Recovery Challenges After Tibia Fracture Surgery - Orthopedics

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The doctor said I have a right tibial fracture.
I was hit by a motorcycle while crossing the street on December 31, 2003, and went to the hospital.
The doctor said I only had a right tibial fracture, but later, due to bone displacement, I had surgery to insert a metal rod.
After about two months, the doctor removed the rod and said I could recover a bit more and then start walking.
However, it has been a week since then, and although the wound can get wet and the doctor said I could walk, I still cannot walk.
My ankle feels tight, and I cannot walk at all.
When I put pressure on my foot (not too much pressure, just enough to walk), the bottom of my foot hurts a lot.
Why can’t I walk now? Also, my knee feels like I can't lift my leg at all, and it hurts when I tap it, but the other leg doesn't hurt.
Could there be a problem with my knee? The doctor said I had the cast on for too long, but I still cannot walk, and I can't lift my leg.
Stepping on my foot hurts a lot.
Is there something wrong? By the way, I’m in sixth grade and have been absent from school for almost two months and still can’t walk.
My knee feels strange, and I don’t know if I can’t walk because I’m scared or just not used to it.

uo, 10~19 year old female. Ask Date: 2004/03/15

Dr. Shi Guozheng reply Orthopedics


A 13-year-old with a tibial fracture should be expected to heal within two months.
The fracture may have already healed.
However, after being in a cast, there is a possibility of slight muscle atrophy, which can lead to weakness.
Plantar pain may be due to periostitis, and it is necessary to consult a physician to determine the exact issue.
Additionally, prolonged immobility of the joints can lead to stiffness, so rehabilitation exercises are needed for recovery.

Reply Date: 2004/03/15

More Info


It sounds like you are experiencing significant challenges in your recovery after your tibia fracture surgery. It's understandable to feel frustrated, especially since you are eager to return to your normal activities, including attending school. Let's break down your concerns and provide some insights based on medical knowledge.

1. Pain and Tightness in the Ankle: After a tibia fracture and subsequent surgery, it is common to experience pain and tightness in the ankle. This can be due to several factors, including swelling, stiffness from immobilization (especially if you were in a cast for an extended period), and the healing process itself. The pain you feel when trying to walk could be due to the muscles and ligaments around the ankle being weak or stiff from lack of use. Physical therapy is often recommended to help regain strength and flexibility in the ankle and surrounding areas.

2. Knee Pain and Mobility Issues: The inability to lift your leg or the pain when tapping your knee could indicate that the muscles around your knee are also weak or stiff. After a period of immobilization, it is normal for the muscles to lose strength and for the joints to become stiff. This can lead to difficulty in movement and pain. It's essential to engage in rehabilitation exercises that focus on strengthening the quadriceps and hamstrings, as well as improving the range of motion in the knee.

3. Fear and Psychological Factors: It’s also important to consider the psychological aspect of recovery. After an injury, especially one that required surgery, it is common to develop a fear of re-injury. This fear can lead to hesitance in using the affected limb, which can further delay recovery. Working with a physical therapist can help address these fears through gradual exposure and building confidence in your movements.

4. Consulting Your Doctor: Since you are experiencing persistent pain and difficulty in walking, it is crucial to follow up with your orthopedic surgeon or a physical therapist. They can assess your recovery progress, check for any complications (such as improper healing or issues with the hardware used in your surgery), and adjust your rehabilitation plan accordingly. They may also perform imaging studies, such as X-rays, to ensure that the bone is healing correctly.

5. Importance of Rehabilitation: Engaging in a structured rehabilitation program is vital for recovery. This program should include exercises to improve strength, flexibility, and balance. A physical therapist can guide you through exercises tailored to your specific needs and monitor your progress. They can also provide modalities such as ultrasound or electrical stimulation to help reduce pain and promote healing.

6. Timeframe for Recovery: Recovery from a tibia fracture can vary significantly from person to person. While some individuals may regain full function within a few months, others may take longer, especially if there were complications or if the injury was severe. It’s essential to be patient and consistent with your rehabilitation efforts.

In summary, while it is concerning that you are still experiencing pain and difficulty walking weeks after your surgery, these issues can often be addressed with appropriate rehabilitation and follow-up care. Make sure to communicate openly with your healthcare providers about your symptoms and concerns so they can help you get back on track to walking and participating in your daily activities.

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