Post-Patellar Fracture Surgery: Can I Climb Stairs Safely? - Orthopedics

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Postoperative Issues Following Patellar Fracture Surgery


Dear Dr.
Zhan,
I sustained a patellar fracture from a fall and it has been nearly 50 days since my surgery.
I would like to ask if it is safe for me to occasionally go up and down about two flights of stairs, as my knee can currently bend to 90 degrees.
Will this activity cause any displacement of the bone? I appreciate your time in responding.
Thank you!

Wang Zihua, 60~69 year old female. Ask Date: 2023/04/23

Dr. Zhan Xian reply Orthopedics


Hello Ms.
Wang, whether you can climb stairs depends on the judgment of your surgeon.
It is important to consider the stability of the fracture fixation and the quality of your bone.
Please ask your doctor during your follow-up appointment.
Wishing you a safe recovery!

Reply Date: 2023/04/23

More Info


After a patellar fracture surgery, it is understandable to have concerns about mobility and the potential for re-injury, especially when it comes to activities like climbing stairs. Given that you are approximately 50 days post-surgery and have achieved a range of motion of 90 degrees in your knee, you are making good progress in your recovery. However, there are several factors to consider before you start climbing stairs.

First, it is essential to assess the stability of your knee joint. After a patellar fracture, the healing process involves not only the bone but also the surrounding soft tissues, including ligaments and tendons. If your surgeon has cleared you for weight-bearing activities and you feel comfortable, you may be able to navigate stairs, but with caution. It is crucial to listen to your body; if you experience pain or discomfort while attempting to climb stairs, it may be best to wait a little longer before resuming this activity.

Second, consider the use of assistive devices. If you are still feeling uncertain about your stability, using crutches or a walker can provide additional support and help prevent falls. This is particularly important when navigating stairs, as the risk of slipping or losing balance increases. If you do decide to attempt stairs, start with one step at a time, and ensure you have a handrail to hold onto for balance.

Third, the risk of bone displacement is a valid concern. While the bone may be healing, it is still vulnerable during the early stages of recovery. Engaging in activities that place excessive stress on the knee joint, such as climbing stairs, could potentially lead to complications. It is advisable to consult with your orthopedic surgeon or physical therapist before attempting stairs. They can provide personalized guidance based on your specific healing progress and overall knee stability.

In addition to these considerations, rehabilitation exercises are crucial for strengthening the muscles around your knee and improving your overall stability. Engaging in a structured physical therapy program can help you regain strength and confidence in your knee, making activities like stair climbing safer and more manageable.

Lastly, remember that recovery from a patellar fracture can vary significantly from person to person. Factors such as age, overall health, and the severity of the fracture can influence your healing timeline. Therefore, it is essential to have realistic expectations and to prioritize your safety during the recovery process.

In summary, while it may be possible to climb stairs 50 days post-patellar fracture surgery, it is vital to proceed with caution. Consult your healthcare provider for personalized advice, consider using assistive devices, and focus on rehabilitation exercises to enhance your recovery. Your safety and well-being should always come first, so take your time and listen to your body as you navigate your recovery journey.

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