Shinbone Fractures: Recovery Challenges and Symptoms

Fibula fracture

Hello Doctor, I had a car accident at the beginning of June, and due to an open wound, I was taken to the hospital where I was diagnosed with a fracture located between my knee and calf.
I received stitches and stayed in the hospital for four days, followed by a course of antibiotics.
Initially, I was unable to walk at all, but now I can go up and down stairs.
However, my leg cannot fully extend, and I feel a catching sensation in the joint.
Last week, I had my stitches removed and I have a follow-up appointment with the doctor.
I am scheduled for an MRI next week.

I would like to ask the doctor about my condition.
When I had the accident, if I pressed on the area around my tibia in my calf, it would not rebound, leaving an indentation.
Now, over a month later, although the swelling has decreased significantly, the muscle mass in my legs is noticeably different.
The injured leg has also reduced in swelling, but when I press on the skin over the tibia, it still indents.
Additionally, when I remove my knee brace, there is a distinct mark around my calf, and it feels like blood circulation is poor.
What could this situation indicate? Please help me understand, Doctor.

Gao, 10~19 year old female. Ask Date: 2023/07/28

Dr. Zhan Xian reply Orthopedics

Recommendation for follow-up consultation.
Thank you.

Reply Date: 2023/07/28

More Info

Hello! It sounds like you've been through a very challenging experience with your shinbone fracture and the subsequent recovery process. Let's break down your concerns regarding the symptoms and recovery challenges associated with shinbone fractures.

Firstly, it’s important to understand that shinbone fractures, particularly open fractures, can lead to a variety of complications, including swelling, muscle atrophy, and joint stiffness. The fact that you initially could not walk and are now able to navigate stairs is a positive sign of progress. However, the lingering issues you are experiencing, such as the inability to fully extend your leg and the sensation of "catching" in the joint, are not uncommon in the recovery phase.

The feeling of a "dented" area when you press on your shinbone (tibia) could be indicative of several factors. One possibility is that there is still some residual swelling or fluid accumulation in the area, which can happen after a fracture. This can lead to a condition known as edema, where excess fluid builds up in the tissues, causing the skin to feel tight and appear puffy. The fact that you mentioned the swelling has decreased significantly is encouraging, but it may take time for the tissue to fully heal and for normal circulation to return.

Muscle atrophy is another common issue following a fracture. When a limb is immobilized for an extended period, the muscles can weaken and shrink due to disuse. This is likely why you are noticing a significant difference in muscle size between your injured leg and your uninjured leg. Engaging in physical therapy and rehabilitation exercises will be crucial in rebuilding strength and muscle mass in your affected leg.

Regarding the knee brace marks and the sensation of poor blood circulation, it’s essential to ensure that your brace is not too tight. A brace that is excessively tight can restrict blood flow and lead to further complications. If you notice persistent indentations or if your skin appears discolored, it would be wise to consult your healthcare provider to assess the fit of your brace and make any necessary adjustments.

As for the upcoming MRI, this imaging will provide valuable information about the state of your bone and soft tissue healing. It can help identify any underlying issues, such as cartilage damage or ligament injuries, which may be contributing to your symptoms.

In terms of recovery, the timeline can vary significantly from person to person. Generally, bone healing can take anywhere from six weeks to several months, depending on the severity of the fracture and individual factors such as age, overall health, and adherence to rehabilitation protocols. It's crucial to follow your doctor's recommendations regarding physical therapy and to engage in exercises that promote flexibility, strength, and range of motion.

In conclusion, while your recovery journey may feel slow and frustrating at times, it is essential to remain patient and committed to your rehabilitation. Regular follow-ups with your healthcare provider, adherence to prescribed exercises, and open communication about your symptoms will be key to achieving the best possible outcome. If you have any further concerns or if your symptoms worsen, do not hesitate to reach out to your medical team for guidance. Wishing you a smooth and successful recovery!

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