Rehabilitation Challenges After Femur Fracture Surgery: Key Insights - Rehabilitation

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Rehabilitation Issues Following Femoral Fracture


1.
The left thigh femur surgery was completed on May 22.
By June 27, the knee joint can bend to 100 degrees (while sitting on a chair, with the right foot pressing down on the left foot to assist in bending).
However, there seems to be a plateau; when attempting to bend further, there is pain in the big toe (unsure if it's due to the tendons or something else, are they connected to the joint's tendons?).
Additionally, there is soreness in the inner side tendons of the knee joint.
Is it still possible to force the bend? How many times a day should I attempt to bend it?
2.
When bending the knee joint, should I stop when it hurts, or should I apply more pressure? I'm concerned that it might have the opposite effect.
3.
I am unable to fully extend my leg during straight leg raises while lying in bed (if fully extended is 0 degrees, I am currently about 5 degrees short).
There is a feeling of weakness on the inner side of the knee, and if I try to stand solely on my left leg without using a walker, I feel unstable and might fall.
Is this normal? Should I be using the walker daily to help regain muscle strength?

Wu, 30~39 year old female. Ask Date: 2024/07/04

Dr. Su Hongci reply Rehabilitation


Hello: Since I cannot personally diagnose your condition, I recommend that you visit a medical facility for evaluation and treatment.

Reply Date: 2024/07/04

More Info


Rehabilitation after femur fracture surgery can be a challenging and complex process, particularly when dealing with complications such as pain, stiffness, and muscle weakness. Based on your description, it appears that you are experiencing several common issues that can arise during the recovery phase following such significant surgery. Here are some key insights and recommendations to help you navigate these challenges.


1. Understanding Pain and Limitations
It is not uncommon to experience pain in the toes, particularly the big toe, and along the inner side of the knee when attempting to bend the knee. This discomfort may stem from several factors, including muscle tightness, tendon strain, or even nerve irritation. The muscles and tendons around the knee joint are interconnected, and any stiffness or pain in one area can affect the overall function of the knee.
When it comes to bending your knee, it is essential to listen to your body. If you experience pain, it is advisable to stop and not push through it. Pain is a signal that something may not be right, and forcing movement can lead to further injury or setbacks.

2. Frequency and Technique of Knee Flexion
Regarding how often you should attempt to bend your knee, it is generally recommended to perform gentle range-of-motion exercises multiple times a day. Aim for 3-5 times daily, but ensure that you are not overexerting yourself. Start with small, gentle movements and gradually increase the range as tolerated.
When bending your knee, you should apply pressure until you feel discomfort but not to the point of severe pain. If you find that bending your knee causes significant pain, it may be beneficial to consult with your physical therapist or orthopedic surgeon to adjust your rehabilitation plan. They may suggest alternative exercises or modifications to help alleviate discomfort while still promoting healing.


3. Strengthening and Stability
The inability to fully extend your knee or the feeling of weakness in your leg is also quite common after such surgeries. It is crucial to focus on strengthening the muscles around the knee and thigh to regain stability and function. Using assistive devices, such as a walker or crutches, is advisable during this phase to prevent falls and provide support as you work on rebuilding strength.

Incorporating exercises that target the quadriceps, hamstrings, and calf muscles will be beneficial. Simple exercises like straight leg raises, heel slides, and gentle stretching can help improve strength and flexibility. It is essential to perform these exercises consistently, as muscle atrophy can occur quickly after surgery.


4. The Role of Physical Therapy
Engaging in physical therapy is critical during your recovery. A physical therapist can provide tailored exercises that address your specific limitations and pain points. They can also guide you on how to safely progress your rehabilitation without risking further injury.
Additionally, they can help you establish a routine that includes both strengthening and flexibility exercises, ensuring that you are not only focusing on bending your knee but also on overall leg strength and stability.


Conclusion
In summary, rehabilitation after femur fracture surgery requires patience and a strategic approach. Pay attention to your body’s signals, and do not hesitate to seek guidance from your healthcare providers. Regularly practicing gentle knee flexion, focusing on strengthening exercises, and utilizing assistive devices will aid in your recovery. Remember, the goal is to regain full function while minimizing pain and preventing further complications. With time and consistent effort, you will likely see improvements in your mobility and strength.

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