Recovery After Ankle Ligament Tear and Leg Fractures: Rehabilitation Tips - Orthopedics

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Right ankle ligament rupture, right calf bone fracture, and heel bone fracture?


Hello Doctor, my profession is a dental assistant.
I was in a car accident on the night of November 3rd, resulting in multiple abrasions all over my body.
The most severe injuries are a complete tear of the ligaments in my right ankle, a fracture in my right calf, and a fracture in my heel.
The orthopedic surgeon recommended a suspended titanium alloy plate, and I had surgery on November 6th.
It has been 9 days since the surgery, and the doctor only mentioned that I should not put weight on my leg for six weeks, with stitches to be removed on November 23rd.
Upon discharge, neither the doctor nor the nurse mentioned whether I need to return for rehabilitation, and I forgot to ask (how foolish of me).
The postoperative swelling has mostly subsided, and I would like to know if I need to return to the hospital for rehabilitation.
Are there any nutritional supplements that can help speed up bone recovery? Thank you for your guidance, Doctor.

Penny, 40~49 year old female. Ask Date: 2023/11/15

Dr. Chen Bochen reply Orthopedics


After ligament reconstruction surgery, rehabilitation is still necessary because the healing capacity of ligaments is not as strong as that of bones.
It is important to get plenty of sunlight, consume dark green vegetables, drink milk, and avoid smoking.

Reply Date: 2023/11/15

More Info


Recovering from an ankle ligament tear and leg fractures can be a challenging process, especially after a significant injury like yours. It’s crucial to follow a structured rehabilitation plan to ensure optimal recovery and regain function in your ankle and leg. Here’s a comprehensive overview of what you should consider during your recovery journey.


Importance of Rehabilitation
Rehabilitation after an ankle ligament tear and fractures is essential for several reasons:
1. Restoration of Range of Motion: After immobilization, your joints may become stiff. Rehabilitation exercises help restore flexibility and range of motion, which are vital for normal function.

2. Strengthening Muscles: Following an injury, muscles around the affected area can weaken due to disuse. Strengthening exercises are crucial to regain muscle strength and support the injured structures.

3. Preventing Complications: Engaging in rehabilitation can help prevent complications such as joint stiffness, muscle atrophy, and chronic pain.

4. Gradual Return to Activity: A structured rehabilitation program allows for a gradual return to daily activities and sports, minimizing the risk of re-injury.


When to Start Rehabilitation
Since your orthopedic surgeon has advised against putting weight on your leg for six weeks, it’s essential to adhere to this guideline. However, rehabilitation can often begin before you are allowed to bear weight. Here are some steps you can take:
1. Consult a Physical Therapist: It’s advisable to see a physical therapist who can assess your condition and develop a personalized rehabilitation program. They can guide you through safe exercises that promote healing without risking further injury.

2. Gentle Range of Motion Exercises: Once the swelling has subsided and you have been cleared by your doctor, you can start with gentle range of motion exercises. These may include ankle circles, toe flexes, and gentle stretching of the calf muscles.

3. Isometric Exercises: These exercises involve contracting the muscles without moving the joint. For example, you can press your foot against a wall or a towel without moving your ankle. This helps maintain muscle strength during the immobilization period.

4. Gradual Weight Bearing: After the six-week period, your doctor will likely advise you on when and how to start bearing weight on your leg. This is typically done gradually, starting with partial weight-bearing and progressing to full weight-bearing as tolerated.


Nutritional Support for Bone Healing
Nutrition plays a vital role in the healing process. Here are some dietary recommendations to support bone recovery:
1. Calcium: Essential for bone health, aim for foods rich in calcium, such as dairy products, leafy greens, and fortified foods.

2. Vitamin D: This vitamin helps your body absorb calcium. Sunlight is a natural source, but you can also find it in fatty fish, egg yolks, and fortified foods.

3. Protein: Adequate protein intake is crucial for tissue repair. Include lean meats, fish, eggs, legumes, and nuts in your diet.

4. Omega-3 Fatty Acids: These can help reduce inflammation and promote healing. Sources include fatty fish, flaxseeds, and walnuts.

5. Hydration: Staying well-hydrated is essential for overall health and can aid in the recovery process.


Conclusion
In summary, while your orthopedic surgeon has provided specific guidelines regarding weight-bearing, it’s essential to engage in rehabilitation exercises as soon as it is safe to do so. Consulting with a physical therapist will be invaluable in creating a tailored rehabilitation plan that addresses your specific needs. Additionally, focusing on a nutritious diet will support your body’s healing processes. Remember, recovery takes time, so be patient with yourself and stay committed to your rehabilitation program. If you have any concerns or experience unusual symptoms, don’t hesitate to reach out to your healthcare provider.

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