How Long Does It Take to Walk Normally After Ankle Fracture Surgery?

The average time to walk normally after an ankle fracture surgery is typically around 6 to 12 weeks, depending on the severity of the fracture and the individual's healing process?

Hello: I underwent surgery for a right ankle fracture on October 2nd of last year (with a plate and screws installed).
During a follow-up appointment two months post-surgery, it was discovered that my right medial malleolus had also cracked.
It has been approximately four months since the surgery, and my right ankle is still swollen by about 25% compared to my healthy left ankle.
Currently, I can wear shoes on both feet and walk with a walker, but I feel stiffness and tightness around the area near my right heel.
I can stand independently on both feet for a few minutes.
Compared to my healthy foot, when lying in bed and stretching my right foot, I do not feel any stretching sensation in the tendons connecting the heel to the calf, and my right little toe still has almost no voluntary movement.
I have mild osteoporosis (-1 to -2) but have been slightly supplementing with calcium and vitamin D.
I also have severe scoliosis (over 40 degrees), so I am concerned that practicing walking with a single crutch may exacerbate the curvature.
Therefore, I would like to ask: 1.
What rehabilitation progress would be suitable for my condition? 2.
On average, how long does it take for women in their 40s to walk normally after an ankle fracture surgery? 3.
Are there any known methods to improve normal walking? Thank you!

Ivy, 40~49 year old female. Ask Date: 2024/01/26

Dr. Chen Bochen reply Orthopedics

1.
Walking will not worsen your scoliosis.

2.
4-6 weeks.

3.
Walk more for rehabilitation, perform ankle pump exercises, and do lower limb stretches.

Reply Date: 2024/01/26

More Info

After undergoing ankle fracture surgery, the timeline for returning to normal walking can vary significantly based on several factors, including the severity of the fracture, the surgical technique used, and individual healing rates. In your case, having had surgery for a right lateral malleolus fracture and subsequently discovering a fracture in the medial malleolus, the recovery process may take longer than initially anticipated.

1. Rehabilitation Progression: Given your current situation—four months post-surgery with persistent swelling and stiffness in the ankle—it’s crucial to follow a structured rehabilitation program. Typically, rehabilitation for ankle fractures includes:
- Range of Motion Exercises: Start with gentle movements to improve flexibility. This can include ankle circles and toe flexion/extension.

- Strengthening Exercises: Once you have regained some range of motion, you can begin strengthening exercises, such as resistance band exercises for the ankle and calf raises.

- Balance Training: Incorporate balance exercises, like standing on one leg or using a balance board, to enhance stability and proprioception.

- Gradual Weight Bearing: As you progress, gradually increase weight-bearing activities. If you are using a walker or crutches, work with your physical therapist to transition to full weight-bearing as tolerated.

2. Average Recovery Time: For women in their 40s, the average time to return to normal walking after an ankle fracture can range from 6 to 12 weeks post-surgery, depending on the complexity of the fracture and the individual’s overall health. However, since you have experienced complications, such as additional fractures and ongoing swelling, it may take longer for you to achieve a normal gait. It’s essential to listen to your body and not rush the process, as premature weight-bearing can lead to setbacks.

3. Methods to Enhance Recovery: To promote healing and improve your chances of walking normally, consider the following strategies:
- Physical Therapy: Regular sessions with a physical therapist can provide personalized exercises and manual therapy techniques to improve mobility and strength.

- Nutrition: Ensure you are consuming a balanced diet rich in calcium and vitamin D, which are vital for bone health. Foods like dairy products, leafy greens, and fortified foods can be beneficial.

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

- Weight Management: Maintaining a healthy weight can reduce stress on your joints, particularly if you have underlying conditions like scoliosis.

- Gradual Return to Activity: As you progress, slowly reintroduce activities that do not exacerbate your symptoms. Avoid high-impact activities until you have regained sufficient strength and stability.

Given your concerns about scoliosis and its potential impact on your recovery, it’s advisable to discuss your rehabilitation plan with both your orthopedic surgeon and a physical therapist who can tailor your exercises to accommodate your spinal condition. They can help ensure that your recovery does not worsen your scoliosis while still promoting healing in your ankle.

In summary, while the average recovery time for ankle fractures can vary, your specific circumstances may require a more extended period of rehabilitation. Focus on a gradual and guided recovery process, and don’t hesitate to seek professional advice to optimize your rehabilitation and ensure a safe return to normal walking.

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