Patellar Fracture Recovery: Can You Work with a Knee Injury? - Orthopedics

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Patellar fracture


Regarding a fracture of the patella (kneecap), can I use a kinesiology tape? Am I able to work? It has been about one month and three days since the injury.
I had a follow-up appointment and an X-ray, but the doctor said there is no clear indication of healing.
I am currently doing community cleaning work, and since I requested a substitute until the end of April, my supervisor is asking if I can return to work.
I am uncertain whether I should go back to work or not.

Shu Zhen, 40~49 year old female. Ask Date: 2023/04/29

Dr. Shen Boquan reply Orthopedics


Hello, it typically takes two to three months for a fracture to heal.
An X-ray taken after one month may not necessarily show signs of callus formation, which indicates the beginning of bone calcification.
If there is no significant displacement at the fracture site, it is usually sufficient to protect it for a period of time.
However, if there is displacement, surgical intervention for reduction may be recommended.
Wishing you good health, Shen Boquan.

Reply Date: 2023/04/29

More Info


Recovering from a patellar fracture can be a challenging journey, and it's understandable that you're feeling uncertain about returning to work. Given your situation, let’s break down the key considerations regarding your recovery and the possibility of returning to work.


Understanding Patellar Fractures
A patellar fracture, or kneecap fracture, can occur due to direct trauma, such as a fall or a car accident, or from indirect trauma, like a sudden force applied to the knee. Recovery from this type of injury typically involves a combination of immobilization, rehabilitation, and gradual return to activity. The healing process can vary significantly based on the severity of the fracture, the treatment method (surgical vs. non-surgical), and individual factors such as age and overall health.


Current Recovery Status
You mentioned that it has been approximately one month and three days since your injury, and that you have had follow-up X-rays, but the doctor indicated that the healing status is unclear. This uncertainty can be frustrating, but it’s not uncommon in the early stages of recovery. Bone healing can take time, and X-rays may not always show clear signs of healing until several weeks post-injury.


Working with a Knee Injury
1. Nature of Your Job: Since you are involved in community cleaning work, consider the physical demands of your job. If your role requires prolonged standing, walking, or heavy lifting, it may be wise to delay your return until you have more strength and stability in your knee.
2. Pain and Mobility: If you are experiencing pain or limited mobility, these are significant indicators that you may not be ready to return to work. Pain can be exacerbated by activity, and pushing through it could lead to further injury or complications.

3. Doctor's Advice: It’s crucial to follow your doctor’s recommendations. If they have not yet cleared you for work, it’s best to adhere to their guidance. You may want to discuss your job requirements with your physician to get a clearer understanding of when it might be safe for you to return.

4. Use of Supportive Devices: If you are using a knee brace or other supportive devices, these can help stabilize your knee during the healing process. However, if you find that these devices cause discomfort or restrict your movement too much, you should discuss this with your healthcare provider.

5. Gradual Return: If your doctor gives you the go-ahead to return to work, consider a gradual approach. Perhaps you could start with lighter duties or part-time hours to gauge how your knee responds to increased activity.


Use of Pain Relief and Recovery Aids
Regarding your question about using a "共振貼布" (resonance patch), topical treatments can sometimes provide temporary relief from pain and inflammation. However, you should consult with your healthcare provider before using any new treatment to ensure it won’t interfere with your recovery.


Conclusion
In summary, while it’s understandable that your employer is eager for you to return, your health and recovery should be the top priority. If you are still experiencing pain or have not received a clear indication of healing from your doctor, it may be best to wait before returning to work. Always communicate openly with your healthcare provider about your symptoms and concerns, and follow their advice regarding your return to work and activity levels. Your recovery is a process, and taking the necessary time to heal properly will help ensure a more successful return to your normal activities in the long run.

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