly.


Recovery and Rehabilitation
1. Rest and Protection: Initially, it is vital to rest the injured knee to allow for healing. Avoid activities that put stress on the knee, such as squatting, bending, or lifting heavy objects. If your doctor has advised against bending your knee, it is essential to follow this guidance strictly to prevent further injury.

2. Pain Management: If you experience pain, over-the-counter pain relievers like acetaminophen can help. However, if you have allergies to NSAIDs, consult your doctor for alternative pain management strategies. Ice packs can also reduce swelling and discomfort.

3. Physical Therapy: Once the initial healing phase has passed, your doctor may recommend physical therapy. A physical therapist can guide you through exercises to strengthen the muscles around the knee, improve flexibility, and restore range of motion. This is crucial for regaining function and preventing stiffness.

4. Gradual Return to Activity: Your doctor has indicated that you can return to work but should avoid squatting or bending your knee. It is essential to listen to your body; if you feel pain or discomfort while working, it may be a sign that you need to take a step back. Consider discussing with your supervisor about modifying your duties to accommodate your recovery.


Working Considerations
Given your role as a community worker, it is understandable that you want to return to work. However, it is crucial to prioritize your health. Here are some considerations:
- Communicate with Your Supervisor: Explain your situation and the limitations imposed by your injury. Discuss potential modifications to your work duties that would allow you to contribute without risking further injury.

- Short Shifts: If you decide to return to work, starting with short shifts (1-2 hours) as suggested by your supervisor may be a good approach. Monitor how your knee responds to this increased activity.

- Avoid High-Risk Activities: Steer clear of tasks that require bending, squatting, or any movements that could exacerbate your injury. Focus on tasks that allow you to remain upright and minimize knee strain.


When to Seek Further Medical Advice
If you experience increased pain, swelling, or any new symptoms, it is crucial to consult your healthcare provider. They may need to reassess your injury and determine if further intervention is necessary.


Conclusion
In summary, while it is possible to return to work with a knee fracture, it is essential to do so cautiously. Prioritize your recovery by following your doctor's advice, engaging in physical therapy, and communicating openly with your employer about your limitations. By taking these steps, you can help ensure a smoother recovery and minimize the risk of further injury. Remember, your health is the most important factor in your ability to work effectively in the long term.

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