Postoperative Knowledge
On July 4th, I had an open fracture of my right thigh due to a car accident.
Around July 20th, I started using a walker to attempt walking on my own, as I felt that my leg wasn't very painful.
However, I was very afraid of putting full weight on my right leg, fearing it might break again.
I'm unsure if this is advisable, as I read online that using a walker too early could lead to the bone screws breaking.
I will be starting college around September 1st and would like to know when I can expect to walk normally without limping.
I am scheduled to have the bone screws removed on August 1st next year.
Will I be unable to exercise at all until the screws are removed? And after the screws are taken out, will I be able to resume normal physical activities?
Xiong Xiansheng, 10~19 year old female. Ask Date: 2023/07/25
Dr. Chen Yongxue reply Orthopedics
Hello, whether you can bear weight after a femoral fracture surgery greatly depends on the type of fracture and the method of internal fixation used.
It is best to consult your attending physician for the safest advice.
Thank you.
Reply Date: 2023/07/25
More Info
Recovering from a leg fracture, especially an open fracture like the one you experienced, can be a complex process that varies significantly from person to person. Generally, the timeline for returning to normal walking after such an injury depends on several factors, including the type of fracture, the surgical procedure performed, and your overall health and adherence to rehabilitation protocols.
In your case, since you had an open fracture of the right thigh and began using a walker around July 20, it’s important to follow your surgeon's recommendations closely. Typically, after a major fracture, the initial phase of recovery involves limited weight-bearing activities to allow the bone to heal properly. Most orthopedic surgeons recommend using assistive devices like walkers or crutches for at least 6 to 8 weeks post-surgery, depending on the stability of the fracture and the type of fixation used (such as plates or screws).
You mentioned that you are concerned about putting full weight on your leg due to fear of re-injury. This is a common concern among patients recovering from fractures. It’s crucial to listen to your body; if you feel pain or discomfort, it’s a sign that you may need to reduce the load on your leg. Gradually increasing weight-bearing activities under the guidance of your healthcare provider is essential for a successful recovery.
Regarding your question about when you can walk normally without a limp, this typically occurs after the bone has sufficiently healed, which can take several weeks to months. Since you are starting college on September 1, it’s advisable to communicate with your orthopedic surgeon about your specific timeline and any necessary accommodations you might need during this transition. They can provide a more tailored recovery plan based on your healing progress.
As for the removal of the bone screws on August 1 of the following year, this procedure usually does not mean you can immediately return to all activities. After the screws are removed, your doctor will likely recommend a period of rehabilitation to strengthen the muscles around the knee and thigh and to restore full range of motion. It’s common to have some restrictions on high-impact activities for a while after the screws are taken out, as the bone may still be in the process of remodeling and strengthening.
In summary, while you may be able to start walking with assistance relatively soon after your surgery, achieving a normal gait without a limp may take longer. It’s essential to follow your surgeon's advice, engage in physical therapy, and gradually increase your activity level as your healing progresses. Always prioritize safety and listen to your body throughout this recovery process. If you have specific concerns or experience unusual symptoms, don’t hesitate to reach out to your healthcare provider for guidance.
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