Tear of the posterior cruciate ligament with associated fracture?
I would like to ask the doctor, I had a car accident on August 14 and was diagnosed with a torn cruciate ligament and a fracture.
The posterior cruciate ligament of the tibia is displaced by about 5mm.
It has been two weeks since the surgery, and the doctor has allowed me to bend my knee to 30 degrees, but my foot is numb and swollen, which seems to have no sensation.
Is this normal? How can I improve this condition? Additionally, I experience severe pain when lightly touching my calf, and the rehabilitation department indicated that there is muscle inflammation.
Is this also normal? What can I do to improve this? Thank you.
Wen, 20~29 year old female. Ask Date: 2023/08/30
Dr. Chen Yongxue reply Orthopedics
Hello, due to the fracture, it is necessary to keep the affected area immobilized, which often leads to swelling, numbness, and other discomfort in the lower limbs.
This will naturally improve once you begin to engage in weight-bearing activities later on.
In the short term, elevating the affected limb can help reduce the swelling.
Thank you.
Reply Date: 2023/08/30
More Info
Recovering from a posterior cruciate ligament (PCL) tear and associated fractures can be a complex and challenging process. It’s important to understand the nature of your injuries and the typical recovery trajectory, as well as the strategies that can help facilitate healing and regain function.
First, let’s address the symptoms you are experiencing post-surgery. The numbness and lack of sensation in your foot, along with swelling, can be concerning. While some degree of swelling is common after surgery, especially following a significant injury like a PCL tear and fracture, persistent numbness may indicate nerve involvement or compression. This could be due to swelling pressing on nerves or possibly from the surgical procedure itself. It is crucial to communicate these symptoms to your orthopedic surgeon or physical therapist, as they may need to assess your condition further to rule out any complications.
As for the pain you’re experiencing in your calf with light touch, this could be attributed to muscle inflammation, which is not uncommon after surgery. The trauma from the injury, combined with the surgical intervention, can lead to inflammation in the surrounding muscles and tissues. This inflammation can cause pain, tenderness, and sensitivity in the area. To manage this, your healthcare provider may recommend rest, ice, compression, and elevation (RICE) to help reduce swelling and alleviate pain. Additionally, anti-inflammatory medications may be prescribed to help manage pain and inflammation.
Regarding your rehabilitation, it’s essential to follow your physical therapist's guidance closely. They will likely focus on gentle range-of-motion exercises initially, gradually increasing the intensity as your healing progresses. The fact that your physician has allowed for 30 degrees of flexion is a positive sign, indicating that they are monitoring your recovery closely. However, it’s important not to push beyond the recommended limits, as this could jeopardize the healing of your ligament and fractures.
In terms of improving your recovery, consider the following strategies:
1. Physical Therapy: Engage in a structured physical therapy program tailored to your specific injuries. This will help you regain strength, flexibility, and stability in your knee and surrounding muscles.
2. Pain Management: Use ice packs on the affected area to reduce swelling and numbness. Over-the-counter pain relievers or prescribed medications can also help manage discomfort.
3. Gradual Weight Bearing: Follow your doctor’s advice regarding weight-bearing activities. Gradually increasing your weight-bearing status can help improve circulation and promote healing.
4. Nerve Health: If numbness persists, your healthcare provider may recommend specific exercises or therapies aimed at improving nerve function and sensation.
5. Monitoring Symptoms: Keep a close eye on your symptoms. If you notice increased swelling, persistent numbness, or worsening pain, it’s essential to contact your healthcare provider promptly.
6. Nutrition and Hydration: Maintain a balanced diet rich in vitamins and minerals to support healing. Staying hydrated is also crucial for recovery.
7. Patience and Consistency: Recovery from a PCL tear and fractures takes time. Consistency in your rehabilitation exercises and patience with your body’s healing process are key.
In summary, while some discomfort and symptoms like swelling and numbness can be part of the recovery process, it’s vital to stay in close communication with your healthcare team. They can provide tailored advice and interventions to help you navigate your recovery effectively. With appropriate care and rehabilitation, many individuals can return to their pre-injury levels of activity and function.
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