Post-Fracture Joint Issues: Complications After Surgery - Orthopedics

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Post-fracture complications can be a significant concern for patients, especially after surgeries involving the ankle and foot. Your questions touch on several important aspects of recovery and potential complications. Let’s address each of your concerns in detail.

1. Numbness and Burning Sensation in the Ankle and Foot: The sensations of numbness and burning in your ankle, foot, and toes could be attributed to several factors. One common cause is nerve irritation or compression, which can occur during or after surgery. Swelling from the injury or surgery can also put pressure on nerves, leading to these sensations. Additionally, if there was any damage to the nerves during the fracture or surgery, it could result in altered sensations. It’s essential to monitor these symptoms and discuss them with your physician, as they may require further evaluation.

2. Color Changes and Swelling: The purple discoloration and mild swelling of your foot when it hangs down could indicate venous insufficiency or poor circulation. When the leg is in a dependent position for an extended period, gravity can cause blood to pool in the lower extremities, leading to these symptoms. Elevating the leg helps restore normal blood flow. However, if this occurs frequently, it may be worth investigating further to rule out any underlying vascular issues. Persistent circulation problems after two months could indicate that your recovery is not progressing as expected, and you should consult your healthcare provider.

3. Foot Drop and Toe Movement: The difficulty in moving your toes and the tendency for them to curl when you attempt to flex your ankle could be related to muscle weakness or tightness in the Achilles tendon and surrounding muscles. This condition, known as foot drop, can occur if the nerves controlling these muscles are affected. It’s crucial to engage in physical therapy to strengthen the muscles and improve flexibility. Your doctor’s recommendation to perform ankle pumps is a good exercise to promote circulation and prevent stiffness.

4. Functionality Below the Ankle: If you had surgery on the tibia and fibula but are experiencing significant dysfunction in the ankle and toes, it could be due to several reasons. Nerve damage during surgery or from the fracture itself can lead to impaired function. Additionally, if there was significant swelling or immobilization, it could result in stiffness and decreased range of motion. A thorough examination by your physician or a specialist may be necessary to determine the exact cause and to develop a targeted rehabilitation plan.

5. Numbness Near the Surgical Site: The numbness you feel around the area where the plate is located could be due to nerve irritation or damage during the surgical procedure. It’s not uncommon for patients to experience altered sensations post-surgery, especially if the nerves were close to the surgical site. If the numbness persists or worsens, it’s advisable to follow up with your surgeon to assess the situation.

6. Restrictions on Shoulder Movement: The recommendation to avoid raising your arm above shoulder height after clavicle surgery is likely a precaution to prevent dislocation of the hardware or excessive strain on the healing tissues. It’s essential to follow your surgeon’s guidelines to ensure proper healing and to avoid complications.

In summary, while some post-operative symptoms can be expected, persistent or worsening symptoms should be evaluated by your healthcare provider. Engaging in a structured rehabilitation program under the guidance of a physical therapist can significantly improve your recovery and help address issues such as mobility, strength, and sensation. Always communicate openly with your healthcare team about your concerns and progress to ensure the best possible outcome.