Post-Surgery Recovery Tips for Hip Joint Fracture Patients

Postoperative hip joint care

Hello, doctor.
I would like to ask about my situation.
I had a car accident in early February, resulting in a shattered hip joint.
After the surgery, the doctor did not perform a hip replacement but instead used screws and plates.
It has been about 3 to 4 months since the surgery, and there are no signs of bone necrosis; in fact, I am experiencing bone growth.
Currently, I am doing thigh muscle training at home.
I have a few questions: Will I need to use assistive devices for walking in the future? Also, how should I train my thigh muscles? Thank you for your help.
Additionally, I am a bit overweight, so the doctor has advised me not to get out of bed yet, fearing that the plates and screws might deform.
My weight is 85 kilograms.

A Long, 20~29 year old female. Ask Date: 2004/06/11

Dr. Shi Guozheng reply Orthopedics

Muscle strength can support weight-bearing once it has recovered to a certain level.
After a fracture has healed, one can begin to walk or move with force.
Strength training should be guided by a physical therapist, and it requires consistent practice over a period of time to achieve results.
You can schedule an appointment with a rehabilitation specialist to obtain a prescription for strength training.

Reply Date: 2004/06/11

More Info

Post-surgery recovery after a hip joint fracture is a critical phase that requires careful attention to rehabilitation and physical therapy. Given your situation, where you have undergone surgery involving the insertion of screws and plates, it is essential to follow a structured recovery plan to ensure optimal healing and regain mobility.

Importance of Rehabilitation
Rehabilitation is crucial after hip surgery, especially for fractures. It helps restore strength, flexibility, and function to the affected area. Engaging in a rehabilitation program can significantly reduce the risk of complications and improve your overall recovery experience. Here are some key components of post-surgery rehabilitation:
1. Physical Therapy: It is highly recommended to work with a physical therapist who specializes in post-operative recovery. They can design a personalized exercise program tailored to your specific needs and limitations. This program will likely include exercises to strengthen the quadriceps, hamstrings, and hip muscles, which are vital for mobility.

2. Gradual Weight Bearing: Since you mentioned that your doctor has advised against putting weight on your leg due to your weight and the risk of hardware displacement, it is crucial to adhere to this guidance. Gradual weight-bearing exercises will be introduced as your healing progresses. Typically, this involves starting with partial weight-bearing and gradually increasing to full weight-bearing as tolerated.

3. Muscle Strengthening: To strengthen your thigh muscles, consider the following exercises, but only after consulting with your physical therapist:
- Isometric Exercises: These involve contracting your muscles without moving the joint. For example, you can press your knee down into the bed or floor while keeping your leg straight.

- Straight Leg Raises: While lying on your back, keep one leg bent and the other straight. Slowly lift the straight leg to the height of the bent knee, hold for a few seconds, and lower it back down.

- Heel Slides: While lying on your back, slide your heel towards your buttocks and then back out. This helps improve range of motion without putting too much strain on the hip joint.

4. Avoiding High-Impact Activities: Until your doctor gives you the green light, avoid high-impact activities that could jeopardize your recovery. This includes running, jumping, or any activity that places excessive stress on your hip joint.

5. Use of Assistive Devices: Initially, you may need to rely on assistive devices such as crutches or a walker to help you move around safely. This is particularly important to prevent falls and further injury. Over time, as your strength and balance improve, you may transition to using a cane or walking independently.

Long-Term Considerations
Regarding your concern about whether you will always need to use assistive devices, this largely depends on your recovery progress and adherence to rehabilitation. Many patients are able to transition away from assistive devices with time and consistent effort in physical therapy. However, some individuals may continue to use them for added stability, especially if they have a higher body weight or other risk factors.

Weight Management
Given your weight of 85 kg, it is essential to manage your weight to reduce stress on your hip joint. Consider discussing a weight management plan with your healthcare provider or a nutritionist. This may include dietary changes and safe, low-impact exercises that can be performed as you progress in your recovery.

Conclusion
In summary, post-surgery recovery from a hip joint fracture involves a comprehensive approach that includes physical therapy, gradual weight-bearing exercises, and muscle strengthening. Adhering to your doctor's recommendations and working closely with a physical therapist will be vital in ensuring a successful recovery. With dedication and the right support, many patients can regain their mobility and return to their daily activities without the need for long-term assistive devices. Always consult your healthcare provider before starting any new exercise regimen to ensure it aligns with your recovery plan.

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